Evidence map›Paper›PMID 26866579›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2016

Oncologists' and cancer patients' views on whole-exome sequencing and incidental findings: results from the CanSeq study.

Stacy W Gray, Elyse R Park, Julie Najita, Yolanda Martins, Lara Traeger, Elizabeth Bair, Joshua Gagne, Judy Garber, Pasi A Jänne, Neal Lindeman and 8 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Individualized Neoantigen-Directed Melanoma Therapy.American journal of clinical dermatology · 2025
    Review
  15. Article
  16. Article
  17. Review
  18. Preparing for the unexpected: Recommendations for returning secondary findings in late-stage cancer care.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Article
  19. Article
  20. Article

7 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Stacy W GrayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.ORCID 0000-0001-6948-0143
Elyse R ParkMassachusetts General Hospital, Boston, Massachusetts, USA.
Julie NajitaDepartment of Biostatistics and Computational Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Yolanda MartinsDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Lara TraegerMassachusetts General Hospital, Boston, Massachusetts, USA.
Elizabeth BairDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Joshua GagneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Judy GarberDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Pasi A JänneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Neal LindemanHarvard Medical School, Boston, Massachusetts, USA.
Carol LowensteinDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Nelly OliverDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Lynette ShollHarvard Medical School, Boston, Massachusetts, USA.
Eliezer M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Nikhil WagleDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Sam WoodDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Levi GarrawayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Steven JoffeDepartment of Medical Ethics and Health Policy, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.

Funding

The Use of Whole-Exome Sequencing to Guide the Care of Cancer PatientsU01HG006492 · NHGRI · DANA-FARBER CANCER INST · PI JANNE, PASI A, VAN ALLEN, ELIEZER M · 2012 to 2016
$7.3M
Analysis of causal genetic variants in pre-mRNA processing using ENCODE dataU01HG007013 · NHGRI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI XIAO, XINSHU GRACE · 2012 to 2015
$1.1M
NHGRI NIH HHS U01 HG006492NHGRI NIH HHS U01 HG007013
6 · The paper itself

Abstract

purposeAlthough targeted sequencing improves outcomes for many cancer patients, it remains uncertain how somatic and germ-line whole-exome sequencing (WES) will integrate into care.

methodsWe conducted surveys and interviews within a study of WES integration at an academic center to determine oncologists' attitudes about WES and to identify lung and colorectal cancer patients' preferences for learning WES findings.

resultsOne-hundred sixty-seven patients (85% white, 58% female, mean age 60) and 27 oncologists (22% female) participated. Although oncologists had extensive experience ordering somatic tests (median 100/year), they had little experience ordering germ-line tests. Oncologists intended to disclose most WES results to patients but anticipated numerous challenges in using WES. Patients had moderately low levels of genetic knowledge (mean 4 correct out of 7). Most patients chose to learn results that could help select a clinical trial, pharmacogenetic and positive prognostic results, and results suggesting inherited predisposition to cancer and treatable noncancer conditions (all ≥95%). Fewer chose to receive negative prognostic results (84%) and results suggesting predisposition to untreatable noncancer conditions (85%).

conclusionThe majority of patients want most cancer-related and incidental WES results. Patients' low levels of genetic knowledge and oncologists' inexperience with large-scale sequencing present challenges to implementing paired WES in practice.Genet Med 18 10, 1011-1019.

Indexed as

High-Throughput Nucleotide SequencingAgedExomeFemaleGenetic Predisposition to DiseaseGenome, HumanGerm-Line MutationHumansIncidental FindingsMaleMiddle AgedNeoplasmsOncologistsPrognosis

Identifiers

PMID26866579
PMCPMC4981555

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.