Unknown

Dataset Information

0

Clinical utility of gene-expression profiling in women with early breast cancer: an overview of systematic reviews.


ABSTRACT: This overview systematically evaluates the clinical utility of using Oncotype DX and MammaPrint gene-expression profiling tests to direct treatment decisions in women with breast cancer. The findings are intended to inform an updated recommendation from the Evaluation of Genomic Applications in Practice and Prevention Working Group.Evidence reported in systematic reviews evaluating the clinical utility of Oncotype DX and MammaPrint, as well as the ability to predict treatment outcomes, change in treatment decisions, and cost-effectiveness, was qualitatively synthesized.Five systematic reviews found no direct evidence of clinical utility for either test. Indirect evidence showed Oncotype DX was able to predict treatment effects of adjuvant chemotherapy, whereas no evidence of predictive value was found for MammaPrint. Both tests influenced a change in treatment recommendations in 21 to 74% of participants. The cost-effectiveness of Oncotype DX varied with the alternative compared. For MammaPrint, lack of evidence of the predictive value led to uncertainty in the cost-effectiveness.No studies were identified that provided direct evidence that using gene-expression profiling tests to direct treatment decisions improved outcomes in women with breast cancer. Three ongoing studies may provide direct evidence for determining the clinical utility of gene-expression profiling testing.

SUBMITTER: Marrone M 

PROVIDER: S-EPMC4698966 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature

altmetric image

Publications

Clinical utility of gene-expression profiling in women with early breast cancer: an overview of systematic reviews.

Marrone Michael M   Stewart Alison A   Dotson W David WD  

Genetics in medicine : official journal of the American College of Medical Genetics 20141204 7


<h4>Purpose</h4>This overview systematically evaluates the clinical utility of using Oncotype DX and MammaPrint gene-expression profiling tests to direct treatment decisions in women with breast cancer. The findings are intended to inform an updated recommendation from the Evaluation of Genomic Applications in Practice and Prevention Working Group.<h4>Methods</h4>Evidence reported in systematic reviews evaluating the clinical utility of Oncotype DX and MammaPrint, as well as the ability to predi  ...[more]

Similar Datasets

| S-EPMC7653771 | biostudies-literature
| S-EPMC6686993 | biostudies-literature
| S-EPMC5469776 | biostudies-literature
| S-EPMC5539638 | biostudies-other
| S-EPMC3310430 | biostudies-literature
| S-EPMC6946938 | biostudies-literature
| S-EPMC7170727 | biostudies-literature
| S-EPMC6221731 | biostudies-other
| S-EPMC5547534 | biostudies-literature
| S-EPMC10334609 | biostudies-literature