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Updated: Mar 1, 2026

Integration of Wet and Dry Bench Processes Optimizes Targeted Next-generation Sequencing of Low-quality and Low-quantity Tumor Biopsies
Published on: April 11, 2016
Value-Based Medicine and Integration of Tumor Biology
Gabriel A Brooks1, Linda D Bosserman1, Isa Mambetsariev1
1From the Norris Cotton Cancer Center, Dartmouth-Hitchcock Medical Center, Lebanon, NH; City of Hope Comprehensive Cancer Center, Duarte, CA.
Abstract:
Clinical oncology is in the midst of a genomic revolution, as molecular insights redefine our understanding of cancer biology. Greater awareness of the distinct aberrations that drive carcinogenesis is also contributing to a growing armamentarium of genomically targeted therapies. Although much work remains to better understand how to combine and sequence these therapies, improved outcomes for patients are becoming manifest. As we welcome this genomic revolution in cancer care, oncologists also must grapple with a number of practical problems. Costs of cancer care continue to grow, with targeted therapies responsible for an increasing proportion of spending. Rising costs are bringing the concept of value into sharper focus and challenging the oncology community with implementation of value-based cancer care. This article explores the ways that the genomic revolution is transforming cancer care, describes various frameworks for considering the value of genomically targeted therapies, and outlines key challenges for delivering on the promise of personalized cancer care. It highlights practical solutions for the implementation of value-based care, including investment in biomarker development and clinical trials to improve the efficacy of targeted therapy, the use of evidence-based clinical pathways, team-based care, computerized clinical decision support, and value-based payment approaches.
Insights
The genomic revolution in cancer care offers targeted therapies and improved patient outcomes. However, rising costs necessitate value-based strategies for sustainable personalized cancer medicine.
Area of Science:
- Oncology
- Genomics
- Health Economics
Background:
- The field of clinical oncology is undergoing a significant transformation driven by molecular insights and genomic discoveries.
- This revolution has led to the development of novel genomically targeted therapies, improving patient outcomes.
- However, the increasing costs associated with these advanced treatments pose challenges to healthcare systems.
Purpose of the Study:
- To explore the impact of the genomic revolution on cancer care delivery.
- To examine frameworks for evaluating the value of genomically targeted therapies.
- To outline strategies for implementing value-based cancer care.
Main Methods:
- Literature review and synthesis of current research on genomic oncology and health economics.
- Analysis of frameworks for value assessment in targeted cancer therapies.
- Identification of practical solutions for value-based care implementation.
Main Results:
- Genomic insights are redefining cancer biology and driving the development of targeted therapies.
- The rising cost of cancer care, particularly targeted therapies, highlights the need for value-based approaches.
- Improved patient outcomes are increasingly linked to personalized, genomically informed treatment strategies.
Conclusions:
- The genomic revolution in oncology necessitates a shift towards value-based care to ensure sustainability and accessibility.
- Implementing evidence-based pathways, biomarker development, and team-based care are crucial for maximizing the value of targeted therapies.
- Addressing the practical challenges of cost and value is essential for realizing the full promise of personalized cancer medicine.
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