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Table 3 Factors for adopting cancer genomics services by category

From: Adopting clinical genomics: a systematic review of genomic literacy among physicians in cancer care

Factors associated with ordering, referring or using genomic sequencing Studies
Increases in knowledge, skills, and education
 Higher genomic confidence Gray et al. (2014) [21]
 Adequate knowledge of the professional use of predictive testing for breast cancer Marzuillo et al. (2013) [17]
 Increasing continuing medical education (CME) Marzuillo et al. (2013) [17]
 Feeling qualified to recommend cancer susceptibility tests (CSTs) Wideroff et al. (2003) [15]
 Having more than 25% of time allocated to research Gingras et al. (2016) [16]
 Receiving CSTs educational materials Wideroff et al. (2003) [15]
Geographical factors
 Presence of genetic testing laboratories locally Marzuillo et al. (2013) [17]
 Practice location in the Northeast Wideroff et al. (2003) [15]
 Working in Asia Gingras et al. (2016) [16]
 Practice location in the urban and suburban areas Koil et al. (2003) [19]
Patient interests, requests, and health records
 Family/patient history of cancer Koil et al. (2003) [19]
 Patient interests Koil et al. (2003) [19]
 Patient requests for genetic testing Mazuillo et al. (2013) [17]
Professional guidelines
 Endorsement of genomic tests by American Society of Clinical Oncologist (ASCO) professional guidelines Dressler et al. (2014) [14]
 Having institutional guidelines for molecular sequencing Gingras et al. (2016) [16]
Clinical utility and effectiveness of cancer genomics
 Evidence-based studies demonstrating safety and efficacy of the test Dressler et al. (2014) [14]
 Prospective clinical trials confirming association of testing with outcome Dressler et al. (2014) [14]