Community oncologists’ perceptions and utilization of large-panel genomic tumor testing

MCGI Working Group, Eric C. Anderson, Alexandra C. Hinton, Christine W. Lary, Anny T.H.R. Fenton, Andrey Antov, Emily Edelman, Petra Helbig, Kate Reed, Susan Miesfeldt, Christian A. Thomas, Michael J. Hall, J. Scott Roberts, Jens Rueter, Paul K.J. Han, Nicholette Erickson, Mayur Movalia, Marek Skacel, Allan Espinosa, Ridhi GuptaRachit Kumar, Richard Polkinghorn, Christopher Darus, Scot Remick, Robert Christman, Karen Rasmussen, Philip Brooks, Catherine Chodkiewicz, Antoine Harb, Sarah Sinclair, Peter Rubin, Elizabeth Connelly, Peter Georges, Jennifer Bourne, Linda Choquette, Ken Fasman, Cristen Flewellen, Lory Guerrette, Susan Mockus, Kunal Sanghavi

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Purpose: Large-panel genomic tumor testing (GTT) is an emerging technology with great promise but uncertain clinical value. Previous research has documented variability in academic oncologists’ perceptions and use of GTT, but little is known about community oncologists’ perceptions of GTT and how perceptions relate to clinicians' intentions to use GTT. Methods: Community oncology physicians (N = 58) participating in a statewide initiative aimed at improving access to large-panel GTT completed surveys assessing their confidence in using GTT, attitudes regarding the value of GTT, perceptions of barriers to GTT implementation, and future intentions to use GTTs. Descriptive and multivariable regression analyses were conducted to characterize these perceptions and to explore the relationships between them. Results: There was substantial variability in clinicians’ perceptions of GTT. Clinicians generally had moderate confidence in their ability to use GTT, but lower confidence in patients’ ability to understand test results and access targeted treatment. Clinicians had positive attitudes regarding the value of GTT. Clinicians’ future intentions to use GTT were associated with greater confidence in using GTT and greater perceived barriers to implementing GTT, but not with attitudes about the value of GTT. Conclusions: Community oncologists’ perceptions of large-panel genomic tumor testing are variable, and their future intentions to use GTT are associated with both their confidence in and perceived barriers to its use, but not with their attitudes towards GTT. More research is needed to understand other factors that determine how oncologists perceive and use GTT in clinical practice.

Original languageEnglish
Article number1273
Pages (from-to)1273
JournalBmc Cancer
Volume21
Issue number1
DOIs
StatePublished - Dec 2021

Keywords

  • Attitude of Health Personnel
  • Comprehension
  • Female
  • Forecasting
  • Genetic Testing/statistics & numerical data
  • Health Care Surveys/statistics & numerical data
  • Hematology/statistics & numerical data
  • Humans
  • Intention
  • Maine
  • Male
  • Neoplasms/genetics
  • Oncologists/psychology
  • Regression Analysis
  • Rural Health Services
  • Self Concept
  • Uncertainty

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