Evaluating the Effectiveness and Challenges of Endometrial Cancer Risk Prediction Models for Clinical Use: A Systematic Review - Report - MDSpire

Evaluating the Effectiveness and Challenges of Endometrial Cancer Risk Prediction Models for Clinical Use: A Systematic Review

  • By

  • Sabine El-Halabi

  • Alison Zhijin Luo

  • Aline Talhouk

  • November 19, 2025

  • 0 min

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Clinical Report: Evaluating the Effectiveness and Challenges of Endometrial Cancer Risk Prediction Models

Overview

This systematic review evaluates the effectiveness of endometrial cancer (EC) risk prediction models, highlighting their strengths and limitations. The findings emphasize the need for improved model validation to enhance early detection and prevention strategies.

Background

Endometrial cancer is the most common gynecological malignancy, with rising incidence and mortality rates, particularly among Black women and those from under-represented ethnicities. Early detection is crucial for improving survival rates, yet there are currently no universal screening recommendations for asymptomatic women. The development of accurate risk prediction models is essential to identify high-risk individuals and implement effective prevention strategies.

Data Highlights

No numerical data was provided in the source material.

Key Findings

  • Endometrial cancer incidence is increasing globally, particularly in high-income countries.
  • Approximately 40% of EC cases are linked to modifiable risk factors, including obesity.
  • Multivariable predictive models have been developed to estimate individual risk but vary in performance and generalizability.
  • There is a lack of transparency in reporting model methodologies, impacting future validations.
  • Current risk models are heterogeneous and often not ready for clinical deployment.

Clinical Implications

Healthcare professionals should be aware of the limitations of existing EC risk prediction models and the importance of validating these tools in diverse populations. Targeted interventions for high-risk individuals can enhance prevention efforts and improve outcomes.

Conclusion

The review underscores the critical need for improved validation of endometrial cancer risk prediction models to facilitate early detection and reduce health disparities in EC outcomes.

References

  1. American Cancer Society, Cancer Facts & Figures, 2025 -- Annual Cancer Facts and Figures
  2. Diagnostic and Prognostic Research, Models for predicting risk of endometrial cancer: a systematic review, 2025 -- Full Text
  3. NCCN Guidelines, NCCN Guidelines® Insights - Uterine Neoplasms, Version 3.2025 -- Continuing Education
  4. The ASCO Post — Simulation Model–Based Clinical Decision Tool for Predicting Benefit of Adjuvant Chemoendocrine vs Endocrine Therapy in HR-Positive, HER2-Negative Breast Cancer
  5. European Radiology — Assessing the Quality of Radiomics Research in Endometrial Cancer through RQS and METRICS Frameworks
  6. Surgical Endoscopy — Factors Influencing Adverse Outcomes Following Endoscopic Intervention for Clinical T1a Esophageal Cancer
  7. the asco post — Model to Identify Patients With Clinical High-Risk Early Breast Cancer Who May Avoid Escalated Adjuvant Therapy
  8. Simulation Model–Based Clinical Decision Tool for Predicting Benefit of Adjuvant Chemoendocrine vs Endocrine Therapy in HR-Positive, HER2-Negative Breast Cancer
  9. Assessing the Quality of Radiomics Research in Endometrial Cancer through RQS and METRICS Frameworks
  10. Factors Influencing Adverse Outcomes Following Endoscopic Intervention for Clinical T1a Esophageal Cancer
  11. Cancer Facts & Figures
  12. Models for predicting risk of endometrial cancer: a systematic review | Diagnostic and Prognostic Research | Full Text
  13. NCCN Guidelines® Insights - Uterine Neoplasms, Version 3.2025 | NCCN Continuing Education

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