Evidence map›Paper›PMID 35135159›Full record

ArticleJCO precision oncology2018

Use of Next-Generation Sequencing Tests to Guide Cancer Treatment: Results From a Nationally Representative Survey of Oncologists in the United States.

Andrew N Freedman, Carrie N Klabunde, Kristine Wiant, Lindsey Enewold, Stacy W Gray, Kelly K Filipski, Nancy L Keating, Debra G B Leonard, Tracy Lively, Timothy S McNeel and 10 more

Abstract read
In one paragraph

Article in JCO precision oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 2 pooled it
–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

98 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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38 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

20 authors.

Andrew N Freedman, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Carrie N Klabunde, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Kristine Wiant, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Lindsey Enewold, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Stacy W Gray, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Kelly K Filipski, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Nancy L Keating, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Debra G B Leonard, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Tracy Lively, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Timothy S McNeel, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Lori Minasian, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Arnold L Potosky, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Donna R Rivera, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Richard L Schilsky, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Deborah Schrag, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Naoko I Simonds, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Helmneh M Sineshaw, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Jeffery P Struewing, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Gordon Willis, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.
Janet S de Moor, , , , , , , and , National Cancer Institute; , Information Management Services, Rockville; , National Institutes of Health; , National Human Genome Research Institute, Bethesda; , Scientific Consulting Group, Gaithersburg, MD; , RTI International, Research Triangle Park, NC; , City of Hope, Duarte, CA; , Harvard Medical School and Brigham and Women's Hospital; , Dana-Farber Cancer Institute, Boston, MA; , University of Vermont Health Network and the University of Vermont, Burlington, VT; , Georgetown University, Washington, DC; , American Society of Clinical Oncology, Alexandria, VA; and , American Cancer Society, Atlanta, GA.

Funding

NCI NIH HHS HHSN261201000086CNCI NIH HHS HHSN261201400011CNCI NIH HHS HHSN261201400011I
6 · The paper itself

Abstract

Purpose: There are no nationally representative data on oncologists' use of next-generation sequencing (NGS) testing in practice. The purpose of this study was to investigate how oncologists in the United States use NGS tests to evaluate patients with cancer and to inform treatment recommendations. Methods: The study used data from the National Survey of Precision Medicine in Cancer Treatment, which was mailed to a nationally representative sample of oncologists in 2017 (N = 1,281; cooperation rate = 38%). Weighted percentages were calculated to describe NGS test use. Multivariable modeling was conducted to assess the association of test use with oncologist practice characteristics. Results: Overall, 75.6% of oncologists reported using NGS tests to guide treatment decisions. Of these oncologists, 34.0% used them often to guide treatment decisions for patients with advanced refractory disease, 29.1% to determine eligibility for clinical trials, and 17.5% to decide on off-label use of Food and Drug Administration-approved drugs. NGS test results informed treatment recommendations often for 26.8%, sometimes for 52.4%, and never or rarely for 20.8% of oncologists. Oncologists younger than 50 years of age, holding a faculty appointment, having genomics training, seeing more than 50 unique patients per month, and having access to a molecular tumor board were more likely to use NGS tests. Conclusion: In 2017, most oncologists in the United States were using NGS tests to guide treatment decisions for their patients. More research is needed to establish the clinical usefulness of these tests, to develop evidence-based clinical guidelines for their use in practice, and to ensure that patients who can benefit from these new technologies receive appropriate testing and treatment.

Identifiers

PMID35135159
PMCPMC9797241

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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.