Evidence map›Paper›PMID 39606845›Full record

ArticleFuture oncology (London, England)2025

Potential barriers to implementation of next-generation sequencing in cancer management: a U.S. Physician-based survey.

Arif Hussain, Elizabeth Szamreta, Ning Ning, Allysen Kaminski, Ruchit Shah, Jyoti Aggarwal, Gboyega Adeboyeje

Abstract read
In one paragraph

Article in Future oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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.

Arif HussainDepartment of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.ORCID 0000-0001-8485-4406
Elizabeth SzamretaOutcomes Research, Merck & Co, Rahway, NJ, USA.
Ning NingEvidence and Access, Open Health, Newton, MA, USA.ORCID 0000-0002-1568-5386
Allysen KaminskiEvidence and Access, Open Health, Bethesda, MD, USA.
Ruchit ShahEvidence and Access, Open Health, Bethesda, MD, USA.
Jyoti AggarwalEvidence and Access, Open Health, Newton, MA, USA.
Gboyega AdeboyejeOutcomes Research, Merck & Co, Rahway, NJ, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe purpose of this study was to identify barriers to physicians' NGS use and preferred strategies to alleviate these barriers. RESEARCH DESIGN AND

methodsA cross-sectional online survey link was sent to a sample of US oncologists/hematologists, surgeons, and pathologists identified through a panel. The survey collected data, from October-December 2020, on barriers to NGS testing and potential strategies.

resultsTwo hundred physicians participated (mean age: 46.2 years; 65% male; 80% White, mean years in clinical practice: 13.7). Despite the use of NGS testing by all physicians, 99.5% reported concerns/barriers. Reimbursement challenges were the most cited reason (87.5%), followed by lack of knowledge of NGS testing methodologies (81.0%), and lack of clinical utility evidence (80.0%). The most common reimbursement challenge was prior authorizations for NGS testing (72.0%), followed by knowledge of new fee codes for reimbursement or corresponding therapy (68.0%), and paperwork/administrative duties (67.5%). Surgeons were more likely to encounter challenges in using NGS testing than other physicians.

conclusionsThe results highlight the barriers reported by oncologists/hematologists, pathologists, and surgeons, which may impact the evolving role of NGS in the context of the overall management of cancer patients.

Indexed as

High-Throughput Nucleotide SequencingNeoplasmsPractice Patterns, Physicians'AdultAttitude of Health PersonnelCross-Sectional StudiesFemaleGenetic TestingHumansMaleMiddle AgedOncologistsPhysiciansSurveys and QuestionnairesUnited Statesclinical oncologygenetic testinggenomic panel testNext-generation sequencingprecision cancer medicine

Identifiers

PMID39606845
PMCPMC11792822

What OpenQuestion holds

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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.