Evidence map›Paper›PMID 41704839›Full record

ArticleClinical Medicine Insights. Oncology2026

National Patterns of Biomarker Testing in Colorectal, Lung, and Prostate Cancers: Insights From the NIH

Patrick J Kiel, Mark W McGiffin, Michael A Preston

Abstract read
In one paragraph

Article in Clinical Medicine Insights. Oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Patrick J KielDepartment of Pharmacy Practice, Purdue University, West Lafayette, IN, USA.ORCID https://orcid.org/0000-0002-6046-2317
Mark W McGiffinDepartment of Pharmacy Practice, Purdue University, West Lafayette, IN, USA.
Michael A PrestonDepartment of Pharmacy Practice, Purdue University, West Lafayette, IN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Biomarker testing is central to precision oncology, yet real-world implementation across cancer types and populations remains inconsistent. Social determinants of health (SDoH) may influence testing uptake and exacerbate disparities in access to targeted therapies. Methods: We conducted a retrospective cohort study using Version 7 of the NIH Results: Among 11 415 eligible participants, only 2.4% (n = 277) had documented biomarker testing, with 71.1% receiving panel-based assays. In the combined model, unemployment was significantly associated with higher odds of testing (odds ratio [OR] = 1.68; 95% confidence interval [CI] = 1.06-2.66), while college education showed a marginal association (OR = 1.48; 95% CI = 0.95-2.30). In cancer-specific models, NSCLC testing was predicted by education alone (OR = 1.70), while CRC testing was associated with unemployment (OR = 2.44), higher income (OR = 1.90), and smoking history. No significant predictors were found for prostate cancer. Conclusion: Despite national guidelines, biomarker testing remains underutilized and unevenly distributed across sociodemographic groups. These findings should be interpreted as exploratory, reflecting the fidelity of structured electronic health record (EHR) documentation rather than definitive utilization. Leveraging the scale and diversity of

Indexed as

biomarker testingcolorectal cancerhealth policyHealth services researchnon–small cell lung cancerprecision oncologyprostate cancerreal-world evidencesocial determinants of health

Identifiers

PMID41704839
PMCPMC12907478

What Socratic holds

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LicenceCC BY-NC
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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.