Evidence map›Paper›PMID 36848261›Full record

ArticleThe oncologist2023

Implementation of Precision Oncology in Clinical Practice: Results of a National Survey for Health Care Professionals.

Gianpiero Fasola, Maria C Barducci, Giacomo Pelizzari, Francesco Grossi, Carmine Pinto, Bruno Daniele, Monica Giordano, Cinzia Ortega, Rosa Rita Silva, Valeria D Tozzi and 2 more

Open access · goldAbstract read
In one paragraph

Article in The oncologist, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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

12 authors at 5 institutions in 1 country.

Gianpiero FasolaDepartment of Oncology, Santa Maria della Misericordia University Hospital, ASUFC, Udine, Italy.ORCID 0000-0002-1254-4705
Maria C BarducciDepartment of Oncology, Santa Maria della Misericordia University Hospital, ASUFC, Udine, Italy.ORCID 0000-0001-6469-9883
Giacomo PelizzariDepartment of Oncology, Santa Maria della Misericordia University Hospital, ASUFC, Udine, Italy.ORCID 0000-0003-1224-9906
Francesco GrossiDepartment of Medicine and Surgery, University of Insubria, ASST dei Sette Laghi, Varese, Italy.
Carmine PintoDepartment of Medical Oncology, Comprehensive Cancer Centre, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy.
Bruno DanieleCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.
Monica GiordanoCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.ORCID 0000-0002-8652-3907
Cinzia OrtegaCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.
Rosa Rita SilvaCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.
Valeria D TozziCentre for Research on Health and Social Care Management (CERGAS), SDA Bocconi School of Management, Bocconi University, Milan, Italy.
Luigi CavannaCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.
Giuseppe AprileCollegio Italiano dei Primari Oncologi Medici Ospedalieri (CIPOMO), Genova, Italy.
Associazione Nazionale Medici Cardiologi Ospedalieri · ITOspedale Santa Maria della Misericordia di Udine · ITAzienda Sanitaria Unità Locale di Reggio Emilia · ITBocconi University · ITUniversity of Insubria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTwo main aspects lead the implementation of precision oncology into clinical practice: the adoption of extended genome sequencing technologies and the institution of the Molecular Tumor Boards (MTBs). CIPOMO (Italian Association of Heads of Oncology Department) promoted a national survey across top health care professionals to gain an understanding of the current state of precision oncology in Italy.

methodsNineteen questions were sent via the SurveyMonkey platform to 169 heads of oncology departments. Their answers were collected in February 2022.

resultsOverall, 129 directors participated; 113 sets of answers were analyzed. Nineteen regions out of 21 participated as a representative sample of the Italian health care system. The use of next-generation sequencing (NGS) is unevenly distributed; informed consent and clinical reports are managed differently, as the integration of medical, biologic, and informatics domains in a patient-centered workflow is inconsistent. A heterogeneous MTB environment emerged. A total of 33.6% of the responding professionals did not have access to MTBs while 76% of those who have did not refer cases.

conclusionsNGS technologies and MTBs are not homogeneously implemented in Italy. This fact potentially jeopardizes equal access chances to innovative therapies for patients. This survey was carried out as part of an organizational research project, pursuing a bottom-up approach to identify the needs and possible solutions to optimize the process. These results could be a starting point for clinicians, scientific societies, and health care institutions to outline the best practices and offer shared recommendations for precision oncology implementation in current clinical practice.

Indexed as

NeoplasmsDelivery of Health CareHealth PersonnelHumansMedical OncologyPrecision Medicinehealthcare deliveryhealthcare innovation implementationhealthcare management researchmolecular tumor boardsnational surveyprecision oncology implementation

Identifiers

PMID36848261
PMCPMC10243769
OpenAlexW4322486476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.