



Multigene assays are not interchangeable; studies show high rates of discordance across all multigene assays (>40% discordance rate)2. Other multigene assays analysing different genes were developed to estimate disease prognosis only; hence, such variability would be expected when compared to the Oncotype DX test, the only assay proven to predict chemotherapy benefit.4,11 Similarly, substantial discordance has been observed between prognostic-only parameters (e.g. tumour grade, Ki67 level and nodal status) and the Oncotype DX test4,16; only the Oncotype DX test has been validated for the purpose of identifying patients who may benefit from chemotherapy and those who may not, rather than extrapolating that benefit from a prognostic-only parameter.13, 14


