Evidence map›Paper›PMID 38534936›Full record

ArticleCurrent oncology (Toronto, Ont.)2024

Barriers and Unequal Access to Timely Molecular Testing Results: Addressing the Inequities in Cancer Care Delays across Canada.

Stephanie Snow, Christine Brezden-Masley, Michael D Carter, Neesha Dhani, Cassandra Macaulay, Ravi Ramjeesingh, Michael J Raphael, Monika Slovinec D'Angelo, Filomena Servidio-Italiano

Abstract readConference Proceedings
In one paragraph

Article in Current oncology (Toronto, Ont.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed.

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  10. Oncology nurses' readiness to implement genomics-informed care: A descriptive, cross-sectional study in a Canadian province.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
    Article
  11. Article
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  13. Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2026
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  14. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Stephanie SnowDivision of Medical Oncology, QEII Health Sciences Centre, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0003-3847-0289
Christine Brezden-MasleyDivision of Medical Oncology, Sinai Health, Toronto, ON M5G 1X5, Canada.ORCID 0000-0002-4818-318X
Michael D CarterDivision of Anatomical Pathology, QEII Health Sciences Centre, Halifax, NS B3H 2Y9, Canada.
Neesha DhaniDivision of Medical Oncology & Hematology, Princess Margaret Cancer Centre, Toronto, ON M5G 2M9, Canada.
Cassandra MacaulayColorectal Cancer Resource & Action Network (CCRAN), Toronto, ON M4W 3E2, Canada.
Ravi RamjeesinghDivision of Medical Oncology, QEII Health Sciences Centre, Halifax, NS B3H 2Y9, Canada.ORCID 0000-0001-5584-3505
Michael J RaphaelOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Monika Slovinec D'AngeloColorectal Cancer Resource & Action Network (CCRAN), Toronto, ON M4W 3E2, Canada.
Filomena Servidio-ItalianoColorectal Cancer Resource & Action Network (CCRAN), Toronto, ON M4W 3E2, Canada.

Funding

Amgen (Canada) Not applicableAstraZeneca (Canada) Not applicableBayer (Canada) Not applicableCoulson Contracting Ltd. Not applicableEli Lilly (Canada) Not applicableGlaxoSmithKline (Canada) Not applicableJanssen Not applicableLifeLabs Not applicableMerck Not applicableNatera (United States) Not applicableNovartis (Canada) Not applicablePfizer (Canada) Not applicable
6 · The paper itself

Abstract

Genomic medicine is a powerful tool to improve diagnosis and outcomes for cancer patients by facilitating the delivery of the right drug at the right dose at the right time for the right patient. In 2023, a Canadian conference brought together leaders with expertise in different tumor types. The objective was to identify challenges and opportunities for change in terms of equitable and timely access to biomarker testing and reporting at the education, delivery, laboratory, patient, and health-system levels in Canada. Challenges identified included: limited patient and clinician awareness of genomic medicine options with need for formal education strategies; failure by clinicians to discuss genomic medicine with patients; delays in or no access to hereditary testing; lack of timely reporting of results; intra- and inter-provincial disparities in access; lack of funding for patients to access testing and for laboratories to provide testing; lack of standardized testing; and impact of social determinants of health. Canada must standardize its approach to biomarker testing across the country, with a view to addressing current inequities, and prioritize access to advanced molecular testing to ensure systems are in place to quickly bring innovation and evidence-based treatments to Canadian cancer patients, regardless of their place of residence or socioeconomic status.

Indexed as

NeoplasmsBiomarkersCanadaHumansMolecular Diagnostic TechniquesBiomarkersbiomarkerbiomarker statusbiomarker testingcirculating tumor DNA (ctDNA)comprehensive genomic profilinghealth systemsliquid biopsymolecular testingnext generation sequencingprecision medicine

Identifiers

PMID38534936
PMCPMC10969404

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.