Evidence map›Paper›PMID 34819825›Full record

ArticleEJIFCC2021

A Combined Analysis of Serum Growth Differentiation Factor-15 and Cancer Antigen 15-3 Enhances the Diagnostic Efficiency in Breast Cancer.

Anupama Modi, Purvi Purohit, Ashita Gadwal, Dipayan Roy, Sujoy Fernandes, Jeewan Ram Vishnoi, Puneet Pareek, Poonam Elhence, Sanjeev Misra, Praveen Sharma

Open access · greenAbstract read
In one paragraph

Article in EJIFCC, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Anupama ModiDepartment of Biochemistry, AIIMS, Jodhpur, India.
Purvi PurohitDepartment of Biochemistry, AIIMS, Jodhpur, India.
Ashita GadwalDepartment of Biochemistry, AIIMS, Jodhpur, India.
Dipayan RoyDepartment of Biochemistry, AIIMS, Jodhpur, India.
Sujoy FernandesDepartment of Radiation Oncology, AIIMS, Jodhpur, India.
Jeewan Ram VishnoiDepartment of Surgical Oncology, AIIMS, Jodhpur, India.
Puneet PareekDepartment of Radiation Oncology, AIIMS, Jodhpur, India.
Poonam ElhenceDepartment of Pathology, AIIMS, Jodhpur, India.
Sanjeev MisraDepartment of Surgical Oncology, AIIMS, Jodhpur, India.
Praveen SharmaDepartment of Biochemistry, AIIMS, Jodhpur, India.
All India Institute of Medical Sciences Jodhpur · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionExisting diagnostic biomarkers of breast cancer (BC) are limited by poor sensitivity. In this study, we evaluated the role of serum GDF-15 in early BC diagnosis, independently and in combination with CA15-3, a known blood biomarker of BC. MATERIAL AND

methodsA total of 113 diagnosed, pre-therapy BC patients and 54 healthy controls were recruited. Clinical characteristics, TNM staging, and hormone receptor status of the patients were recorded. Serum GDF-15 and serum CA15-3 were measured by sandwich ELISA and chemiluminescence assay, respectively.

resultsThe serum GDF-15 levels were significantly (p<0.001) elevated in BC patients compared to healthy controls and in patients with larger tumor size, advanced disease stage, and distant metastasis. ROC analysis revealed that at the cut-off of 525.77 pg/mL, GDF-15 had greater sensitivity than CA15-3. GDF-15 and CA15-3 performed better in combination than individually, with the combined test having an AUC of 0.85 and sensitivity and specificity of 0.63 and 0.98, respectively.Further, serum GDF-15 had a better predictive ability for early-stage BC compared to CA15-3. GDF-15 could independently diagnose BC patients after adjusting for age.

conclusionWe conclude that serum GDF-15 is a promising, robust marker for detecting early-stage BC. However, larger prospective studies are necessary to validate this claim.

Indexed as

breast cancerCA15.3diagnosisgrowth differentiation Factor-15

Identifiers

PMID34819825
PMCPMC8592631
OpenAlexW3216994214

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.