Evidence map›Paper›PMID 34823486›Full record

ArticleBMC cancer2021

Community oncologists' perceptions and utilization of large-panel genomic tumor testing.

Eric C Anderson, Alexandra C Hinton, Christine W Lary, Anny T H R Fenton, Andrey Antov, Emily Edelman, Petra Helbig, Kate Reed, Susan Miesfeldt, Christian A Thomas and 5 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06436157 (Genetic Testing Uptake Through an Enhanced Oncology Nurse-Led Intervention in Patients With Solid Tumors), which is not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 36% 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.

NCT06436157 narecruitingnot on this mapstarted 2024, after this paper: background citation

Genetic Testing Uptake Through an Enhanced Oncology Nurse-Led Intervention in Patients With Solid Tumors (GENESIS): A Pilot Study

TypeinterventionalSponsorUniversity of California, DavisRan2024 to 2025Enrolled60ConditionsSolid Tumor, AdultArmsEnhanced education, Usual care education
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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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

15 authors at 7 institutions in 1 country.

Eric C AndersonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA. ericmranderson@gmail.com.
Alexandra C HintonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA.
Christine W LaryCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA.
Anny T H R FentonCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA.
Andrey AntovThe Jackson Laboratory, Augusta, ME, USA.
Emily EdelmanThe Jackson Laboratory, Augusta, ME, USA.
Petra HelbigThe Jackson Laboratory, Augusta, ME, USA.
Kate ReedThe Jackson Laboratory, Augusta, ME, USA.
Susan MiesfeldtMaine Medical Center, Portland, ME, USA.
Christian A ThomasNew England Cancer Specialists, Scarborough, ME, USA.
Michael J HallFox Chase, Philadelphia, PA, USA.
J Scott RobertsUniversity of Michigan School of Public Health, Ann Arbor, MI, USA.
Jens RueterThe Jackson Laboratory, Augusta, ME, USA.
Paul K J HanCenter for Outcomes Research and Evaluation, Maine Medical Center Research Institute, Portland, ME, USA.
MCGI Working Group
Jackson Laboratory · USNew England Cancer Specialists · USTufts University · USUniversity of Michigan · USMaine Medical Center · USMaine Medical Center · USFox Chase Cancer Center · US

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
Tufts Clinical and Translational Research InstituteKL2TR001063 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$2.1M
NCATS NIH HHS KL2 TR002545NCATS NIH HHS UL1 TR002544
6 · The paper itself

Abstract

purposeLarge-panel genomic tumor testing (GTT) is an emerging technology with great promise but uncertain clinical value. Previous research has documented variability in academic oncologists' perceptions and use of GTT, but little is known about community oncologists' perceptions of GTT and how perceptions relate to clinicians' intentions to use GTT.

methodsCommunity oncology physicians (N = 58) participating in a statewide initiative aimed at improving access to large-panel GTT completed surveys assessing their confidence in using GTT, attitudes regarding the value of GTT, perceptions of barriers to GTT implementation, and future intentions to use GTTs. Descriptive and multivariable regression analyses were conducted to characterize these perceptions and to explore the relationships between them.

resultsThere was substantial variability in clinicians' perceptions of GTT. Clinicians generally had moderate confidence in their ability to use GTT, but lower confidence in patients' ability to understand test results and access targeted treatment. Clinicians had positive attitudes regarding the value of GTT. Clinicians' future intentions to use GTT were associated with greater confidence in using GTT and greater perceived barriers to implementing GTT, but not with attitudes about the value of GTT.

conclusionsCommunity oncologists' perceptions of large-panel genomic tumor testing are variable, and their future intentions to use GTT are associated with both their confidence in and perceived barriers to its use, but not with their attitudes towards GTT. More research is needed to understand other factors that determine how oncologists perceive and use GTT in clinical practice.

Indexed as

Attitude of Health PersonnelComprehensionFemaleForecastingGenetic TestingHealth Care SurveysHematologyHumansIntentionMaineMaleNeoplasmsOncologistsRegression AnalysisRural Health ServicesSelf ConceptAttitudesCancerConfidenceGenomicUncertainty

Identifiers

PMID34823486
PMCPMC8620967
OpenAlexW3217698638

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.