Precision Oncology and Cancer Biomarkers : Issues at Stake and Matters of Concern.

Bibliographic Details
Main Author: Bremer, Anne.
Other Authors: Strand, Roger.
Format: eBook
Language:English
Published: Cham : Springer International Publishing AG, 2022.
Edition:1st ed.
Series:Human Perspectives in Health Sciences and Technology Series
Subjects:
Online Access:Click to View
Table of Contents:
  • Intro
  • Preface: What Is Responsible Cancer Research?
  • Anticipatory and Reflexive - The Importance of Sociotechnical Imaginaries
  • Inclusive - The Relationship to the Public
  • Responsive - Are There Any Roads from Criticism to Action?
  • References
  • Acknowledgements
  • Contents
  • Introduction
  • References
  • Introduction to the Imaginary of Precision Oncology
  • Precision Medicine - Tradition, Evidence, Reason and Ambition
  • Precision Oncology - Expectations and Realisations
  • Precision Medicine and the Complexity of Biological Systems
  • The Imaginary of Precision Medicine and Unintended Consequences
  • References
  • Precision Oncology in the News
  • Introduction
  • Framing Within the News Media
  • Identifying Frames Within the Discourse on Priority-Setting and Cancer
  • Precision Medicine as a Medical Revolution
  • Discussion
  • Why Have the Premises Remained Unchallenged?
  • Cancer and Cancer Research: An Issue of More Than Tragic Choices?
  • Alternative Imaginaries
  • Lack of Nuance in the Field of Cancer and Cancer Research: Why?
  • Conclusion
  • References
  • Cancer Currencies: Making and Marketing Resources in a First-in-Human Drug Trial in Denmark
  • Introduction
  • Cancer Currencies and Trial Qualities
  • Unit One : A Research Business at the Heart of a Public Hospital
  • Fast-Tracking Trialling at the Unit
  • Competitive Enrolment
  • Producing Good Care and Good Science Fast
  • The Genomic Project: An Investment in Potentiality
  • Research Bodies: High Patient Compliance
  • Discussion
  • References
  • "Reconstruction of Trouble"
  • Introduction: The Special Status of Breast Cancer in Society
  • A Case Study of How Breast Reconstruction Was Prioritised, and the Unintended Consequences This Had for Breast Cancer Patients and Other Patient Groups
  • The Actors and Their Roles in the Prioritisation Game.
  • Debate, Decision-Making and Their Consequences
  • References
  • Lost in Translation
  • A Short Introduction to Health, Illness and Disease in the Context of Ovarian Cancer
  • Perspectives and Concepts of Disease and Illness in Health
  • A Brief Introduction to Ovarian Cancer - "The Silent Killer"
  • Biomarkers in Epithelial Ovarian Cancer
  • The Journey and Trajectory of Ovarian Cancer
  • Anne - The Suspicion of Something Being Wrong
  • Intermission - Moving from Illness to Disease: Classifying Ovarian Cancer
  • Anne - The Preliminary Diagnosis
  • Anne - Her Experienced Symptoms Confirmed into a Diagnosis
  • Jenny - The Gynaecological Oncologist Meeting Her Patient Anne
  • Anne - Accepting the Decision of Surgery
  • Jenny - Posing a Final Diagnosis
  • Anne - The Start of Chemotherapy
  • Intermission - The Dichotomy Between Illness and Disease at the Diagnosis Stage
  • Anne - The Meaning of Relapse
  • Jenny - Telling the Truth or Giving False Hope?
  • Anne - Towards the End of Her Journey
  • Intermission - The Dichotomy Between Illness and Disease at the Stage of Relapse
  • Anne - Accepting the Inevitable
  • The Future of Ovarian Cancer: Anne's Story in 2040
  • Intermission - The Dichotomy Between Illness and Disease in an Era of Precision Medicine
  • The Challenges of Communicating Illness, Disease and Health Between Patients and Clinicians
  • Making Sense of and Finding Meaning Around Health, Illness and Disease
  • The Meaning and Sense of Biomarkers - From a Patient Perspective
  • Conclusion
  • References
  • HER2 Revisited: Reflections on the Future of Cancer Biomarker Research
  • Introduction
  • The HER2 Story
  • Discovery and Basic Studies
  • Biomarker Development
  • Early Clinical Trials
  • Revisiting the Story of HER2
  • How the HER2 Story Began: Oncogene Research Gathering Steam as a 'Bandwagon'.
  • Understanding the Social, Ethical and Economic Implications of the HER2/Oncogene Bandwagon
  • Basic Science
  • Diagnostic
  • Treatment
  • Where Are We Now? The Imaginary of Precision Oncology
  • Conclusion
  • References
  • The Dynamics of the Labelling Game: An Essay On FLT3 Mutated Acute Myeloid Leukaemia
  • References
  • Crossing the Styx: If Precision Medicine Were to Become Exact Science
  • Introduction
  • Types of Models
  • Understanding the Purpose of Formal Models
  • Unification
  • Prediction
  • System Wide Models: Descriptive Models and Repositories of Information
  • Explanation
  • A Possible Tension Between the Requirements of Formal Models and the Need for Conceptual Flexibility and Ambiguity in Discovery
  • The Modelling Process: The Challenges of Radical Openness and Contextuality
  • A Drive Towards Computational Models
  • Crossing the Styx
  • References
  • Publication Bias in Precision Oncology and Cancer Biomarker Research
  • Challenges and Possible Implications
  • Introduction
  • Evidence of Publication Bias in Medical Research
  • Publication Bias in Precision Oncology and Cancer Biomarker Research
  • The Impact of Publication Bias on the Validity of the Scientific Literature and Contribution to the Reproducibility Crisis
  • Discussion: Publication Bias in Precision Oncology and Cancer Biomarker Research
  • Implications and Reflections on the Deeper Roots of the Problem
  • Implications for Patients, Decision-Making in Clinical Practice and Socio-economic Aspects
  • Implications for Researchers and the Scientific Community
  • Reflecting on the Roots of the Problem of Publication Bias
  • Conclusion
  • References
  • Assessing the Cost-Effectiveness of Molecular Targeted Therapies and Immune Checkpoint Inhibitors
  • Introduction
  • Economic Evaluation of Targeted Therapies and Checkpoint Inhibitors.
  • Arrangements Specific to Decision Making Involving Oncology Medicines
  • Conclusions
  • References
  • Real-World Data in Health Technology Assessment: Do We Know It Well Enough?
  • Introduction: The Growing Importance of Data in Health Care
  • Real-World Data and Big Data: Some Definitions
  • Health Technology Assessment in the Era of Information Technology
  • Opportunities Related to Using RWD in HTA
  • Challenges of Using RWD in HTA
  • What Is Next: Do We Want RDW in HTA Be the Cynosure of All Eyes?
  • References
  • Just Caring: Precision Health vs. Ethical Ambiguity: Can we Afford the Ethical and Economic Costs?
  • Just Caring: Cancer, Targeted Therapies, and Cost Control
  • Cancer: Finding the First Cell/Preventing Future Cells
  • Trading off Identified Lives and Statistical Lives: Ethical Issues
  • Can We Just Abandon Metastatic Cancer Patients to Save Money?
  • The Transition Challenge: Efficiency versus Compassion
  • Whole Genome Sequencing: Another Precision Health Ethical Challenge
  • Rational Democratic Deliberation: Not Precision Ethics But "Roughly Just"
  • References
  • Rationing of Personalised Cancer Drugs: Rethinking the Co-production of Evidence and Priority Setting Practices
  • Introduction
  • Personalised Cancer Care Increases the Health Gap
  • Why Plan A Might Not Work and Why the Problem Is Connected to Biomarkers
  • The Co-production Perspective as an Analytic Tool
  • Sustainable Future Imaginaries for Cancer Drug Priority Setting
  • References
  • Filled with Desire, Perceive Molecules
  • Prologue: The Desire to Help
  • Acute Myeloid Leukaemia
  • Filled with Desire, Find the Molecule
  • AML Is a Name
  • Empty of Desire, Perceive Mystery
  • References
  • Conclusions: The Biomarkers That Could Be Born
  • The Biomarkers That Cannot Be Born: The Unsustainable Political Economy of Cancer Research.
  • Precision Oncology: Cartesian Dream or Nightmare?
  • From Precision to Personalized Oncology: Biomarkers for Dignity?
  • References
  • Index.