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Identifying women with suspected ovarian cancer in primary care: derivation and validation of algorithm

BMJ 2012; 344 doi: https://doi.org/10.1136/bmj.d8009 (Published 04 January 2012) Cite this as: BMJ 2012;344:d8009

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Re: Identifying women with suspected ovarian cancer in primary care: derivation and validation of algorithm

Dear authors,

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?

Yours sincerely,
Dr. Susanne Bauer

Competing interests: No competing interests

07 February 2012
Susanne Helene Bauer
gynaecological consultant
Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen
Theodor-Althoff-Str. 47, 45133 Essen-Bredeney