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Primary Care Clinician Preferences and Perspectives on Multi-Cancer Detection Testing Across an Integrated Healthcare
Jessica D Austin1,2, Ilyse A Nelson2, Jon C Tilburt3,4
1Division of Epidemiology, Department of Quantitative Health Sciences, Mayo Clinic, Phoenix, AZ 85054, USA.
Journal of Personalized Medicine
|October 28, 2025
Summary
Primary care clinicians show interest in multi-cancer detection (MCD) tests but have knowledge gaps and concerns about cost and implementation. Education and tailored support are crucial for adopting this early cancer detection tool.
Area of Science:
- Oncology
- Primary Care Medicine
- Health Services Research
Background:
- Multi-cancer detection (MCD) tests represent a significant advancement in early cancer detection.
- Primary care clinicians (PCCs) are central to the implementation of novel diagnostic technologies like MCD testing.
Purpose of the Study:
- To characterize primary care clinicians' perceptions and preferences regarding multi-cancer detection testing.
- To explore differences in these perceptions and preferences based on clinician characteristics.
Main Methods:
- A cross-sectional survey was conducted among 281 primary care clinicians (physicians and advanced care providers).
- Data were collected on clinician characteristics, perceptions of MCD testing, and learning preferences.
- Analysis focused on clinicians with no prior MCD testing experience (N=181), using descriptive statistics and chi-square tests.
Main Results:
- A majority of PCCs expressed interest in MCD testing (66.3%).
- However, limited knowledge, awareness, and confidence in managing positive results were noted.
- Significant concerns were raised regarding cost (76.7%) and potential misuse or poor implementation.
Conclusions:
- PCCs generally view MCD testing positively but exhibit knowledge gaps and confidence deficits.
- Concerns about cost and implementation require addressing for successful integration.
- Targeted education and system-level support are essential for effective MCD test adoption in primary care.
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