Evidence map›Paper›PMID 29255239›Full record

ReviewNature reviews. Clinical oncology2018

The evidence framework for precision cancer medicine.

Jeffrey A Moscow, Tito Fojo, Richard L Schilsky

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Clinical oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed
5.2field-weighted citation impact, top 3% 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

78 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
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  4. Review
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  6. Precision oncology: transforming cancer care through personalized medicine.Medical oncology (Northwood, London, England) · 2025
    Review
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  8. Review
  9. Review
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  17. Review
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  20. Lessons learned: the first consecutive 1000 patients of the CCCMunichJournal of cancer research and clinical oncology · 2023
    Review

18 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

3 authors at 3 institutions in 1 country.

Jeffrey A MoscowRoom 5W524, National Cancer Institute Shady Grove, 9609 Medical Center Drive, Bethesda, Maryland 20892-9739, USA.
Tito FojoDivision of Haematology Oncology, Department of Medicine, Columbia University, Herbert Irving Pavilion 9-936, New York, New York 10032, USA; and the James J. Peters VA Medical Center, 130 West Kingsbridge Road, Bronx, New York 10468, USA.
Richard L SchilskyAmerican Society of Clinical Oncology, 2318 Mill Road, Suite 800, Alexandria, Virginia 22314, USA.
American Society of Clinical Oncology · USNational Cancer Institute · USThe King's College · US

Funding

Metabolic characterization of FH- and SDH-deficient RCC cell linesZIABC011701 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MOSCOW, JEFFREY · 2016 to 2019
$550k
6 · The paper itself

Abstract

Precision cancer medicine (PCM) is a concept in which oncologists increasingly strive to tailor the use of targeted therapies in order to match the complexity of the cancer genome. This approach contradicts the historical framework used to support oncology practice that requires evidence from randomized controlled trials in order to change standards of care. This contrast demonstrates the irony of PCM: the therapies themselves are more precise than standard cytotoxic agents, although the clinical evidence supporting the benefits of these therapies is often considerably less precise. Nevertheless, the implementation of PCM should still be based on a framework of evidence-based development that supports clinical decision-making; this approach should not be simple off-label prescription of drugs following sequencing of a tumour biopsy sample. The clinical validation of increasingly complex diagnostic tests, the development of novel methods of evaluating efficacy, and the re-assessment of the standards of evidence sufficient to demonstrate the benefit of precision cancer therapies are all needed before PCM becomes the standard of care for patients with tumours harbouring genomic abnormalities of uncertain clinical significance.

Indexed as

GenomicsPrecision MedicineBiopsyClinical Decision-MakingGenome, HumanHumansNeoplasmsRandomized Controlled Trials as Topic

Identifiers

PMID29255239
OpenAlexW2777183436

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.