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2018 ; 9
(21
): 15792-15815
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Value-based genomics
#MMPMID29644010
Gong J
; Pan K
; Fakih M
; Pal S
; Salgia R
Oncotarget
2018[Mar]; 9
(21
): 15792-15815
PMID29644010
show ga
Advancements in next-generation sequencing have greatly enhanced the development
of biomarker-driven cancer therapies. The affordability and availability of
next-generation sequencers have allowed for the commercialization of
next-generation sequencing platforms that have found widespread use for
clinical-decision making and research purposes. Despite the greater availability
of tumor molecular profiling by next-generation sequencing at our doorsteps, the
achievement of value-based care, or improving patient outcomes while reducing
overall costs or risks, in the era of precision oncology remains a looming
challenge. In this review, we highlight available data through a pre-established
and conceptualized framework for evaluating value-based medicine to assess the
cost (efficiency), clinical benefit (effectiveness), and toxicity (safety) of
genomic profiling in cancer care. We also provide perspectives on future
directions of next-generation sequencing from targeted panels to whole-exome or
whole-genome sequencing and describe potential strategies needed to attain
value-based genomics.