Evidence map›Paper›PMID 31133068›Full record

ArticleGenome medicine2019

Clinical utility of custom-designed NGS panel testing in pediatric tumors.

Lea F Surrey, Suzanne P MacFarland, Fengqi Chang, Kajia Cao, Komal S Rathi, Gozde T Akgumus, Daniel Gallo, Fumin Lin, Adam Gleason, Pichai Raman and 11 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Genome medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
5.8field-weighted citation impact, top 2% 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

74 citing papers in PubMed, 123 citations in OpenAlex.

  1. Trial
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  6. Molecular Characterization of a ComplexJCO precision oncology · 2026
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  14. Frontiers in oncology · 2025
    Article
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  19. Thyroid : official journal of the American Thyroid Association · 2024
    Article
  20. SJPedPanel: A Pan-Cancer Gene Panel for Childhood Malignancies to Enhance Cancer Monitoring and Early Detection.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article

14 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

21 authors at 2 institutions in 1 country.

Lea F SurreyDepartment of Pathology and Laboratory Medicine, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Suzanne P MacFarlandDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Fengqi ChangDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Kajia CaoDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Komal S RathiCenter for Data-Driven Discovery in Biomedicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Gozde T AkgumusDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Daniel GalloDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Fumin LinDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Adam GleasonDivision of Genomic Diagnostics, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Pichai RamanCenter for Data-Driven Discovery in Biomedicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Richard AplencDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Rochelle BagatellDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Jane MinturnDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Yael MosseDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Mariarita SantiDepartment of Pathology and Laboratory Medicine, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
Sarah K TasianDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Angela J WaandersDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Mahdi SarmadyDepartment of Pathology and Laboratory Medicine, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA.
John M MarisDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Stephen P HungerDivision of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, 19104, USA.
Marilyn M LiDepartment of Pathology and Laboratory Medicine, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 19104, USA. lim5@email.chop.edu.ORCID 0000-0002-4253-2369
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Physician Scientist Training in Clinical OncologyK12CA076931 · NCI · UNIVERSITY OF PENNSYLVANIA · PI STEPHEN Patrick HUNGER, LYNN M. SCHUCHTER · 1997 to 2026
$16.5M
PI3K Pathway Inhibition for Philadelphia-Like Acute Lymphoblastic LeukemiaK08CA184418 · NCI · CHILDREN'S HOSP OF PHILADELPHIA · PI TASIAN, SARAH KATHLEEN · 2014 to 2018
$848k
NCI NIH HHS K08 CA184418NCI NIH HHS K12 CA076931
6 · The paper itself

Abstract

backgroundSomatic genetic testing is rapidly becoming the standard of care in many adult and pediatric cancers. Previously, the standard approach was single-gene or focused multigene testing, but many centers have moved towards broad-based next-generation sequencing (NGS) panels. Here, we report the laboratory validation and clinical utility of a large cohort of clinical NGS somatic sequencing results in diagnosis, prognosis, and treatment of a wide range of pediatric cancers.

methodsSubjects were accrued retrospectively at a single pediatric quaternary-care hospital. Sequence analyses were performed on 367 pediatric cancer samples using custom-designed NGS panels over a 15-month period. Cases were profiled for mutations, copy number variations, and fusions identified through sequencing, and their clinical impact on diagnosis, prognosis, and therapy was assessed.

resultsNGS panel testing was incorporated meaningfully into clinical care in 88.7% of leukemia/lymphomas, 90.6% of central nervous system (CNS) tumors, and 62.6% of non-CNS solid tumors included in this cohort. A change in diagnosis as a result of testing occurred in 3.3% of cases. Additionally, 19.4% of all patients had variants requiring further evaluation for potential germline alteration.

conclusionsUse of somatic NGS panel testing resulted in a significant impact on clinical care, including diagnosis, prognosis, and treatment planning in 78.7% of pediatric patients tested in our institution. Somatic NGS tumor testing should be implemented as part of the routine diagnostic workup of newly diagnosed and relapsed pediatric cancer patients.

Indexed as

ChildDNA, NeoplasmGenetic TestingHigh-Throughput Nucleotide SequencingHumansNeoplasmsSequence Analysis, DNADNA, NeoplasmMolecular profilingPediatric cancerTumor sequencing

Identifiers

PMID31133068
PMCPMC6537185
OpenAlexW2947007298

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LicenceCC BY
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Registered trials

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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.