Evidence map›Paper›PMID 39451753›Full record

ArticleCurrent oncology (Toronto, Ont.)2024

Implementation of Liquid Biopsy in Non-Small-Cell Lung Cancer: An Ontario Perspective.

Daniel Breadner, David M Hwang, Don Husereau, Parneet Cheema, Sarah Doucette, Peter M Ellis, Shaqil Kassam, Natasha Leighl, Donna E Maziak, Shamini Selvarajah and 2 more

Abstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Daniel BreadnerVerspeeten Family Cancer Centre, London Health Sciences Center, London, ON N6A 5W9, Canada.ORCID 0000-0001-5379-7621
David M HwangDepartment of Laboratory Medicine and Molecular Diagnostics, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Don HusereauSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, ON K1N 6N5, Canada.
Parneet CheemaDivision of Medical Oncology, William Osler Health System, Brampton, ON L6R 3J7, Canada.
Sarah DoucetteIMPACT Medicom Inc., Toronto, ON M6S 3K2, Canada.
Peter M EllisDivision of Medical Oncology, Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada.
Shaqil KassamSouthlake Stronach Regional Cancer Centre, Newmarket, ON L3Y 2P9, Canada.
Natasha LeighlDepartment of Medicine, University of Toronto, Toronto, ON M5S 1A1, Canada.
Donna E MaziakDepartment of Thoracic Surgery, The Ottawa Hospital, Ottawa, ON K1Y 4E9, Canada.ORCID 0000-0002-2216-9056
Shamini SelvarajahLaboratory Medicine Program, Division of Genome Diagnostics, University Health Network, Toronto, ON M5G 2C4, Canada.
Brandon S SheffieldDivision of Advanced Diagnostics, William Osler Health System, Brampton, ON L6R 3J7, Canada.
Rosalyn A JuergensDivision of Medical Oncology, Juravinski Cancer Centre, Hamilton, ON L8V 5C2, Canada.ORCID 0000-0001-8627-4704

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lung cancer is the leading cause of cancer-related deaths in Canada, with non-small-cell lung cancer (NSCLC) accounting for the majority of cases. Timely access to comprehensive molecular profiling is critical for selecting biomarker-matched targeted therapies, which lead to improved outcomes in advanced NSCLC. Tissue biopsy samples are the gold standard for molecular profiling; however, several challenges can prevent timely and complete molecular profiling from being performed, causing delays in treatment or suboptimal therapy selection. Liquid biopsy offers a minimally invasive method for molecular profiling by analyzing circulating tumour DNA (ctDNA) and RNA (cfRNA) in plasma, potentially overcoming these barriers. This paper discusses the outcomes of a multidisciplinary working group in Ontario, which proposed three eligibility criteria for liquid biopsy reimbursement: (1) insufficient tissue for complete testing or failed tissue biomarker testing; (2) suspected advanced NSCLC where tissue biopsy is not feasible; and (3) high-risk patients who may deteriorate before tissue results are available. The group also addressed considerations for assay selection, implementation, and economic impact. These discussions aim to inform reimbursement and implementation strategies for liquid biopsy in Ontario's public healthcare system, recognizing the need for ongoing evaluation as technology and evidence evolve.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsBiomarkers, TumorHumansLiquid BiopsyOntarioBiomarkers, Tumorcirculating tumour DNA (ctDNA)liquid biopsymolecular testingnon-small-cell lung cancer (NSCLC)targeted therapies

Identifiers

PMID39451753
PMCPMC11505603

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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.