Author:
Greenwood Ashley,Woodruff Elizabeth R.,Nguyen Cam,Piper Christi,Clauset Aaron,Brubaker Lindsay W.,Behbakht Kian,Bitler Benjamin G.
Abstract
OBJECTIVE:
To determine biomarkers other than CA 125 that could be used in identifying early-stage ovarian cancer.
DATA SOURCES:
Ovid MEDLINE ALL, EMBASE, Web of Science Core Collection, ScienceDirect, Clinicaltrials.gov, and CAB Direct were searched for English-language studies between January 2008 and April 2023 for the concepts of high-grade serous ovarian cancer, testing, and prevention or early diagnosis.
METHODS OF STUDY SELECTION:
The 5,523 related articles were uploaded to Covidence. Screening by two independent reviewers of the article abstracts led to the identification of 245 peer-reviewed primary research articles for full-text review. Full-text review by those reviewers led to the identification of 131 peer-reviewed primary research articles used for this review.
TABULATION, INTEGRATION, AND RESULTS
Of 131 studies, only 55 reported sensitivity, specificity, or area under the curve (AUC), with 36 of the studies reporting at least one biomarker with a specificity of 80% or greater specificity or 0.9 or greater AUC.
CONCLUSION:
These findings suggest that although many types of biomarkers are being tested in ovarian cancer, most have similar or worse detection rates compared with CA 125 and have the same limitations of poor detection rates in early-stage disease. However, 27.5% of articles (36/131) reported biomarkers with better sensitivity and an AUC greater than 0.9 compared with CA 125 alone and deserve further exploration.
Funder
Ovarian Cancer Research Alliance
Basic Research Laboratory
DOD Peer Reviewed Cancer Research Program
American Cancer Society
Publisher
Ovid Technologies (Wolters Kluwer Health)
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献