Regardless of vital enhancements within the notion of biomarker testing in comparison with a 2018 survey, substantial boundaries to implementation persist globally, based on outcomes of the 2024 IASLC World Survey on Biomarker Testing launched at this time on the Worldwide Affiliation for the Examine of Lung Most cancers (IASLC) World Convention on Lung Most cancers 2024.
The 2018 survey revealed that the adoption of biomarker testing was low resulting from value, lack of high quality and requirements, entry, consciousness, and lengthy turnaround occasions. Nevertheless, since 2018, quite a few therapeutic advances have been made in late-stage and early-stage lung most cancers, based on Matthew Smeltzer, Ph.D., of the College of Memphis, Memphis, Tenn.
The 2024 survey generated 1,677 responses from 90 international locations and 14 medical disciplines and located a constructive shift within the notion and frequency of biomarker testing, based on Smeltzer.
The survey was accessible in English, French, Japanese, Chinese language, Portuguese, and Spanish. The survey contained sections on demographics, present practices and perceptions, pathology, ordering assessments or therapy, buying tissue, boundaries to optimum testing, and potential options. The researchers grouped responses by IASLC international area and by Excessive/Higher-Center revenue international locations (HUMIC) and Low/Center revenue international locations (LMIC).
Smeltzer mentioned that 67% of respondents reported that greater than half of lung most cancers sufferers are examined of their nation, a major enhance from 39% reported in 2018. Regardless of this progress, boundaries stay distinguished, with value (27.2%), time (13.9%), and pattern high quality (13.8%) cited as main obstacles. Notably, 43% of respondents reported treating sufferers earlier than receiving biomarker outcomes.
Respondents from excessive/upper-middle revenue international locations (HUMIC) expressed larger well being care system assist for biomarker testing in comparison with these from low/center revenue international locations (LMIC), the place solely 18.6% famous comparable assist. The survey additionally revealed {that a} substantial proportion of testing prices are solely partially reimbursed, and turnaround occasions for tissue testing common 14 days with no clear consensus on the causes of delays, he reported.
The survey respondents advised quite a lot of strategies to enhance biomarker testing, together with enhanced training for suppliers and sufferers, streamlined medical processes via reflex testing, elevated funding from each governmental and insurance coverage sources, and broader coverage modifications. Smeltzer indicated that the IASLC plans to launch a sequence of initiatives to deal with these areas, concentrating on consciousness, entry, processes, and coverage enhancements.
“The survey’s findings replicate each the progress made and the work nonetheless wanted to make sure that biomarker testing turns into a regular a part of lung most cancers care worldwide,” Smeltzer reported.
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Survey reveals progress and chronic boundaries in lung most cancers biomarker testing (2024, September 7)
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