Evidence map›Paper›PMID 41615078›Full record

ArticleJournal of public health (Oxford, England)2026

Patient, community, and clinician beliefs about multi-cancer detection tests: implications for the evidence needed to recommend routine use.

E Marshall Brooks, Gabriela Villalobos, Carrie A Miller, Rebecca Alemu, Bryan A Bassig, Kendra Rowe, Jennifer F May, Rebecca Kaltman, Patrick Nana-Sinkam, John Sayles and 4 more

Abstract read
In one paragraph

Article in Journal of public health (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

E Marshall BrooksDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Gabriela VillalobosDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Carrie A MillerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Rebecca AlemuDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Bryan A BassigInova Schar Cancer Institute, Saville Cancer Screening and Prevention Center, 8081 Innovation Park Dr, Fairfax, VA 22031, USA.
Kendra RoweVirginia Commonwealth University, Massey Comprehensive Cancer Center, 401 College St., Richmond, VA 23298, USA.
Jennifer F MaySentara Health Research Center, 6251 E. Virginia Beach Blvd, Norfolk, VA 23502, USA.
Rebecca KaltmanInova Schar Cancer Institute, Saville Cancer Screening and Prevention Center, 8081 Innovation Park Dr, Fairfax, VA 22031, USA.
Patrick Nana-SinkamVirginia Commonwealth University, Division of Pulmonary and Critical Care Medicine, 417 N 11th St, Richmond, VA 23298, USA.
John SaylesSentara Health Research Center, 6251 E. Virginia Beach Blvd, Norfolk, VA 23502, USA.
Scott M StrayerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Bernard F FuemmelerDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.
Cynthia AllenSentara Health Research Center, 6251 E. Virginia Beach Blvd, Norfolk, VA 23502, USA.
Alex H KristDepartment of Family Medicine and Population Health, Virginia Commonwealth University, One Capital Square, 830 East Main St, Richmond, VA 23219, USA.

Funding

Virginia Cancer Screening Research Network Access Hub (Virginia CSRN Hub)UG1CA287017 · NCI · VIRGINIA COMMONWEALTH UNIVERSITY · PI Rebecca Kaltman, Alexander H Krist · 2024 to 2026
$3.6M
NCATS NIH HHSNCI NIH HHS UG1 CA287017NCI NIH HHS UG1CA287017-01
6 · The paper itself

Abstract

backgroundMulti-cancer detection tests (MCDs) have the potential to reduce cancer-related deaths by identifying cancers early when they can be more effectively treated. While initial studies show promise in detecting multiple cancer types, there is a lack of large-scale, prospective trials evaluating their clinical utility and real-world impact.

methodsWe conducted 23 focus groups with 158 participants to identify and describe key stakeholders' perspectives on the benefits and risks of MCD tests. Participants included clinicians (n = 58), patients (n = 17), and community members recruited from partner community advisory boards (n = 83).

resultsParticipants recognized the benefits of early cancer detection and the convenience of a single blood test in reducing barriers to cancer screening. However, they shared concerns about insufficient clinical validation for MCD tests and the potential physical and psychological harm that false positives, overdiagnosis, and overtreatment may cause. They also expressed concerns about the financial costs and time burden associated with follow-up care, as well as potential inequities in access and outcomes in underserved communities.

conclusionsPatients and clinicians want better evidence before routine use of MCD testing for cancer screening. Future research should prioritize rigorous randomized controlled trials that evaluate cancer-mortality, quality of life, diagnostic workup, and potential harms.

Indexed as

Attitude of Health PersonnelEarly Detection of CancerHealth Knowledge, Attitudes, PracticeNeoplasmsAdultAgedFemaleFocus GroupsHumansMaleMiddle Agedcancer screeningcommunity-engaged researchearly detection of cancerevidence-based medicinepatient preferences

Identifiers

PMID41615078
PMCPMC12990281

What OpenQuestion holds

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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.