Endocrine oncology

Cost-effectiveness of Genetic Testing of Endocrine Tumor Patients Using a Comprehensive Hereditary Cancer Gene Panel

J Clin Endocrinol MetabPublished Prospective diagnostic utility and cost-effectiveness study

Authors' conclusion

Using comprehensive multigene panel results in faster turnaround time and cost-efficiently identifies genetic alterations in hereditary endocrine tumor syndromes. Incidentally identified variants in patients with poor prognoses may serve as a potential therapeutic target in tumors where therapeutic possibilities are limited.

Study context

Population
Patients suspected to have hereditary tumor syndromes, evaluated October 2021–December 2022 at a national reference center96 endocrine tumors
Participants
1,279 patients
Outcome
Diagnostic utility and cost-efficiency of a multigene panel covering 113 genes
Methodological detailsnational reference center, multigene panel (113 genes)
  • National reference center
  • Multigene panel (113 genes)

Performance

As reported in the abstract

Diagnostic yield in endocrine tumor patients

Clinical diagnosis confirmed

24%

23/96

Incidental findings in genes not associated with phenotype

5%

5/96

Further pathogenic/likely pathogenic variants in genes with potential susceptibility roles but no clear clinical consequence

7%

Further findings

Cost-benefit

More comprehensive panel yielded shorter turnaround time and additional genetic results with the same cost and workload

Original publication

Cost-effectiveness of Genetic Testing of Endocrine Tumor Patients Using a Comprehensive Hereditary Cancer Gene Panel. J Clin Endocrinol Metab. Published 3 May 2024. doi:10.1210/clinem/dgae300

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