Recommendations for the Equitable and Widespread Implementation of Liquid Biopsy for Cancer Care.
Phillip G FebboMina AlloEmma B AlmeGebra Cuyun CarterRobert DumanoisAlessia EssigEstevan KiernanCaitlin B KublerNikki A MartinMedeea C PopescuLauren C LeimanPublished in: JCO precision oncology (2024)
Liquid biopsies-tests that detect circulating tumor cellular components in the bloodstream-have the potential to transform cancer by reducing health inequities in screening, diagnostics, and monitoring. Today, liquid biopsies are being used to guide treatment choices for patients and monitor for cancer recurrence, and promising work in multi-cancer early detection is ongoing. However, without awareness of the barriers to adoption of this new technology and a willingness to build mitigation efforts into the implementation of widespread liquid biopsy testing, the communities that could most benefit may be the last to access and use them. In this work, we review the challenges likely to affect the accessibility of liquid biopsies in both the general population and underserved populations, and recommend specific actions to facilitate equitable access for all patients.
Keyphrases
- end stage renal disease
- papillary thyroid
- healthcare
- newly diagnosed
- ejection fraction
- primary care
- chronic kidney disease
- ultrasound guided
- public health
- squamous cell
- quality improvement
- prognostic factors
- circulating tumor
- peritoneal dialysis
- climate change
- mental health
- escherichia coli
- risk assessment
- klebsiella pneumoniae
- fine needle aspiration
- circulating tumor cells
- genetic diversity
- social media
- clinical practice
- health promotion