Evidence map›Paper›PMID 32301274›Full record

ReviewAsia-Pacific journal of clinical oncology2020

Recommendations to improve the clinical adoption of NGS-based cancer diagnostics in Singapore.

David Shao-Peng Tan, Daniel Shao-Weng Tan, Iain Bee Huat Tan, Benedict Yan, Su Pin Choo, Wee Joo Chng, William Ying Khee Hwang

Open access · hybridAbstract readReview
In one paragraph

Review in Asia-Pacific journal of clinical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. 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

7 authors at 5 institutions in 1 country.

David Shao-Peng TanDepartment of Haematology-Oncology, National University Cancer Institute Singapore, National University Health System, Singapore, Singapore.
Daniel Shao-Weng TanDepartment of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Iain Bee Huat TanDepartment of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
Benedict YanMolecular Diagnosis Centre, Department of Laboratory Medicine, National University Health System, Singapore, Singapore.
Su Pin ChooCurie Oncology, Mount Elizabeth Novena Specialist Centre, Singapore, Singapore.
Wee Joo ChngDepartment of Haematology-Oncology, National University Cancer Institute Singapore, National University Health System, Singapore, Singapore.
William Ying Khee HwangDepartment of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore.
National University of Singapore · SGMount Elizabeth Novena Hospital · SGNational Cancer Centre Singapore · SGNational University Health System · SGSingapore General Hospital · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Next-generation sequencing (NGS)-based diagnostics have demonstrated clinical utility in predicting improved survival benefits with targeted treatment in certain cancer types, and positive cost-benefit in several healthcare systems. However, clinical adoption in Singapore remains low despite commercial availability of these diagnostics. This expert opinion review examines the key challenges to the clinical adoption of NGS-based diagnostics in Singapore, provides recommendations on impactful initiatives to improve adoption, and also offers practical guidance on specific cancer types in which NGS-based diagnostics are appropriate for use in Singapore. Limited patient affordability is one major challenge to clinical adoption of NGS-based diagnostics, which could be improved by enabling patient access to more funds for specific cancer types with clear benefits. Expert opinion based on current evidence and clinical experience supports the upfront use of hotspot panels in advanced non-small cell lung cancer (NSCLC), metastatic colorectal cancer, advanced and recurrent ovarian cancer, and acute myeloid leukemia. Comprehensive genomic profiling could be considered for upfront use in select patients with NSCLC and ovarian cancer, or in refractory patients with the four cancer types. Wider adoption of NGS-based diagnostics will improve the delivery of cancer care in Singapore and Asia-Pacific, and thus lead to better patient outcomes.

Indexed as

High-Throughput Nucleotide SequencingHumansNeoplasmsSingaporecancer geneticsgroup 1: major specialty, molecular geneticsgroup 3: other specific research areasgroup 3: other specific research areas, tumor markers

Identifiers

PMID32301274
PMCPMC7496576
OpenAlexW3017371532

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.