{'fraction_non_alphanumeric': 0.017878426698450536, 'fraction_numerical': 0.0, 'mean_word_length': 5.797570850202429, 'pattern_counts': {'":': 0, '<': 0, '<?xml version=': 0, '>': 0, 'https://': 0, 'lorem ipsum': 0, 'www.': 0, 'xml': 0}, 'pii_count': 0, 'substrings_counts': 0, 'word_list_counts': {'cursed_substrings.json': 0, 'profanity_word_list.json': 0, 'sexual_word_list.json': 0, 'zh_pornsignals.json': 0}}
The New Genomics Era: Integration of genomics into mainstream oncology and implications for psycho‐oncological care

There is increasing attention to the transformation of healthcare using genomics. Oncology, in particular, increasingly has genomic technologies incorporated into everyday practice. This can be attributed to the dual effect of faster, more affordable genetic/genomic testing, coupled with the capacity for genomic data to inform precision screening, diagnostics and personalised treatment, and management plans. The term “mainstreaming” refers to routine integration of genomics into every clinic and speciality across the health service. Alongside technological advances, it is paramount that healthcare professionals and the public are adequately aware of, and prepared for, routine use of genomics in health management. Attention to psychosocial considerations has always been a central tenet of genetic counselling. An acute increase in distress and anxiety can occur around the time of testing and can usually be managed within the genetic counselling process, with a smaller number of patients requiring referral for ongoing psychological support. The purpose of this commentary is to provide an overview of genomic testing in oncology to review what has changed and why, implementation in practice, how oncology clinicians need to evolve alongside this transformation, and to consider behavioural, psychological, and communication challenges in order to optimise patient management. This commentary has largely drawn on the current status of genomic testing in the United Kingdom, but relevant information pertaining to other countries is also discussed.