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The Role of Next-Generation Sequencing in Precision Medicine: A Review of Outcomes in Oncology

1
Division of Health Informatics, Department of Healthcare Policy and Research, Weill Cornell Medicine, New York, NY 10065, USA
2
Division of Medical Oncology, Weill Cornell Medicine and New York-Presbyterian Hospital, New York, NY 10065, USA
3
Meyer Cancer Center, Weill Cornell Medicine, New York, NY 10065, USA
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Englander Institute for Precision Medicine, Weill Cornell Medicine-New York Presbyterian Hospital, New York, NY 10065, USA
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Institute for Computational Biomedicine, Weill Cornell Medicine, New York, NY 10065, USA
*
Author to whom correspondence should be addressed.
J. Pers. Med. 2018, 8(3), 30; https://doi.org/10.3390/jpm8030030
Received: 3 July 2018 / Revised: 7 September 2018 / Accepted: 10 September 2018 / Published: 17 September 2018
Precision medicine seeks to use genomic data to help provide the right treatment to the right patient at the right time. Next-generation sequencing technology allows for the rapid and accurate sequencing of many genes at once. This technology is becoming more common in oncology, though the clinical benefit of incorporating it into precision medicine strategies remains under significant debate. In this manuscript, we discuss the early findings of the impact of next-generation sequencing on cancer patient outcomes. We investigate why not all patients with genomic variants linked to a specific therapy receive that therapy and describe current barriers. Finally, we explore the current state of health insurance coverage for individual genome sequencing and targeted therapies for cancer. Based on our analysis, we recommend increased transparency around the determination of “actionable mutations” and a heightened focus on investigating the variations in health insurance coverage across patients receiving sequencing-matched therapies. View Full-Text
Keywords: precision medicine; next generation sequencing; oncology; patient outcomes; health insurance coverage precision medicine; next generation sequencing; oncology; patient outcomes; health insurance coverage
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Morash, M.; Mitchell, H.; Beltran, H.; Elemento, O.; Pathak, J. The Role of Next-Generation Sequencing in Precision Medicine: A Review of Outcomes in Oncology. J. Pers. Med. 2018, 8, 30.

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