The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
The complete costs of genome sequencing: a microcosting study in cancer and rare diseases from a single center in the United Kingdom
Open accessAbstract
PURPOSE: The translation of genome sequencing into routine health care has been slow, partly because of concerns about affordability. The aspirational cost of sequencing a genome is $1000, but there is little evidence to support this estimate. We estimate the cost of using genome sequencing in routine clinical care in patients with cancer or rare diseases. METHODS: We performed a microcosting study of Illumina-based genome sequencing in a UK National Health Service laboratory processing 399 samples/year. Cost data were collected for all steps in the sequencing pathway, including bioinformatics analysis and reporting of results. Sensitivity analysis identified key cost drivers. RESULTS: Genome sequencing costs £6841 per cancer case (comprising matched tumor and germline samples) and £7050 per rare disease case (three samples). The consumables used during sequencing are the most expensive component of testing (68-72% of the total cost). Equipment costs are higher for rare disease cases, whereas consumable and staff costs are slightly higher for cancer cases. CONCLUSION: The cost of genome sequencing is underestimated if only sequencing costs are considered, and likely surpasses $1000/genome in a single laboratory. This aspirational sequencing cost will likely only be achieved if consumable costs are considerably reduced and sequencing is performed at scale.
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ACMG recommendations for reporting of incidental findings in clinical exome and genome sequencing
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Self-citationFactors influencing success of clinical genome sequencing across a broad spectrum of disorders
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Metadata
- Authors
- Schwarze, K., Buchanan, J., Fermont, J. M., Dreau, H., Tilley, M. W., Taylor, J. M., Antoniou, P., Knight, S. J. L., Camps, C., Pentony, M. M., Kvikstad, E. M., Harris, S., Popitsch, N., Pagnamenta, A. T., Schuh, A., Taylor, J. C., & Wordsworth, S.
- Venue
- Genetics in Medicine
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 22
- Issue
- 1
- Pages
- 85-94
- ISSN
- 1098-3600 (ISSN-L)
- OpenAlex
- W2966325970
- Cited by
- 253
- References
- 15
- FWCI
- 16.25
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Schwarze, K., Buchanan, J., Fermont, J. M., Dreau, H., Tilley, M. W., Taylor, J. M., Antoniou, P., Knight, S. J. L., Camps, C., Pentony, M. M., Kvikstad, E. M., Harris, S., Popitsch, N., Pagnamenta, A. T., Schuh, A., Taylor, J. C., & Wordsworth, S. (2020). The complete costs of genome sequencing: a microcosting study in cancer and rare diseases from a single center in the United Kingdom. Genetics in Medicine. https://doi.org/10.1038/s41436-019-0618-7
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