Evidence map›Paper›PMID 28490924›Full record

ArticleCurrent oncology (Toronto, Ont.)2017

Improving molecular testing and personalized medicine in non-small-cell lung cancer in Ontario.

C Lim, H S Sekhon, J C Cutz, D M Hwang, S Kamel-Reid, R F Carter, G da Cunha Santos, T Waddell, M Binnie, M Patel and 7 more

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Updated guidelines for predictive biomarker testing in advanced non-small-cell lung cancer: a National Consensus of the Spanish Society of Pathology and the Spanish Society of Medical Oncology.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
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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

17 authors at 8 institutions in 1 country.

C LimDivision of Medical Oncology, Princess Margaret Cancer Centre, University of Toronto, Toronto.
H S SekhonDepartment of Pathology and Laboratory Medicine, University of Ottawa, Ottawa.
J C CutzDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton.
D M HwangLaboratory Medicine Program, University Health Network, University of Toronto, Toronto.
S Kamel-ReidLaboratory Medicine Program, University Health Network, University of Toronto, Toronto.
R F CarterDepartment of Pathology and Molecular Medicine, McMaster University, Hamilton.
G da Cunha SantosLaboratory Medicine Program, University Health Network, University of Toronto, Toronto.
T WaddellDivision of Thoracic Surgery, University of Toronto, Toronto.
M BinnieDivision of Respirology, University of Toronto, Toronto.
M PatelDivision of Respirology, Trillium Health Partners, Mississauga.
N PaulJoint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, Toronto.
T ChungJoint Department of Medical Imaging, University Health Network, Mount Sinai Hospital and Women's College Hospital, Toronto.
A BradeDepartment of Radiation Oncology, University of Toronto, Toronto.
R El-MaraghiSimcoe Muskoka Regional Cancer Centre, Barrie; and.
C SitLung Cancer Canada, Toronto, ON.
M S TsaoLaboratory Medicine Program, University Health Network, University of Toronto, Toronto.
N B LeighlDivision of Medical Oncology, Princess Margaret Cancer Centre, University of Toronto, Toronto.
University of Toronto · CAUniversity Health Network · CAMcMaster University · CABarrie Urology Group · CAPrincess Margaret Cancer Centre · CATrillium Health Centre · CAUniversity of Ottawa · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough molecular testing has become standard in managing advanced nonsquamous non-small-cell lung cancer (nsclc), most patients undergo minimally invasive procedures, and the diagnostic tumour specimens available for testing are usually limited. A knowledge translation initiative to educate diagnostic specialists about sampling techniques and laboratory processes was undertaken to improve the uptake and application of molecular testing in advanced lung cancer.

methodsA multidisciplinary panel of physician experts including pathologists, respirologists, interventional thoracic radiologists, thoracic surgeons, medical oncologists, and radiation oncologists developed a specialty-specific education program, adapting international clinical guidelines to the local Ontario context. Expert recommendations from the program are reported here.

resultsPanel experts agreed that specialists procuring samples for lung cancer diagnosis should choose biopsy techniques that maximize tumour cellularity, and that conservation strategies to maximize tissue for molecular testing should be used in tissue processing. The timeliness of molecular reporting can be improved by pathologist-initiated reflex testing upon confirmation of nonsquamous nsclc and by prompt transportation of specimens to designated molecular diagnostic centres. To coordinate timely molecular testing and optimal treatment, collaboration and communication between all clinicians involved in diagnosing patients with advanced lung cancer are mandatory.

conclusionsKnowledge transfer to diagnostic lung cancer specialists could potentially improve molecular testing and treatment for advanced lung cancer patients.

Indexed as

biomarkersknowledge translationNon-small-cell lung cancerquality of care

Identifiers

PMID28490924
PMCPMC5407861
OpenAlexW2611207416

What OpenQuestion holds

Textmetadata
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.