Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology

Background: The Taiwan Oncology Society (TOS) and the Taiwan Society of Pathology (TSP) have collaborated to present a joint position paper on the molecular tumor boards (MTBs) within the medical institutions of Taiwan. Materials and Methods: To raise awareness of MTBs among health-care professional...

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Main Authors: Ming-Huang Chen, Wan-Shan Li, Bin-Chi Liao, Chiao-En Wu, Chien-Feng Li, Chia-Hsun Hsieh, Feng-Che Kuan, Huey-En Tzeng, Jen-Fan Hang, Nai-Jung Chiang, Tse-Ching Chen, Tom Wei-Wu Chen, John Wen-Cheng Chang, Yao-Yu Hsieh, Yen-Lin Chen, Yi-Chen Yeh, Yi-Hsin Liang, Yu-Li Su, Chiung-Ru Lai, James Chih-Hsin Yang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-01-01
Series:Journal of Cancer Research and Practice
Subjects:
Online Access:https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00050
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author Ming-Huang Chen
Wan-Shan Li
Bin-Chi Liao
Chiao-En Wu
Chien-Feng Li
Chia-Hsun Hsieh
Feng-Che Kuan
Huey-En Tzeng
Jen-Fan Hang
Nai-Jung Chiang
Tse-Ching Chen
Tom Wei-Wu Chen
John Wen-Cheng Chang
Yao-Yu Hsieh
Yen-Lin Chen
Yi-Chen Yeh
Yi-Hsin Liang
Yu-Li Su
Chiung-Ru Lai
James Chih-Hsin Yang
author_facet Ming-Huang Chen
Wan-Shan Li
Bin-Chi Liao
Chiao-En Wu
Chien-Feng Li
Chia-Hsun Hsieh
Feng-Che Kuan
Huey-En Tzeng
Jen-Fan Hang
Nai-Jung Chiang
Tse-Ching Chen
Tom Wei-Wu Chen
John Wen-Cheng Chang
Yao-Yu Hsieh
Yen-Lin Chen
Yi-Chen Yeh
Yi-Hsin Liang
Yu-Li Su
Chiung-Ru Lai
James Chih-Hsin Yang
author_sort Ming-Huang Chen
collection DOAJ
description Background: The Taiwan Oncology Society (TOS) and the Taiwan Society of Pathology (TSP) have collaborated to present a joint position paper on the molecular tumor boards (MTBs) within the medical institutions of Taiwan. Materials and Methods: To raise awareness of MTBs among health-care professionals, policymakers, and the public, a total of 20 experts from TOS and TSP formulated a joint consensus statement through a voting process. Results: The joint statement proposes key recommendations: (1) MTB discussions encompass diverse molecular analyses including next-generation sequencing (NGS), RNA sequencing, whole-exon sequencing, and whole-genomic sequencing addressing relevant genomic changes, tumor mutation burden, microsatellite instability, and specific biomarkers for certain cancers. (2) MTB meetings should involve multidisciplinary participants who receive regular updates on NGS-related clinical trials. (3) Prioritize discussing cases with unique clinical needs, gene alterations lacking treatments, untreatable neoplasms, or oncogenes unresponsive to targeted therapies. (4) Base MTB discussions on comprehensive patient data, including genetics, pathology, timing of specimen collection, and NGS outcomes. (5) MTBs offer treatment recommendations: standard therapies, off-label use, clinical trials, genetic counseling, and multidisciplinary reviews. (6) MTB effectiveness can be gauged by member composition, case reviews, treatment suggestions, and patient outcomes. Encourage government incentives for MTB engagement. Conclusion: The primary aim of this initiative is to promote the advancement of precision oncology in Taiwan.
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spelling doaj-art-445838d2968349c0869dce108cd349c32025-01-23T05:10:28ZengWolters Kluwer Medknow PublicationsJournal of Cancer Research and Practice2311-30062024-01-01111182710.4103/ejcrp.eJCRP-D-23-00050Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of PathologyMing-Huang ChenWan-Shan LiBin-Chi LiaoChiao-En WuChien-Feng LiChia-Hsun HsiehFeng-Che KuanHuey-En TzengJen-Fan HangNai-Jung ChiangTse-Ching ChenTom Wei-Wu ChenJohn Wen-Cheng ChangYao-Yu HsiehYen-Lin ChenYi-Chen YehYi-Hsin LiangYu-Li SuChiung-Ru LaiJames Chih-Hsin YangBackground: The Taiwan Oncology Society (TOS) and the Taiwan Society of Pathology (TSP) have collaborated to present a joint position paper on the molecular tumor boards (MTBs) within the medical institutions of Taiwan. Materials and Methods: To raise awareness of MTBs among health-care professionals, policymakers, and the public, a total of 20 experts from TOS and TSP formulated a joint consensus statement through a voting process. Results: The joint statement proposes key recommendations: (1) MTB discussions encompass diverse molecular analyses including next-generation sequencing (NGS), RNA sequencing, whole-exon sequencing, and whole-genomic sequencing addressing relevant genomic changes, tumor mutation burden, microsatellite instability, and specific biomarkers for certain cancers. (2) MTB meetings should involve multidisciplinary participants who receive regular updates on NGS-related clinical trials. (3) Prioritize discussing cases with unique clinical needs, gene alterations lacking treatments, untreatable neoplasms, or oncogenes unresponsive to targeted therapies. (4) Base MTB discussions on comprehensive patient data, including genetics, pathology, timing of specimen collection, and NGS outcomes. (5) MTBs offer treatment recommendations: standard therapies, off-label use, clinical trials, genetic counseling, and multidisciplinary reviews. (6) MTB effectiveness can be gauged by member composition, case reviews, treatment suggestions, and patient outcomes. Encourage government incentives for MTB engagement. Conclusion: The primary aim of this initiative is to promote the advancement of precision oncology in Taiwan.https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00050molecular tumor boardnext-generation sequencingtaiwan oncology societytaiwan society of pathology
spellingShingle Ming-Huang Chen
Wan-Shan Li
Bin-Chi Liao
Chiao-En Wu
Chien-Feng Li
Chia-Hsun Hsieh
Feng-Che Kuan
Huey-En Tzeng
Jen-Fan Hang
Nai-Jung Chiang
Tse-Ching Chen
Tom Wei-Wu Chen
John Wen-Cheng Chang
Yao-Yu Hsieh
Yen-Lin Chen
Yi-Chen Yeh
Yi-Hsin Liang
Yu-Li Su
Chiung-Ru Lai
James Chih-Hsin Yang
Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
Journal of Cancer Research and Practice
molecular tumor board
next-generation sequencing
taiwan oncology society
taiwan society of pathology
title Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
title_full Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
title_fullStr Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
title_full_unstemmed Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
title_short Expert Consensus on Molecular Tumor Boards in Taiwan: Joint Position Paper by the Taiwan Oncology Society and the Taiwan Society of Pathology
title_sort expert consensus on molecular tumor boards in taiwan joint position paper by the taiwan oncology society and the taiwan society of pathology
topic molecular tumor board
next-generation sequencing
taiwan oncology society
taiwan society of pathology
url https://journals.lww.com/10.4103/ejcrp.eJCRP-D-23-00050
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