Evidence map›Paper›PMID 40170549›Full record

ReviewCancer2025

Multicancer early detection testing: Guidance for primary care discussions with patients.

Richard M Hoffman, Andrew M D Wolf, Sana Raoof, Carmen E Guerra, Timothy R Church, Elena B Elkin, Ruth D Etzioni, Ya-Chen Tina Shih, Steven J Skates, Deana Manassaram-Baptiste and 1 more

Abstract readReview
In one paragraph

Review in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Epidemiology, early detection, and management of breast cancer in China: A comprehensive review.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  12. Review
  13. Review
  14. Impact of Population Cancer Risk on the Cost-effectiveness of Multicancer Early Detection Testing in the United States.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
    Article
  15. Article
  16. Review
  17. Review
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.

Richard M HoffmanDepartment of Medicine, Carver College of Medicine, University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0002-4714-7726
Andrew M D WolfDepartment of Medicine, University of Virginia School of Medicine, Charlottesville, Virginia, USA.
Sana RaoofDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-2977-8687
Carmen E GuerraDepartment of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Timothy R ChurchDivision of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA.
Elena B ElkinDepartment of Health Policy and Management, Columbia University Mailman School of Public Health, New York, New York, USA.
Ruth D EtzioniPublic Health Sciences Division, Department of Biostatistics, Fred Hutchinson Cancer Center and University of Washington, Seattle, Washington, USA.
Ya-Chen Tina ShihDepartment of Radiation Oncology, Department of Health Policy & Management, Geffen School of Medicine and Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, California, USA.
Steven J SkatesDepartment of Medicine, MGH Biostatistics, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts, USA.
Deana Manassaram-BaptisteCenter for Early Cancer Detection Science, American Cancer Society, Atlanta, Georgia, USA.
Robert A SmithCenter for Early Cancer Detection Science, American Cancer Society, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0003-3344-2238

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
The Early Detection Research Network: Data Management and Coordinating CenterU24CA086368 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RUTH D ETZIONI, Ziding Feng · 2010 to 2026
$75.7M
NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA086368
6 · The paper itself

Abstract

Multicancer early detection (MCED) tests are an emerging technology for cancer screening. MCED tests can detect cancer signals from multiple cancers concurrently in biological samples such as blood, urine, saliva, or other bodily fluids. Some tests can suggest the most likely cancer origin, whereas others report cancer detected somewhere in the body. Although some MCED tests are currently commercially available, none are approved by the Food and Drug Administration or endorsed by any clinical practice guideline or recommendation. Most insurance companies do not currently cover MCED testing. MCED tests have not yet been evaluated for safety and effectiveness in randomized controlled trials. Because patients already are asking for MCED test prescriptions or for interpretation of results from tests acquired elsewhere, clinicians should be prepared to discuss what is known about the benefits, risks, and uncertainties of MCED testing, including performance characteristics in screening populations and preferred follow-up strategies for positive test results. At this time, clinicians should not feel obligated to initiate discussions about MCED testing with their patients. However, clinicians should engage patients who inquire about getting tested or previous MCED test results in shared decision-making, and take the opportunity to offer and help patients complete age- and sex-appropriate guideline-recommended cancer screenings. In this article, the current evidence and issues around MCED testing are summarized, and a framework for shared decision-making discussions is provided.

Indexed as

Early Detection of CancerNeoplasmsPrimary Health CareHumansPractice Guidelines as TopicAmerican Cancer Societyhumansmass screeningneoplasms/diagnosis/prevention and controlUnited States

Identifiers

PMID40170549
PMCPMC11962340

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.