Evidence map›Paper›PMID 34843108›Full record

ArticleSociology of health & illness2021

A sociology of precision-in-practice: The affective and temporal complexities of everyday clinical care.

Katherine Kenny, Alex Broom, Alexander Page, Barbara Prainsack, Claire E Wakefield, Malinda Itchins, Zarnie Lwin, Mustafa Khasraw

Abstract read
In one paragraph

Article in Sociology of health & illness, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Article
  2. Sociotechnical imaginaries in academic medicine strategic planning: a document analysis.Advances in health sciences education : theory and practice · 2024
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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

8 authors.

Katherine KennySydney Centre for Healthy Societies, School of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia.ORCID 0000-0001-9088-5671
Alex BroomSydney Centre for Healthy Societies, School of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Alexander PageSydney Centre for Healthy Societies, School of Social and Political Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Barbara PrainsackDepartment of Political Science, University of Vienna, Vienna, Austria.
Claire E WakefieldSchool of Women's and Children's Health, UNSW Medicine and Health, UNSW, Sydney, New South Wales, Australia.
Malinda ItchinsNorthern Clinical School, University of Sydney, St Leonards, New South Wales, Australia.
Zarnie LwinDepartment of Medical Oncology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Mustafa KhasrawThe Preston Robert Tisch Brain Tumor Center, Duke Center for Cancer Immunotherapy, Duke University, Durham, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The idea of 'precision medicine', which has gained increasing traction since the early 2000s, is now ubiquitous in health and medicine. Though varied in its implementation across fields, precision medicine has raised hopes of revolutionary treatments and has spurred the proliferation of novel therapeutics, the alteration of professional trajectories and various reconfigurations of health/care. Nowhere is the promise of precision medicine more apparent, nor further institutionalised, than in the field of oncology. While the transformative potential of precision medicine is widely taken for granted, there remains scant attention to how it is being experienced at the coalface of care. Here, drawing on the perspectives of 54 cancer care professionals gleaned through eight focus group discussions in two hospitals in Australia, we explore clinicians' experiences of the day-to-day dynamics of precision-in-practice. We illustrate some of the affective and temporal complexities, analysed here under the rubrics of enchantment, acceleration and distraction that are emerging alongside the uptake of precision medicine in the field of oncology. We argue that these complexities, and their dis/continuities with earlier iterations of cancer care, demonstrate the need for sociological analyses of precision medicine as it is being implemented in practice and its varied effects on 'routine' care.

Indexed as

Medical OncologyNeoplasmsAustraliaDelivery of Health CareHumansPrecision MedicineSociologyAustraliacancercareimmunotherapypersonalisationprecision medicinequalitativetargeted therapy

Identifiers

PMID34843108
PMCPMC9299761

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.