Entanglements and imagined futures: The subject(s) of precision in oncology

Precision oncology holds an increasingly powerful social function. In the era of precision, how people encounter, live with, and experience cancer, how they imagine their lives, how they navigate treatment regimens, and experience side effects, have been radically transformed. Innovations in oncolog...

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Published in:Social science & medicine (1982) 2023-01, Vol.317, p.115608-115608, Article 115608
Main Authors: Flore, Jacinthe, Kokanović, Renata, Broom, Alex, Heynemann, Sarah, Lai-Kwon, Julia, Jefford, Michael
Format: Article
Language:English
Subjects:
Carcinoma, Non-Small-Cell Lung - therapy
Entanglement
Humans
Lung cancer
Lung Neoplasms - therapy
Medical Oncology
Precision Medicine
Survivorship
Temporality
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Summary:Precision oncology holds an increasingly powerful social function. In the era of precision, how people encounter, live with, and experience cancer, how they imagine their lives, how they navigate treatment regimens, and experience side effects, have been radically transformed. Innovations in oncology – in this case precision-related – are always more-than-clinical; their circulation exceeds the laboratory and the hospital, but what this ‘circulation of innovation’ produces has been thus far opaque. To begin to comprehend what is emergent at the cancer-precision nexus in people's everyday lives, we draw on qualitative interviews with twenty people diagnosed with metastatic non-small cell lung cancer undergoing immunotherapy and/or targeted therapy and we discuss how precision inflects survivorship, entangles subjects in chronic living, and induces novel temporalities. Through such inflections of survivorship, precision innovation re-shapes expectations and possibilities, and sometimes enacts new, unexpected (or, for some, unwanted) futures. Such illness and survivorship narratives indicate the importance of orientating the social science scholarship toward considerations of temporality and entanglements for comprehending precision innovation in oncology. And in doing so, provide a nuanced account of how innovations unsettle and recast, rather than unravel, the normative scene of cancer. •Analyses how people experience precision oncology for advanced lung cancer.•Draws on 20 in-depth interviews with patients in Australia.•Applies the theoretical lenses of entanglement and temporality.•Unique contribution to understanding how people live with precision oncology.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2022.115608