Evidence map›Paper›PMID 35923926›Full record

ArticleTherapeutic advances in medical oncology2022

The economic value of liquid biopsy for genomic profiling in advanced non-small cell lung cancer.

Doreen A Ezeife, Eldon Spackman, Rosalyn A Juergens, Janessa J Laskin, Jason S Agulnik, Desiree Hao, Scott A Laurie, Jennifer H Law, Lisa W Le, Lesli A Kiedrowski and 10 more

Registry-linked trialAbstract read
In one paragraph

Article in Therapeutic advances in medical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03576937 (Achieving Value in Cancer Diagnostics), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 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.

NCT03576937 completednot on this map

Achieving Value in Cancer Diagnostics: Blood Versus Tissue Molecular Profiling - a Prospective Canadian Study

TypeobservationalSponsorUniversity Health Network, TorontoRan2019 to 2023Enrolled207ConditionsNon-small Cell Lung CancerArmsGUARDANT360
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Towards liquid biopsy-based analysis of antitumour immunity.Nature reviews. Clinical oncology · 2026
    Review
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  14. Characterization of Plasma Cell-Free DNA Variants as of Tumor or Clonal Hematopoiesis Origin in 16,812 Advanced Cancer Patients.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  15. Liquid Biopsy: The Challenges of a Revolutionary Approach in Oncology.International journal of molecular sciences · 2025
    Review
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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

20 authors.

Doreen A EzeifeDepartment of Oncology, Tom Baker Cancer Center, 1331 29 St NW, Toronto, ON T2N 4N2, Canada University of Calgary, Calgary, AB, Canada.
Eldon SpackmanUniversity of Calgary, Calgary, AB, Canada.
Rosalyn A JuergensJuravinski Cancer Center, McMaster University, Hamilton, ON, Canada.
Janessa J LaskinBC Cancer, The University of British Columbia, Vancouver, BC, Canada.
Jason S AgulnikJewish General Hospital, McGill University, Montreal, QC, Canada.
Desiree HaoTom Baker Cancer Center, Calgary, AB, Canada University of Calgary, Calgary AB, Canada.
Scott A LaurieOttawa Hospital Research Institute/Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Jennifer H LawPrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Lisa W LePrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Lesli A KiedrowskiGuardant Health, Inc., Redwood City, CA, Canada.
Barbara MeloskyBC Cancer, The University of British Columbia, Vancouver, BC, Canada.ORCID https://orcid.org/0000-0003-2865-659X
Frances A ShepherdPrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Victor CohenJewish General Hospital, McGill University, Montreal, QC, Canada.
Paul Wheatley-PriceOttawa Hospital Research Institute/Department of Medicine, University of Ottawa, Ottawa, ON, Canada.
Rachel VandermeerNiagara Health, St. Catharines, ON, Canada.
Janice J LiPrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5700-2889
Roxanne FernandesPrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.
Aria ShokoohiBC Cancer, The University of British Columbia, Vancouver, BC, Canada.
Richard B LanmanGuardant Health, Inc., Redwood City, CA, Canada.
Natasha B LeighlPrincess Margaret Cancer Center, University of Toronto, Toronto, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Liquid biopsy (LB) can detect actionable genomic alterations in plasma circulating tumor circulating tumor DNA beyond tissue testing (TT) alone in advanced non-small cell lung cancer (NSCLC) patients. We estimated the cost-effectiveness of adding LB to TT in the Canadian healthcare system. Methods: A cost-effectiveness analysis was conducted using a decision analytic Markov model from the Canadian public payer (Ontario) perspective and a 2-year time horizon in patients with treatment-naïve stage IV non-squamous NSCLC and ⩽10 pack-year smoking history. LB was performed using the comprehensive genomic profiling Guardant360™ assay. Standard of care TT for each participating institution was performed. Costs and outcomes of molecular testing by LB + TT were compared to TT alone. Transition probabilities were calculated from the VALUE trial (NCT03576937). Sensitivity analyses were undertaken to assess uncertainty in the model. Results: Use of LB + TT identified actionable alterations in more patients, 68.5 Conclusion: The addition of LB to TT as initial molecular testing of clinically selected patients with advanced NSCLC did not increase system costs and led to more patients receiving appropriate targeted therapy.

Indexed as

cost-effectivenesseconomic analysisliquid biopsynon-small cell lung cancertargeted therapy

Identifiers

PMID35923926
PMCPMC9340413

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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.