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Variations in genomic testing in non-small cell lung carcinoma: a healthcare professional survey of current practices in the UK

Baijal, S.
Crosbie, P.
Fenemore, Jackie
Desai, K.
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Abstract
This survey aims to understand the current UK practice for non-small cell lung carcinoma (NSCLC) and identify barriers that may impact patient treatment and outcomes. In March-June 2021, 57 interviews were conducted with healthcare professionals involved in the secondary care management of patients with NSCLC. Most respondents performed genetic testing at onsite and non-genomic laboratory hub (GLH) offsite locations. The most common genetic tests were EGFR T790M variant (100%), EGFR exon 18-21 covered (95%) and BRAF (93%). No targeted therapy (TT) available (69%), lack of access to a TT (54%) or excessive molecular testing turnaround times (39%) were the most common reasons for using an immuno-oncology therapy over a TT in the first-line setting. The survey highlights variation in mutation testing practices across the UK, which may impact treatment decisions and contribute to health outcome inequality.
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2023
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Baijal S, Crosbie P, Fenemore J, Desai K. Variations in Genomic Testing in Non-small Cell Lung Carcinoma: A Healthcare Professional Survey of Current Practices in the UK. Oncologist. 2023 Jun 13. PubMed PMID: 37310183. Epub 2023/06/13. eng.
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