Bridging the Gap: Innovative 'Center for Precision Oncology' in Missouri

Beth Gustafson1, Lindsey Douglass1, Timothy Pluard1

  • 1Saint Luke's Cancer Institute, and Dr. Pluard is also with the University of Missouri-Kansas City, Kansas City, Missouri.

Missouri Medicine
|March 2, 2023
PubMed
Abstract

Insights

Precision medicine services, like Saint Luke's Center for Precision Oncology, help clinicians interpret next-generation sequencing (NGS) data for advanced cancer patients, improving genomic care plans and treatment outcomes.

Area of Science:

  • Oncology
  • Genomics
  • Precision Medicine

Background:

  • Next-generation sequencing (NGS) is crucial for identifying targetable mutations in advanced cancers.
  • Interpreting NGS results for clinical application presents challenges for oncologists, potentially affecting patient outcomes.
  • Specialized precision medicine services can bridge this gap by offering collaborative frameworks for genomic patient care.

Purpose of the Study:

  • To evaluate the impact and operational aspects of a Center for Precision Oncology (CPO) at Saint Luke's Cancer Institute.
  • To assess the effectiveness of a multidisciplinary approach in delivering genomic patient care plans.
  • To analyze patient referrals, treatment recommendations, and outcomes within a precision medicine program.

Main Methods:

  • Saint Luke's Cancer Institute established the Center for Precision Oncology (CPO) in 2017.
  • The CPO utilizes a multidisciplinary molecular tumor board and offers dedicated clinic visits.
  • An Institutional Review Board-approved molecular registry was created to track genomic data, patient demographics, treatments, and outcomes.

Main Results:

  • In 2020, the CPO received 93 referrals and conducted 29 patient clinic visits.
  • Twenty patients were treated with CPO-recommended therapies, including off-label drugs and Expanded Access Programs (EAPs).
  • Recommended treatments exceeded $1 million in drug costs, highlighting the program's significant impact on patient care.

Conclusions:

  • Precision medicine services are vital for oncologists, offering expert NGS interpretation and multidisciplinary support.
  • These programs empower patients to understand genomic reports and pursue targeted treatments.
  • Associated molecular registries provide valuable resources for future cancer research.

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