How comparative effectiveness research can help advance 'personalized medicine' in cancer treatment

Scott D. Ramsey, David Veenstra, Sean R. Tunis, Louis Garrison, John J. Crowley, Laurence H. Baker

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

The use of biomarkers to "personalize" cancer treatment- identifying discrete genes, proteins, or other indicators that can differentiate one type of cancer from another and enable the use of highly tailored therapies-offers tremendous potential for improved outcomes and lower treatment costs. However, the rapid development of cancer biomarker, or genomic, tests-combined with a paucity of evidence to support the effectiveness of the tests-presents a challenge for patients, clinicians, and other stakeholders. In this article we propose that comparative effectiveness research be used to strengthen what is now a haphazard process for developing and marketing cancer biomarker tests. We suggest novel funding approaches and a systematic process for moving from regulatory approval to the generation of evidence that meets the needs of stakeholders and, ultimately, patients.

Original languageEnglish (US)
Pages (from-to)2259-2268
Number of pages10
JournalHealth Affairs
Volume30
Issue number12
DOIs
StatePublished - Dec 2011
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy

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