Re: Identifying women with suspected ovarian cancer in primary care: derivation and validation of algorithm
I read your article with great interest and find the idea of getting useful information about identifying potential ovarian cancer cases out of the computer very enticing.
As a gynaecologist having been trained in artificial reproduction techniques, I am quite convinced that a history of ovarian stimulation and puncture (which means an injury to the ovarian epithelium) also is a risk factor for developing ovarian cancer. These interventions may have occurred many years earlier in life, so general practitioners might forget to ask for this special item of a woman's history, but the computer will be able to reproduce the fact (provided that the woman still keeps in contact with the same doctor, of course). What about testing this potential predictor in your algorithm as well?
Dr. Susanne Bauer
Competing interests: No competing interests