Evidence map›Paper›PMID 37307803›Full record

ArticleGynecologic and obstetric investigation2024

Measurement of Human Chorionic Gonadotrophin in Women with Gestational Trophoblastic Disease.

Lesley M McMahon, Caroline M Joyce, Lyndsey Cuthill, Hugh Mitchell, Imran Jabbar, Fred Sweep, hCG working party of the EOTTD

Open access · hybridAbstract read
In one paragraph

Article in Gynecologic and obstetric investigation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 5 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

7 authors at 5 institutions in 3 countries.

Lesley M McMahonHydatidiform Mole Follow-up Service Scotland, Ninewells Hospital, and Medical School, Dundee, UK.
Caroline M JoycePregnancy Loss Research Group, Department of Obstetrics and Gynaecology, University College Cork and Department of Biochemistry & Cell Biology, University College Cork, Cork, Ireland.
Lyndsey CuthillHydatidiform Mole Follow-up Service Scotland, Ninewells Hospital, and Medical School, Dundee, UK.
Hugh MitchellWellington Parade, Deal, UK.
Imran JabbarDepartment of Laboratory Medicine, Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Sheffield, UK.
Fred SweepDepartment of Laboratory Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
hCG working party of the EOTTD
Ninewells Hospital · GBNorthern General Hospital · GBRadboud University Nijmegen · NLThe Wellington Hospital · GBUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective of this study was to collect information on human chorionic gonadotrophin (hCG) laboratory testing and reporting in women with gestational trophoblastic disease (GTD), to assess the associated challenges, and to offer perspectives on hCG testing harmonisation.

designInformation was collected from laboratories by electronic survey (SurveyMonkey) using a questionnaire designed by members of the European Organisation for the Treatment of Trophoblastic Disease (EOTTD) hCG working party.

participantsThe questionnaire was distributed by the EOTTD board to member laboratories and their associated scientists who work within the GTD field.

settingThe questionnaire was distributed and accessed via an online platform.

methodsThe questionnaire consisted of 5 main sections. These included methods used for hCG testing, quality procedures, reporting of results, laboratory operational aspects, and non-GTD testing capability. In addition to reporting these survey results, examples of case scenarios which illustrate the difficulties faced by laboratories providing hCG measurement for GTD patient management were described. The benefits and challenges of using centralised versus non-centralised hCG testing were discussed alongside the utilisation of regression curves for management of GTD patients.

resultsInformation from the survey was collated and presented for each section and showed huge variability in responses across laboratories even for those using the same hCG testing platforms. An educational example was presented, highlighting the consequence of using inappropriate hCG assays on clinical patient management (Educational Example A), along with an example of biotin interference (Educational Example B) and an example of high-dose hook effect (Educational Example C), demonstrating the importance of knowing the limitations of hCG tests. The merits of centralised versus non-centralised hCG testing and use of hCG regression curves to aid patient management were discussed. LIMITATIONS: To ensure the survey was completed by laboratories providing hCG testing for GTD management, the questionnaire was distributed by the EOTTD board. It was assumed the EOTTD board held the correct laboratory contact, and that the questionnaire was completed by a scientist with in-depth knowledge of laboratory procedures.

conclusionsThe hCG survey highlighted a lack of harmonisation of hCG testing across laboratories. Healthcare professionals involved in the management of women with GTD should be aware of this limitation. Further work is needed to ensure an appropriate, quality-assured laboratory service is available for hCG monitoring in women with GTD.

Indexed as

Chorionic GonadotropinGestational Trophoblastic DiseaseFemaleHumansPregnancySurveys and QuestionnairesChorionic GonadotropinCentralisationEOTTD surveyHuman chorionic gonadotropinRegression curvesTrophoblastic disease

Identifiers

PMID37307803
PMCPMC11151977
OpenAlexW4380423068

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.