Intended for healthcare professionals

Letters Ovarian cancer

Authors’ reply

BMJ 2009; 339 doi: (Published 28 October 2009) Cite this as: BMJ 2009;339:b4413
  1. William Hamilton, consultant senior lecturer1,
  2. Tim J Peters, professor1,
  3. Deborah Sharp, professor1
  1. 1NIHR School for Primary Care Research, Department of Community Based Medicine, University of Bristol, Bristol BS8 2AA
  1. w.hamilton{at}

    We are glad Wheatley agrees that general practitioners would appreciate reliable information on the predictive values of symptoms of ovarian cancer—that is what our study set out to do.1 2 He is concerned about the non-specific nature of the symptoms we identified. It certainly would be simpler if there were a symptom with high sensitivity and specificity for ovarian cancer, but none exists. …

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