Evidence map›Paper›PMID 40746881›Full record

ArticleOncology research2025

Implementation of a Pediatric Oncology Precision Medicine Clinic to Personalize Approaches for Diagnosing and Treating Solid Tumors.

Madeline Keane, Natalia Wojciechowska, Lindsay Zumwalt, Emilie Sandfeld, Alejandra Dominguez, Jason Wang, Anish Ray

Abstract read
In one paragraph

Article in Oncology research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Madeline KeaneAnne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX 76104, USA.
Natalia WojciechowskaDepartment of Pediatric Oncology, Cook Children's Medical Center, Fort Worth, TX 76104, USA.
Lindsay ZumwaltAnne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX 76104, USA.
Emilie SandfeldCollege of Medicine, Texas A&M University, Dallas, TX 75246, USA.
Alejandra DominguezAnne Burnett Marion School of Medicine at Texas Christian University, Fort Worth, TX 76104, USA.
Jason WangDepartment of Pediatric Oncology, Cook Children's Medical Center, Fort Worth, TX 76104, USA.
Anish RayDepartment of Pediatric Oncology, Cook Children's Medical Center, Fort Worth, TX 76104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Precision medicine is an emerging approach for treating pediatric cancer due to its ability to target tumor-specific genetic drivers rather than provide broad and aggressive treatments. The study aimed to outline the establishment and impact of a Precision Medicine Clinic (PMC) in the setting of pediatric oncology, with the objective of offering targeted treatment options within the institution and creating a scalable model for adoption by other healthcare systems to achieve a wider impact. Methods: Recognizing this need for an individualized approach to treating patients, Cook Children's Medical Center (CCMC) established a multidisciplinary molecular tumor board in 2019, followed by the launch of an official PMC in 2021. Before this, there was no dedicated place to discuss and evaluate genetic sequencing results. Results: In 2022 and 2023, the PMC discussed 69 patients with a wide variety of oncologic diagnoses. Through the clinic's efforts, 133 genetic variants across 101 genes have been identified, spanning oncogenic pathways related to cell cycling, DNA processing, and cell signaling. Of the sequenced patients, four have received targeted therapy according to recommendations from the PMC. Conclusion: While the PMC continues to evaluate patients and their long-term outcomes, the continually growing PMC at CCMC represents the beginning of the advancement of treating pediatric oncology patients through the interpretation of genetic sequencing results, making actionable targeted treatment recommendations, and continuing to follow the patient's course of care over time. This additionally provides a framework for starting a PMC that can be adapted for specific clinical needs and implemented broadly.

Indexed as

Medical OncologyNeoplasmsPrecision MedicineBiomarkers, TumorChildFemaleHumansMaleMolecular Targeted TherapyPediatricsBiomarkers, Tumornext generation sequencing (NGS)pediatric oncologyPrecision medicinetargeted therapies

Identifiers

PMID40746881
PMCPMC12308242

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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.