Evidence map›Paper›PMID 38997407›Full record

ArticleBritish journal of cancer2024

Introduction and impact of routine whole genome sequencing in the diagnosis and management of sarcoma.

James A Watkins, Jamie Trotman, John A Tadross, Jennifer Harrington, Helen Hatcher, Gail Horan, Sarah Prewett, Han H Wong, Sarah McDonald, Patrick Tarpey and 6 more

Abstract read
In one paragraph

Article in British journal of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

16 authors.

James A WatkinsEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. james.watkins4@nhs.net.ORCID http://orcid.org/0000-0002-2253-6653
Jamie TrotmanEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0002-6246-4121
John A TadrossEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.ORCID http://orcid.org/0000-0002-8424-1252
Jennifer HarringtonDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Helen HatcherDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Gail HoranDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Sarah PrewettDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Han H WongDepartment of Oncology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Sarah McDonaldDepartment of Histopathology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Patrick TarpeyEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Thomas RobertsEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Jing SuEast Genomics Laboratory Hub, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Marc TischkowitzDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Ruth ArmstrongDepartment of Medical Genetics, National Institute for Health Research Cambridge Biomedical Research Centre, University of Cambridge, Cambridge, UK.
Fernanda AmaryDepartment of Histopathology, Royal National Orthopaedic Hospital, Stanmore, UK.ORCID http://orcid.org/0000-0002-6707-8246
Alona SosinskyGenomics England, London, UK.ORCID http://orcid.org/0000-0001-9022-7409

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundSarcomas are diverse neoplasms with highly variable histological appearances in which diagnosis is often challenging and management options for metastatic/unresectable disease limited. Many sarcomas have distinctive molecular alterations, but the range of alterations is large, variable in type and rapidly increasing, meaning that testing by limited panels is unable to capture the broad spectrum of clinically pertinent genomic drivers required. Paired whole genome sequencing (WGS) in contrast allows comprehensive assessment of small variants, copy number and structural variants along with mutational signature analysis and germline testing.

methodsIntroduction of WGS as a diagnostic standard for all eligible patients with known or suspected soft tissue sarcoma over a 2-year period at a soft tissue sarcoma treatment centre.

resultsWGS resulted in a refinement in the diagnosis in 37% of cases, identification of a target for personalised therapy in 33% of cases, and a germline alteration in 4% of cases.

conclusionIntroduction of WGS poses logistical and training challenges, but offers significant benefits to this group of patients.

Indexed as

SarcomaWhole Genome SequencingAdolescentAdultAgedAged, 80 and overDNA Copy Number VariationsFemaleGerm-Line MutationHumansMaleMiddle AgedMutationYoung Adult

Identifiers

PMID38997407
PMCPMC11368954

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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.