Peer-Reviewed Publication
Cancer Treat Res Commun2026;49101479.October 16, 2026Journal Article

Real-world analysis of treatments, healthcare costs, and overall survival among patients with metastatic non-small cell lung cancer by molecular biomarker testing approach.

Julie A Wiedower1, Karen M Stockl2, Jamie Tucker3, Shaun P Forbes4, Nicole Zhang5, Keelia Clemens6, Julia M Certa7, Pamela Morin8, Lucy Langer9
1Guardant Health, Inc., 505 Penobscot Dr, Redwood City, CA, 94063, USA. Electronic address: jkaylor@guardanthealth.com.
2Optum, Inc., 1 Optum Cir, Eden Prairie, MN, 55344, USA. Electronic address: karen.stockl@optum.com.
3Optum, Inc., 1 Optum Cir, Eden Prairie, MN, 55344, USA. Electronic address: jamie.m.tucker@optum.com.
4Guardant Health, Inc., 505 Penobscot Dr, Redwood City, CA, 94063, USA. Electronic address: sforbes@guardanthealth.com.
5Guardant Health, Inc., 505 Penobscot Dr, Redwood City, CA, 94063, USA. Electronic address: niczhang@guardanthealth.com.
6Guardant Health, Inc., 505 Penobscot Dr, Redwood City, CA, 94063, USA. Electronic address: kclemens@guardanthealth.com.
7Optum, Inc., 1 Optum Cir, Eden Prairie, MN, 55344, USA. Electronic address: julia.certa@optum.com.
8Optum, Inc., 1 Optum Cir, Eden Prairie, MN, 55344, USA. Electronic address: pamela.morin@optum.com.
9United HealthCare Services, Inc., 9700 Health Care Ln, Minnetonka, MN, 55343, USA. Electronic address: lucy.langer@uhc.com.

Abstract

PURPOSE: To evaluate biomarker-targeted therapy utilization, healthcare costs, and overall survival (OS) with comprehensive genomic profiling (CGP), small panel, or no molecular testing for patients with metastatic non-small cell lung cancer (mNSCLC). PATIENTS AND METHODS: This retrospective claims analysis identified patients with newly diagnosed mNSCLC (index date) from 08/01/2020-12/31/2022, u…

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