Physician preferences of biomarker testing strategies in newly diagnosed stage IV non-small cell lung cancer patients.

IF 3 4区 医学 Q2 ONCOLOGY
Anne Shah, Jon Apple, Gabriela Burgos, Josh Lankin, Jesse Cohn, Emily Mulvihill, M Janelle Cambron-Mellott
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引用次数: 0

Abstract

Aim: To understand physicians' attitudes and behaviors regarding EGFR testing and retesting strategies in newly diagnosed metastatic non-small cell lung cancer patients.Materials & methods: Oncologists and pathologists completed an online, cross-sectional survey.Results: Most oncologists (73.3%) and pathologists (53.4%) agreed that concurrent testing increases sensitivity for detecting EGFR mutations. Upon tissue insufficiency, oncologists and pathologists reported using liquid biopsy 77.0% and 39.0% of the time, respectively. Tumor accessibility, smoking status, patient willingness and age were key drivers of tissue re-biopsy. Most oncologists reported high confidence in proceeding to first-line therapy based solely on liquid biopsy (60.7-80.0%); fewer pathologists (37.9%) were comfortable with this decision.Conclusion: Variation in physicians' perceptions of testing and retesting highlights the need for greater stakeholder consensus.

医生对新诊断的 IV 期非小细胞肺癌患者生物标记物检测策略的偏好。
目的:了解医生对新诊断的转移性非小细胞肺癌患者的表皮生长因子受体检测和再检测策略的态度和行为:肿瘤学家和病理学家完成了一项在线横断面调查:结果:大多数肿瘤学家(73.3%)和病理学家(53.4%)都认为同期检测可提高表皮生长因子受体突变的检测灵敏度。在组织不足的情况下,肿瘤学家和病理学家使用液体活检的比例分别为77.0%和39.0%。肿瘤可及性、吸烟状况、患者意愿和年龄是组织再活检的关键因素。大多数肿瘤学家表示,他们对仅根据液体活检结果进行一线治疗很有信心(60.7%-80.0%);而对这一决定感到满意的病理学家较少(37.9%):结论:医生对检测和再检测的看法存在差异,这凸显了利益相关者需要达成更多共识。
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来源期刊
Future oncology
Future oncology ONCOLOGY-
CiteScore
5.40
自引率
3.00%
发文量
335
审稿时长
4-8 weeks
期刊介绍: Future Oncology (ISSN 1479-6694) provides a forum for a new era of cancer care. The journal focuses on the most important advances and highlights their relevance in the clinical setting. Furthermore, Future Oncology delivers essential information in concise, at-a-glance article formats - vital in delivering information to an increasingly time-constrained community. The journal takes a forward-looking stance toward the scientific and clinical issues, together with the economic and policy issues that confront us in this new era of cancer care. The journal includes literature awareness such as the latest developments in radiotherapy and immunotherapy, concise commentary and analysis, and full review articles all of which provide key findings, translational to the clinical setting.
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