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艾昆纬(IQVIA):2026推进精准肿瘤学:美国肿瘤生物标志物检测发展趋势研究报告(中译版)(30页).pdf

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1、MARCH2026Trends in Oncology Biomarker Testing in the U.S.Advancing Precision OncologyOver the last two decades,advances in cellular and molecular understanding of cancer have significantly accelerated,leading to better characterization of tumor biology.This has paved the way for a transition towards

2、 increasing use of targeted therapeutics in oncology.Predictive biomarkers enable the use of these therapies.However,gaps remain in achieving optimal biomarker testing across tumor types,potentially resulting in eligible patients not receiving timely treatment.Prior IQVIA Institute research publishe

3、d in 2020 identified major barriers that limit biomarker testing for solid tumors in the U.S.The research assessed biomarker testing evolution over time and offered solutions to help reduce the identified testing barriers in oncology.The purpose of this report is to understand how the biomarker test

4、ing landscape has changed since that publication.In addition to NSCLC which was the primary tumor of focus for the 2020 report testing rates in breast,ovarian,and prostate cancers are included.Insights obtained from oncologists treating these cancers,pathologists,and lab directors are also discussed

5、.While data on DLBCL biomarker testing rates are not included due to limited predictive biomarkers,perspectives from interviewed stakeholders are used to understand current testing practices and perceived barriers to adoption in that hematological malignancy.The research also assesses several inflec

6、tion points that appear to trigger successful integration of a biomarker in cancer clinical care and identifies persistent barriers to biomarker testing.The report concludes with actions that stakeholders such as physicians,laboratory directors,and hospital systems can potentially utilize to ensure

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1. **精准肿瘤学进展**:过去20年癌症分子生物学理解加速,推动靶向治疗普及,预测生物标志物是关键。 2. **肿瘤类型检测率差异**(2024年数据):NSCLC(ALK/BRAF/EGFR等近100%)、乳腺癌(HER2 95%,PIK3CA 81%)、卵巢癌(BRCA 80%)、前列腺癌(PSMA 75%)。 3. **三大转折点**:强临床证据→监管批准→指南纳入(如NCCN)→关键意见领袖(KOL)推动临床路径。 4. **主要障碍**:组织样本质量(30%活检不合格)、指南滞后、保险报销不确定性、系统互操作性差、医患认知不足。 5. **最佳实践**:ROSE(快速现场评估)、 reflex testing( reflex检测)、多学科讨论、标准化编码及教育。 6. **DLBCL挑战**:异质性强,现有生物标志物(如COO分型)预测价值不足,需更精准诊断工具。
癌症检测瓶颈? 精准医疗进展? 测试率差异何在?
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