Evidence map›Paper›PMID 28757884›Full record

ArticlePersonalized medicine2017

The fuzzy world of precision medicine: deliberations of a precision medicine tumor board.

Sarah A McGraw, Judy Garber, Pasi A Jänne, Neal Lindeman, Nelly Oliver, Lynette M Sholl, Eliezer M Van Allen, Nikhil Wagle, Levi A Garraway, Steven Joffe and 1 more

Abstract read
In one paragraph

Article in Personalized medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Interactive or static reports to guide clinical interpretation of cancer genomics.Journal of the American Medical Informatics Association : JAMIA · 2018
    Article
  11. Review
  12. Article
  13. Review
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

11 authors.

Sarah A McGrawThe Hastings Center, Garrison, NY, USA.
Judy GarberDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Pasi A JänneDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Neal LindemanHarvard Medical School, Boston, MA, USA.
Nelly OliverDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Lynette M ShollHarvard Medical School, Boston, MA, USA.
Eliezer M Van AllenDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Nikhil WagleDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Levi A GarrawayDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, USA.
Steven JoffeDepartment of Medical Ethics & Health Policy, University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA, USA.
Stacy W GrayDepartment of Population Sciences, City of Hope Comprehensive Cancer Center, Duarte, CA, 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
NHGRI NIH HHS U01 HG006492
6 · The paper itself

Abstract

aimTo understand how a cancer precision medicine tumor board (CPM-TB) made choices about return of results. MATERIALS &

methodsObserved CPM-TB deliberations and completed in-depth interviews with committee members.

resultsResponding to complex evidence of ambiguous significance, deliberations of the CPM-TB were predicated on analytic validity and clinical utility. Members had concerns both about potential harms due to returning results based on weak evidence and about withholding potentially meaningful results. Group dynamics and the clinical experiences of individual committee members shaped their work.

conclusionBoth scientific evidence and the social context surrounding deliberations of a CPM-TB influenced decisions about return of results. Subjective elements, while present in any scientific endeavor, may carry more weight in the face of ambiguous findings.

Indexed as

cancerdecision-makinggenomicsprecision medicinesequencingtumor boardUS

Identifiers

PMID28757884
PMCPMC5480788

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.