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Blood Test for Ovarian Cancer Misses Some Black and Native American Patients, Study Finds

August 1, 2025

A recent study published in JAMA Network Open reveals that the CA-125 blood test commonly used to detect ovarian cancer may miss cases in Black and Native American patients, potentially contributing to treatment delays and health disparities. The research found that Black and Native American patients were 23% less likely to have elevated CA-125 levels at diagnosis compared to white patients, suggesting current thresholds may be set too high for these populations. Patients with false negative results started chemotherapy an average of nine days later than those with elevated levels.

Who is affected

  • Black and Native American women with ovarian cancer
  • Patients receiving false negative CA-125 test results
  • Native American women (who have the highest rate of ovarian cancer)
  • Black women (who have lower survival rates compared to white women with ovarian cancer)
  • Doctors who rely on the CA-125 test for early evaluations

What action is being taken

  • Researchers are studying disparities in the CA-125 blood test across different racial and ethnic groups
  • Scientists have proposed new lower thresholds for the blood test that would work better across all populations
  • The research team is analyzing data from more than 200,000 women with ovarian cancer from 2004 through 2020
  • National Cancer Institute is supporting research on medical test biases

Why it matters

  • False negative test results delay chemotherapy by an average of nine days
  • The test's inaccuracy may contribute to disparities in referral and treatment
  • Early detection of ovarian cancer leads to better chances of survival
  • Current test thresholds appear to be based on studies from the 1980s with mostly white populations
  • The bias in testing may contribute to lower survival rates among Black women with ovarian cancer

What's next

  • The work could lead to changes in guidelines for ovarian cancer screening
  • New thresholds for referral may be implemented to ensure all patients receive rapid care when ovarian cancer is suspected

Read full article from source: The San Diego Voice & Viewpoint