Evidence map›Paper›PMID 34632254›Full record

ArticleJCO precision oncology2021

Patients' Expectations of Benefits From Large-Panel Genomic Tumor Testing in Rural Community Oncology Practices.

Eric C Anderson, John DiPalazzo, Emily Edelman, Petra Helbig, Kate Reed, Susan Miesfeldt, Christian Thomas, F Lee Lucas, Anny T H R Fenton, Andrey Antov and 4 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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

14 authors.

Eric C AndersonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME.ORCID 0000-0002-4215-6308
John DiPalazzoCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME.
Emily EdelmanThe Jackson Laboratory, Augusta, ME.
Petra HelbigThe Jackson Laboratory, Augusta, ME.
Kate ReedThe Jackson Laboratory, Augusta, ME.ORCID 0000-0003-3307-8093
Susan MiesfeldtMaine Medical Center, Portland, ME.ORCID 0000-0001-8227-3165
Christian ThomasNew England Cancer Specialists, Scarborough, ME.ORCID 0000-0001-7154-5305
F Lee LucasCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME.ORCID 0000-0002-3155-7560
Anny T H R FentonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME.
Andrey AntovThe Jackson Laboratory, Augusta, ME.
Michael J HallFox Chase Cancer Center, Philadelphia, PA.ORCID 0000-0003-4515-3409
J Scott RobertsUniversity of Michigan School of Public Health, Ann Arbor, MI.ORCID 0000-0002-9021-025X
Jens RueterThe Jackson Laboratory, Augusta, ME.
Paul K J HanCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME.

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
NCATS NIH HHS KL2 TR002545NCATS NIH HHS UL1 TR002544
6 · The paper itself

Abstract

Large-panel genomic tumor testing (GTT) is an emerging technology that promises to make cancer treatment more precise. Because GTT is novel and complex, patients may have unrealistic expectations and limited knowledge of its benefits. These problems may limit the clinical value of GTT, but their prevalence and associated factors have not been explored.

methodsPatients with cancer enrolled in a large initiative to disseminate GTT in community oncology practices completed surveys assessing their expectations, knowledge, and attitudes about GTT. The study sample (N = 1,139) consisted of patients with a range of cancer types (22% gynecologic, 14% lung, 10% colon, 10% breast, and 46% other malignancies) and cancer stages (4% stage I, 3% stage II, 15% stage III, and 74% stage IV). Mean age was 64 years (standard deviation = 11); 668 (59%) were women; 71% had no college degree; 57% came from households with less than $50,000 US dollars household income; and 73% lived in a rural area.

resultsGenerally, patients had high expectations that they would benefit from GTT (M = 2.81 on 0-4 scale) and positive attitudes toward it (M = 2.98 on 0-4 scale). Patients also had relatively poor knowledge about GTT (48% correct answers on an objective test of GTT knowledge). Greater expectations for GTT were associated with lower knowledge (b = -0.46;

conclusionThis research suggests patients have high expectations that they will benefit from GTT, which is associated with low knowledge, positive attitudes, and low education. More research is needed to understand the concordance between expectations and actual clinical outcomes.

Indexed as

AgedFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMedical OncologyMiddle AgedNeoplasmsPatientsRural PopulationSurveys and Questionnaires

Identifiers

PMID34632254
PMCPMC8492376

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.