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Updated: Oct 31, 2025

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Challenges adopting next-generation sequencing in community oncology practice
Fredrick D Ashbury1,2,3, Keith Thompson1,4,5, Casey Williams6,7
1VieCure, Denver, Colorado, USA.
Current Opinion in Oncology
|June 29, 2021
Summary
Innovative cancer genomics tools optimize drug selection and development. Addressing individual, institutional, and societal challenges is crucial for integrating these advancements into routine oncology care and improving patient outcomes.
Area of Science:
- Cancer genomics
- Oncology
- Precision medicine
Background:
- Cancer genomics innovations offer new ways to reduce cancer's impact.
- Genomic characterization of tumors guides drug development and treatment decisions.
Purpose of the Study:
- To review the challenges in adopting cancer genomics in community oncology.
- To propose strategies for overcoming these barriers to improve patient outcomes.
Main Methods:
- Review of literature on cancer genomics.
- Analysis of authors' experience in community oncology practice.
Main Results:
- Barriers to cancer genomics implementation exist at individual, institutional, and societal levels.
- Next-generation tumor sequencing is becoming essential for clinical decisions.
Conclusions:
- Effective coordination is needed for the adoption and delivery of cancer genomics.
- Addressing identified challenges is key to improving patient outcomes through genomic-guided oncology.
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