Evidence map›Paper›PMID 38060377›Full record

ArticleMolecular oncology2024

A scenario-drafting study to explore potential future implementation pathways of circulating tumor DNA testing in oncology.

Astrid Kramer, Carmen Rubio-Alarcón, Daan van den Broek, Daan C L Vessies, Iris Van't Erve, Gerrit A Meijer, Geraldine R Vink, Ed Schuuring, Remond J A Fijneman, Veerle M H Coupé and 1 more

Abstract read
In one paragraph

Article in Molecular oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. A scoping review of factors influencing the implementation of liquid biopsy for cancer care.Journal of experimental & clinical cancer research : CR · 2025
    Article
  9. Development of the PICCOTEAM Reference Case for Economic Evaluation of Precision Medicine.International journal of health policy and management · 2025
    Article
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

11 authors.

Astrid KramerDepartment of Epidemiology and Data Science, Amsterdam UMC, The Netherlands.ORCID 0000-0002-2201-5794
Carmen Rubio-AlarcónDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0009-0000-5106-9428
Daan van den BroekDepartment of Laboratory Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Daan C L VessiesDepartment of Laboratory Medicine, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Iris Van't ErveDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Gerrit A MeijerDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Geraldine R VinkDepartment of Medical Oncology, University Medical Center Utrecht, University of Utrecht, The Netherlands.
Ed SchuuringDepartment of Pathology and Medical Biology, University Medical Center Groningen, The Netherlands.ORCID 0000-0003-3655-143X
Remond J A FijnemanDepartment of Pathology, Netherlands Cancer Institute, Amsterdam, The Netherlands.ORCID 0000-0003-2076-5521
Veerle M H CoupéDepartment of Epidemiology and Data Science, Amsterdam UMC, The Netherlands.
Valesca P RetèlDepartment of Psychosocial Research and Epidemiology, Netherlands Cancer Institute, Amsterdam, The Netherlands.

Funding

KWF Kankerbestrijding 11809ZonMw 848101011
6 · The paper itself

Abstract

Circulating tumor DNA (ctDNA) detection has multiple promising applications in oncology, but the road toward implementation in clinical practice is unclear. We aimed to support the implementation process by exploring potential future pathways of ctDNA testing. To do so, we studied four ctDNA-testing applications in two cancer types and elicited opinions from 30 ctDNA experts in the Netherlands. Our results showed that the current available evidence differed per application and cancer type. Tumor profiling and monitoring treatment response were found most likely to be implemented in non-small cell lung cancer (NSCLC) within 5 years. For colorectal cancer, applications of ctDNA testing were found to be at an early stage in the implementation process. Demonstrating clinical utility was found a key aspect for successful implementation, but there was no consensus regarding the evidence requirements. The next step toward implementation is to define how clinical utility of biomarkers should be evaluated. Finally, these data indicate that specific challenges for each clinical application and tumor type should be appropriately addressed in a deliberative process involving all stakeholders to ensure implementation of ctDNA testing and timely access for patients.

Indexed as

Circulating Tumor DNABiomarkers, TumorCarcinoma, Non-Small-Cell LungHumansMedical OncologyNeoplasmsBiomarkers, TumorCirculating Tumor DNAclinical utilityctDNAHTAimplementationoncologyscenarios

Identifiers

PMID38060377
PMCPMC11547223

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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.