Evaluation of midkine and anterior gradient 2 in a multimarker panel for the detection of ovarian cancer
2010

Detection of Ovarian Cancer Using Biomarkers

Sample size: 107 publication Evidence: moderate

Author Information

Author(s): Gregory E Rice, Tracey A Edgell, Dominic J Autelitano

Primary Institution: HealthLinx Ltd

Hypothesis

Can midkine and anterior gradient 2 improve the detection of ovarian cancer when used in a multimarker panel?

Conclusion

The study confirms that midkine and anterior gradient 2 are useful biomarkers for ovarian cancer and improve the diagnostic utility of CA125 when used together.

Supporting Evidence

  • Plasma concentrations of midkine and AGR2 were significantly higher in women with ovarian cancer compared to healthy controls.
  • The multi-analyte panel showed a sensitivity of 95.2% and specificity of 97.7%.
  • CA125 alone had a sensitivity of 87.0% and specificity of 94.6%.

Takeaway

This study found that two proteins in the blood can help doctors find ovarian cancer earlier, which is really important for better treatment.

Methodology

The study used a retrospective, case-control design comparing plasma concentrations of midkine, AGR2, and CA125 in women with and without ovarian cancer.

Potential Biases

Potential bias due to the retrospective design and selection of participants.

Limitations

The study did not include stage IV tumors and was limited to a specific cohort of women.

Participant Demographics

Median age of controls was 52 years (32-69), and cases were 61 years (24-69); 46 cases of ovarian cancer and 61 controls.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p < 0.001

Digital Object Identifier (DOI)

10.1186/1756-9966-29-62

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