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Physicians' attitudes about multiplex tumor genomic testing.

Stacy W Gray1, Katherine Hicks-Courant, Angel Cronin

  • 1Stacy W. Gray, Angel Cronin, Barrett J. Rollins, and Jane C. Weeks, Dana-Farber Cancer Institute; Stacy W. Gray, Barrett J. Rollins, and Jane C. Weeks, Harvard Medical School and Brigham and Women's Hospital, Boston; and Katherine Hicks-Courant, University of Massachusetts Medical School, Worcester, MA.

Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
|March 26, 2014
PubMed
Summary
This summary is machine-generated.

Physicians have varied plans for using multiplex somatic genomic tests in cancer care. Enhanced genomic education and guidelines are needed due to low physician confidence in genomic knowledge.

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Area of Science:

  • Oncology
  • Genomics
  • Medical Practice

Background:

  • Predictive multiplex somatic genomic tests identify targetable alterations in cancer genes.
  • Understanding physician adoption of these transformative tests is crucial for clinical integration.

Purpose of the Study:

  • To assess physicians' current use of somatic testing and their attitudes toward multiplex genomic testing.
  • To evaluate physicians' confidence in genomic knowledge and its impact on test utilization.

Main Methods:

  • A survey was administered to adult cancer physicians at a major cancer center before enterprise-wide multiplex testing.
  • The survey assessed current somatic testing practices, attitudes towards multiplex testing, and genomic confidence.

Main Results:

  • Physician confidence in genomic knowledge varied, with 22% reporting low confidence.
  • Anticipated use of multiplex testing ranged from infrequent (18%) to frequent (25%).
  • Higher genomic confidence correlated with increased likelihood of testing and using actionable results.

Conclusions:

  • Physician approaches to incorporating multiplex genomic tests differ significantly.
  • Low genomic confidence suggests a need for evidence-based guidelines and improved physician education for effective genomically guided cancer care.