Cancer Antigen 125 (CA-125) Levels Among The Female General Population Of Muzaffarabad City Of Azad Jammu And Kashmir State, Pakistan: A Retrospective Study

Authors

  • Syed Ayaz Kazmi
  • Abdul Rauf
  • Rizwan Saeed
  • Muhammad Zahid Latif
  • Beenish Shahid
  • Tasleem Akhtar
  • Muhammad Zaheer Awan
  • Noor-ul-ain Fadia
  • Hassan Abdullah
  • Javaria Alam
  • Zeeshan Anjum
  • Muqaddas Tahir
  • Salma Farooq

DOI:

https://doi.org/10.53555/jaz.v45i6.4966

Keywords:

CA-125, correlation of CA 125 with age, distribution of abnormal CA 125 in Azad Kashmir, temporal trends of CA 125, Prevalence of CA 125 positivity

Abstract

Background: CA-125 is a widely used biomarker for evaluating various conditions, including malignancies and chronic diseases. Unfortunately, there is a lack of published data on CA-125 levels in the state of Azad Jammu and Kashmir, Pakistan. This study aimed to assess CA-125 levels in women from Muzaffarabad, providing a foundation for future research in this region. Methods: In this retrospective study, data of 103 women were collected from two labs. Their recorded CA-125 levels were categorized as either normal (0.0 to 35.0 IU/mL) or abnormal. Statistical analysis included least squares linear regression to assess the association between age and CA-125 levels, with additional temporal analysis from 2021 to 2024 and geographical distribution between Muzaffarabad, AJ&K and Hazara, KPK. The residuals were tested for normality using Anderson-Darling, D'Agostino-Pearson omnibus test, Shapiro-Wilk and Kolmogorov-Smirnov test.

Results: The mean CA-125 level among participants was 54.84 ± 10.01 IU/mL, with 32.04% exhibiting abnormal levels. The analysis showed a statistically significant positive association between age and CA 125 levels (p = 0.0020). The regression model indicated that for each additional year of age, CA 125 levels increased by an estimated 2.456 IU/mL. Temporal analysis revealed variable CA-125 levels across different years, with a notable increase in 2024. Geographical comparison showed higher CA-125 levels in Hazara, KPK, compared to Muzaffarabad, AJ&K.

Conclusion: The study's findings align with some literature suggesting a positive correlation between CA-125 levels and age, although the variability in CA-125 levels across age groups and locations highlights the need for further investigation. The significant association of CA-125 levels with age and geographical differences highlights the importance of considering these factors in future research.

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Author Biographies

Syed Ayaz Kazmi

Department of Zoology, King Abdullah Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan.

 

Abdul Rauf

Department of Zoology, King Abdullah Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan

Rizwan Saeed

HoD Community Medicine, Azra Naheed Medical College, Superior University Lahore, Pakistan.

 

Muhammad Zahid Latif

Community Medicine/ Public Health, Department of Medical Education, Director PGME Post Graduate Medical Education, Superior University Lahore, Pakistan.

Beenish Shahid

Department of Zoology, King Abdullah Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan

Tasleem Akhtar

Department of Zoology, University of Poonch, Rawalakot, AJ&K, Pakistan.

 

Muhammad Zaheer Awan

Department of Biochemistry, Microbiology and Immunology, Faculty of Medicine, Roger Guindon Campus, University of Ottawa, Ontario, Canada.

Noor-ul-ain Fadia

Mohi-ud-din Islamic Medical College, Mirpur, Azad Kashmir, Pakistan.

 

Hassan Abdullah

Faculty of General Medicine, Kazakh Russian Medical University, Kazakhstan.

Javaria Alam

Department of Livestock and Dairy Development, AJK, Pakistan.



Zeeshan Anjum

Department of Biotechnology, Main Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan

Muqaddas Tahir

Department of Zoology, King Abdullah Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan

Salma Farooq

Department of Zoology, King Abdullah Campus, University of Azad Jammu and Kashmir, Muzaffarabad, Pakistan

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2024-08-29

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