Personalising Clinical Pathways in a London Breast Cancer Service

Viney, William; Day, Sophie E.; Bruton, Jane; Gleason, Kelly; Ion, Charlotte; Nazir, Saima and Ward, Helen. 2022. Personalising Clinical Pathways in a London Breast Cancer Service. Sociology of Health & Illness, 44(3), pp. 624-640. ISSN 1467-9566 [Article]

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Abstract or Description

Using interview and observational data from a busy and research-intensive breast cancer service in the United Kingdom, we discuss recent developments in Personalised Medicine. Specifically, we show how clinical and research practices meet in clinical pathways that are reconfigured in response to changing approaches of diagnosing, monitoring, treating and understanding cancers. Clinical pathways are increasingly sensitive to changes in evidence deduced through new technologies and therapies as well as decisions based on intensive, iterative analysis of data collected across a range of platforms. We contribute to existing research by showing how the organisation of on clinical pathways both maintains established clinical practices and responds to new research evidence, managing a threshold between evidence-based and experimental medicine. Finally, we invite comparisons with other forms of personalisation to understand how they depend on the ‘real time’ collection, analysis and application of data.

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Funding information
National Institute for Health Research; Wellcome Trust, Grant/Award Number: 205456/Z/16/Z


Breast Cancer, Clinical Pathways, Translational Research, Personalised Medicine, Personalisation

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16 January 2022Accepted
10 February 2022Published Online
March 2022Published

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Date Deposited:

21 Jan 2022 11:27

Last Modified:

27 Apr 2022 13:59

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Yes, this version has been peer-reviewed.


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