Evidence map›Paper›PMID 40900393›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Implementation of the precision oncology program in catalonia's public health system: results, lessons learned, and future prospects.

Pilar Mur, Anna Pozuelo, Josep Tabernero, Joan Albanell, Beatriz Bellosillo, Francesc Bosch, Javier Briones, Joan Brunet, Dolors Colomer, Montserrat Domènech and 12 more

Abstract read
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. The precision of a report on precision.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    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

22 authors.

Pilar MurCatalonian Cancer Strategy, Department of Health, Biomedical Research Institute of Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain. pmur@catsalut.cat.ORCID http://orcid.org/0000-0003-0780-926X
Anna PozueloCatalonian Cancer Strategy, Department of Health, Biomedical Research Institute of Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Josep TaberneroCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
Joan AlbanellCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
Beatriz BellosilloCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
Francesc BoschLaboratory of Experimental Hematology, Vall d'Hebron Institute of Oncology (VHIO), Barcelona, Spain.
Javier BrionesDepartment of Hematology, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Joan BrunetHereditary Cancer Program, Catalan Institute of Oncology (ICO), Girona Biomedical Research Institute (IDIBGi), Girona, Spain.
Dolors ColomerHematopathology Section, Department of Pathology, Biomedical Diagnostic Center (CBD), Hospital Clínic de Barcelona, Institut Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS),, University of Barcelona, Barcelona, Spain.
Montserrat DomènechDepartment of Medical Oncology, Fundació Althaia, Xarxa Assistencial Universitària de Manresa, Manresa, Spain.
Joan Manel FontanetDivision of Rational Use of Medicines, Medicines Area, Catalan Health Service (CatSalut), Barcelona, Spain.
Xavier Matias-GuiuCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
Ramon SalazarCentro de Investigación Biomédica en Red de Cáncer (CIBERONC), Madrid, Spain.
Rosa Maria Vivanco-HidalgoAgency for Health Quality and Assessment of Catalonia (AQuAS), Barcelona, Spain.
Meritxell MollàDepartment of Radiation Oncology, Hospital Clínic de Barcelona, University of Barcelona, Barcelona, Spain.
Lucas MorenoDepartment of Pediatric Oncology and Hematology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute (VHIR), Autonomous University of Barcelona, Barcelona, Spain.
Aleix PratClínic Barcelona Comprehensive Cancer Center, University of Barcelona, IDIBAPS, Barcelona, Spain.
Josep Maria RiberaCatalan Institute of Oncology (ICO), Germans Trias i Pujol Hospital, Josep Carreras Leukemia Research Institute (IJC), Autonomous University of Barcelona, Badalona, Spain.
Ramón ClèriesCatalonian Cancer Strategy, Department of Health, Biomedical Research Institute of Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Alex GuargaHealth Service Procurement and Assessment, Catalonian Health Service (CatSalut), Barcelona, Spain.
Josep A EspinàsCatalonian Cancer Strategy, Department of Health, Biomedical Research Institute of Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Josep Maria BorrasCatalonian Cancer Strategy, Department of Health, Biomedical Research Institute of Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain. jmborras@iconcologia.net.

Funding

Agència de Gestió d'Ajuts Universitaris i de Recerca 2021 SGR 00808
6 · The paper itself

Abstract

purposeThe Precision Oncology Program (POP) in Catalonia aims to provide equitable access to molecular testing for individuals with cancer, integrating Next-Generation Sequencing (NGS) into clinical practice to inform diagnosis, prognosis, and treatment decisions for both adult and pediatric patients with solid and hematologic malignancies, including somatic and germline alterations. This study evaluates the program's outcomes and impact.

methodsThis evaluation covers the period from the program's implementation in July 2021 through December 2023, with a more detailed analysis focusing on 2022-2023. The program involved 12 reference centers utilizing NGS technology for cancer genetic analysis, coordinated by CatSalut, the regional public health service payer. Data collected from each reference laboratory included the number of tests performed, types of tumor panels used, clinical indications, and associated outcomes.

resultsBetween July 2021 and December 2023, a total of 23,135 molecular tests were performed on 22,501 patients. The most frequently analyzed panels were for solid tumors (38.1%), hematologic cancers (17.3%), and germline mutations (42.2%). Pediatric patients accounted for 2.4% of the total. Notably, 24.7% of patients underwent a change in clinical management, contributing to more targeted treatment strategies, particularly in solid tumors (58.7%). Reports were delivered within an average of four weeks, meeting program benchmarks and facilitating timely decision-making. Sample submission compliance was high, reaching 98.5%.

conclusionsThis POP successfully addressed operational, financial, and logistic challenges, ensuring equitable access to molecular testing. This program led to more efficient and personalized clinical management, with growing impact on cancer care and patient outcomes.

Indexed as

Medical OncologyNeoplasmsPrecision MedicinePublic HealthAdolescentAdultAgedChildFemaleGenetic TestingHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedSpainCatSalutImplementationMolecular testingNext-generation sequencingPersonalized therapiesPrecision oncology

Identifiers

PMID40900393
PMCPMC12920287

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.