Evidence map›Paper›PMID 27871291›Full record

ArticleBMC medical genomics2016

"A rising tide lifts all boats": establishing a multidisciplinary genomic tumor board for breast cancer patients with advanced disease.

Michelle L McGowan, Roselle S Ponsaran, Paula Silverman, Lyndsay N Harris, Patricia A Marshall

Open access · goldAbstract read
In one paragraph

Article in BMC medical genomics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
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

8 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
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  7. Precision Oncology Decision Support: Current Approaches and Strategies for the Future.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Review
  8. Article
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

5 authors at 4 institutions in 1 country.

Michelle L McGowanEthics Center, Division of General and Community Pediatrics, Cincinnati Children's Hospital Medical Center, Departments of Pediatrics and Women's, Gender, and Sexuality Studies, University of Cincinnati, 3333 Burnet Avenue, MLC 15006, Cincinnati, OH, 45229, USA. michelle.mcgowan@cchmc.org.
Roselle S PonsaranCase Western Reserve University School of Medicine, Cleveland, USA.
Paula SilvermanCase Western Reserve University School of Medicine, University Hospitals Seidman Cancer Center, Cleveland, USA.
Lyndsay N HarrisNational Cancer Institute, Washington, DC, USA.
Patricia A MarshallCase Western Reserve University School of Medicine, Cleveland, USA.
University School · USCincinnati Children's Hospital Medical Center · USNational Cancer Institute · USUniversity Hospitals Seidman Cancer Center · US

Funding

Training ProgramP50HG003390 · NHGRI · CASE WESTERN RESERVE UNIVERSITY · PI WIESNER, GEORGIA L · 2004 to 2013
$8.8M
NHGRI NIH HHS P50 HG003390
6 · The paper itself

Abstract

backgroundResearch suggests that multidisciplinary genomic tumor boards (MGTB) can inform cancer patient care, though little is known about factors influencing how MGTBs interpret genomic test results, make recommendations, and perceive the utility of this approach. This study's objective was to observe, describe, and assess the establishment of the Breast Multidisciplinary Genomic Tumor Board, the first MGTB focused on interpreting genomic test results for breast cancer patients with advanced disease.

methodsWe conducted a qualitative case study involving participant observation at monthly MGTB meetings from October 2013 through November 2014 and interviews with 12 MGTB members. We analyzed social dynamics and interactions within the MGTB regarding interpretation of genomic findings and participants' views on effectiveness of the MGTB in using genomics to inform patient care.

resultsTwenty-two physicians, physician-scientists, basic scientists, bioethicists, and allied care professionals comprised the MGTB. The MGTB reviewed FoundationOne™ results for 40 metastatic breast cancer patients. Based on findings, the board mostly recommended referring patients to clinical trials (34) and medical genetics (15), and Food and Drug Administration-approved (FDA) breast cancer therapies (13). Though multidisciplinary, recommendations were driven by medical oncologists. Interviewees described providing more precise care recommendations and professional development as advantages and the limited actionability of genomic test results as a challenge for the MGTB.

conclusionsFindings suggest both feasibility and desirability of pooling professional expertise in genomically-guided breast cancer care and challenges to institutionalizing a Breast MGTB, specifically in promoting interdisciplinary contributions and managing limited actionability of genomic test results for patients with advanced disease.

Indexed as

GenomicsInterdisciplinary CommunicationBreast NeoplasmsHumansPatient CareBreast cancerEthicsGenomicsPatient careQualitative research

Identifiers

PMID27871291
PMCPMC5117517
OpenAlexW2550027401

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.