Evidence map›Paper›PMID 38098216›Full record

ArticleCancer medicine2023

Prognostic gene expression profile testing to inform use of adjuvant therapy: A survey of melanoma experts.

Suzanne Fastner, Nathan Shen, Rebecca I Hartman, Emily Y Chu, Caroline C Kim, John M Kirkwood, Douglas Grossman

Abstract read
In one paragraph

Article in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Association of Gene Expression Alterations with Aggressive Features in Papillary Thyroid Carcinomas Harboring Low Allele Frequency BRAF V600E Mutations.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    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

7 authors.

Suzanne FastnerHuntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Nathan ShenHuntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Rebecca I HartmanDepartment of Dermatology, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.
Emily Y ChuDepartment of Dermatology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Caroline C KimDepartment of Dermatology, Tufts Medical Center, Boston, Massachusetts, USA.
John M KirkwoodDepartments of Dermatology, University of Pittsburgh, UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.
Douglas GrossmanHuntsman Cancer Institute, University of Utah Health Sciences Center, Salt Lake City, Utah, USA.ORCID 0000-0003-1790-7023

Funding

Huntsman Cancer Foundation N/AUniversity of Utah, Department of DermatologyU.S. Department of DefenseVA Integrated Service Network
6 · The paper itself

Abstract

objectivesTo investigate current practices and attitudes regarding use of adjuvant immunotherapy and prognostic gene expression profile (GEP) testing among melanoma medical and surgical oncologists.

methodsAn anonymous RedCap-based survey was emailed to ~300 melanoma experts.

resultsRespondents generally favored adjuvant immunotherapy over observation (73% for all Stage IIIA, 50% for Stage IIB/IIC) and cited a minimum 10-year recurrence risk of 11%-20% (48%) or 21%-30% (33%) to justify treatment, but acknowledged that risks of serious adverse events may outweigh potential benefits for some Stage IIB/IIC patients. While GEP test results did not strongly influence decision-making regarding follow-up or intervention, most were receptive to randomized trials using GEP testing to identify subsets of Stage IIB/IIC (74%) and Stage IB/IIA (54%) patients who may not or may, respectively, benefit from adjuvant therapy.

conclusionAlthough most respondents do not routinely use GEP testing, many would participate in clinical trials to determine clinical utility.

Indexed as

MelanomaSkin NeoplasmsGene Expression ProfilingHumansNeoplasm StagingPrognosisSurveys and QuestionnairesTranscriptomeadjuvant therapyclinical trialgene expression profilingmelanoma

Identifiers

PMID38098216
PMCPMC10757117

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.