Your new experience awaits. Try the new design now and help us make it even better

SYSTEMATIC REVIEW article

Front. Oncol., 17 December 2025

Sec. Cancer Genetics

Volume 15 - 2025 | https://doi.org/10.3389/fonc.2025.1523185

This article is part of the Research TopicGenetic and Pharmacological Frontiers in Cancer TreatmentView all 9 articles

Research status and hotspots of oncology genetic nursing: a bibliometric analysis

Ya Hu,,&#x;Ya Hu1,2,3†Cangmei Fu*&#x;Cangmei Fu4*†
  • 1Department of Urology, Sun Yat-sen University Cancer Center, Guangzhou, China
  • 2State Key Laboratory of Oncology in Southern China, Guangzhou, China
  • 3Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China
  • 4Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha, China

Background: Cancer is a major global challenge in the 21st century, posing significant social, public health, and economic pressures. Not only does it shorten human lifespans, but it also imposes substantial burdens on society and the macroeconomy. Oncology genetics nursing specialty focuses on providing genetic testing, genomic analysis, and related services to patients. Due to the growing demand for cancer risk assessment, widespread genetic testing, and increasing rates of hereditary cancers, the need for genetic counseling has grown exponentially. To our knowledge, no comprehensive bibliometric study has yet been conducted to systematically compile relevant data in this field.

Objective: This study attempts to review existing literature in the field of oncology genetic nursing, highlight current hot topics, and predict future development trends.

Methods: A bibliometric analysis was conducted by searching relevant literature on oncology genetic nursing from January 1, 1999 to August 6th, 2025 in the Web of Science Core Collection (WOSCC). The CiteSpace software was used to map publication volume, country and author collaboration networks, keyword co-occurrences, and word emergence.

Results: The study analyzed 658 articles from January 1, 1999 to August 6th, 2025. The United States leads in cooperative publications in oncology genetic nursing, with 407 of total publications, including the top 10 institutions, most published authors (N=28), and most cited authors (N=47). Breast cancer (N=146), ovarian cancer (N=40) and colorectal cancer (N=25) are the main diseases studied. Primary research hotspots include offering nurse-led genetic risk assessments, genetic testing, and genetic counseling services, as well as improving the training of senior oncology genetic practice nurses. Emerging trends focus on genetic testing, genetic counseling and precision medicine in oncology genetic nursing.

Conclusion: This bibliometric study maps the research hotspots and trends for the past more than 26 years  in oncology genetic nursing. Our findings will enable researchers to better understand trends in this field and find suitable directions and partners for future research.

1 Introduction

Cancer poses formidable societal, public health, and economic challenges in the 21st century. Global Cancer Statistics 2022 revealed a staggering burden: nearly 20 million new cancer cases and 9.7 million cancer-related deaths were recorded that year alone (1). Current estimates suggest that approximately one in five people will develop cancer in their lifetime and that about one in nine men and one in twelve women will die from the disease (1). The World Health Organization (WHO) projects a substantial increase, anticipating approximately 27 million new cases and 17.5 million cancer-related deaths annually by 2050 (2). Beyond impeding gains in life expectancy, cancer imposes significant societal and macroeconomic costs and remains a leading cause of disability and mortality, presenting an escalating challenge to global public health systems (13).

Oncology genetic nursing is a specialized discipline dedicated to providing genetic, genomic, and related healthcare services to patients (4, 5). Oncology genetics nursing plays a key role in disease prediction and prevention by helping to collect, evaluate and disseminate information to assist physicians in helping patients make treatment decisions and monitor treatment outcomes and adverse drug reactions (6, 7). Cancer genetic nurses lead genetic services that are cost-effective and effective, and their counselling clinics contribute significantly to primary care. A study by the University of Nottingham Hospital in the United Kingdom (UK) showed that advanced practice nurse-led cancer genetic services significantly reduced patient waiting times (8), provided better and more streamlined services for patients undergoing genetic testing, and enabled oncologists and patients to consider personalized treatment plans at an earlier stage. A study on the feasibility and acceptability of genetic counselling clinics led by genetic nurses in primary care in the United Kingdom (UK) found that patients had high overall satisfaction, were satisfied with the time and distance required to travel to and from the hospital (9), and had low consultation costs. With the sharp increase in demand for cancer genetic counselling and the shortage of genetic services professionals (10, 11). Advanced practice nurses in oncology will play a key role in cancer risk assessment, genetic counselling, genetic testing, management of hereditary cancer families, and psychosocial support (12).

Decades of research have yielded a substantial body of literature on oncology genetic nursing (13, 14). However, the rapidly expanding volume of publications makes it difficult for practitioners and researchers to update their knowledge in a timely manner. While traditional narrative reviews consolidate references and track field development, they rely on subjective interpretation, which can introduce bias and incomplete perspectives (15). In contrast, bibliometrics offers a quantitative approach to evaluating information and objectively identifying research hotspots and evolving trends within a discipline (16). Beyond statistical analysis, bibliometrics enables visualization of knowledge structures through bibliographic mapping techniques (17). CiteSpace is a Java application widely used for scientometrics and data visualization, capable of intuitively revealing research hotspots, emerging frontiers, and evolutionary paths in specific academic fields through the construction of knowledge maps (18). Consequently, to our knowledge, this study presents the first bibliometric review focused specifically on oncology genetic nursing, employing graphical analysis to examine publications, countries, authors, journals, references, and keywords pertinent to this field of research. This study aims to review existing literature in the field of oncology genetic nursing, highlight current hot topics, and predict future development trends.

2 Materials and methods

2.1 Data collection

The Web of Science Core Collection (WOSCC) is a highquality, up-to-date, error-free database of more than 12,000 of the most influential and valuable scientific journals (17). All relevant references have been searched and updated from the database’s inception in January 1, 1999 until August 6th, 2025, in the Science Citation Index Expanded/SCI-E and Social Sciences Citation Index (SSCI) database in the WOSCC, which is most suitable for bibliometric analysis (19, 20). Using a search strategy agreed upon by all authors, the following criteria were employed: Topic=genetic nurs* AND Topic=(neoplas* OR cancer* OR tumor* OR tumour* OR malignan*). The specific search query is illustrated in Table 1. The study covers research from 1999-2025, with 682 papers obtained from the WOSCC SCI-E database, including all clinical and preclinical papers. Inclusion criteria: Published in peer-reviewed academic journals; content pertaining to oncology genetic nursing. Exclusion criteria: Letters, news articles, conference proceedings, and popular science literature. With the literature types being screened, non-English papers (n=11), meeting abstract (n=9), letters (n = 8), editorial material (n=15), and full text not available (n=5) are excluded.The detailed literature screening process is shown in Figure 1. Finally, a total of 658 publications are included in the final bibliometric and visual analysis. In conclusion, the relevant data in the form of plain text format from WOSCC are exported, including title, author, year of publication, country, institution, keywords, citations, abstracts, and references.

Table 1
www.frontiersin.org

Table 1. Search strategy.

Figure 1
Flowchart depicting a three-step bibliometric analysis process. Step 1: Data retrieval strategy using Web of Science for topics like genetic nursing and cancer, resulting in 658 inclusions after exclusions. Step 2: Data analysis using CiteSpace and Microsoft for bibliometrics and visualization. Step 3: Results showcasing trends of publication, journal distribution, analysis of countries, institutions, authors, keyword co-occurrence, and discussion, with visual data representations.

Figure 1. The detailed research process.

2.2 Data analysis and visualization

The study group adopted Microsoft Excel 2020 to draw the annual publication graph and a chart of the top 10 countries in terms of the number of publications. The group also used bibliometrics analysis software (CiteSpace 6.1. R6 Basic) to analyze and visualize the data of the above 658 documents.

CiteSpace is a visualization software developed by Professor Chaomei Chen that can explore hotspots and emerging trends in specific fields within a specified period of time (18). CiteSpace produces a number of important metrics. The centrality based on structural hole theory, this measures how often a node lies on the shortest path between others. High-centrality nodes act as critical information hubs (21). The clustering method of CiteSpace is spectral clustering, which uses each vertex in the graph as a cluster and merges the clusters by calculating the similarity between different vertices (22). In the clustering analysis, cluster effectiveness is assessed by the modularity Q-score (network divisibility) and silhouette S-score (cluster homogeneity), with values approaching +1 indicating stronger clustering (23). In this Study, the cluster module value Q is set to 0.733 (Q>0.3), and the average contour value of the cluster S is set to 0.883 (S>0.5). This indicates that the clustering process is effective and reasonable. In the keyword clustering analysis results, “Cluster Size” denotes the number of keywords assigned to the cluster, indicating the scope and popularity of the research topic; “Silhouette Score” measures cohesion within the cluster and its separation from others (range: -1 to 1), where a value >0.7 (the empirical threshold) signifies strong, reliable cluster structure; “Mean Year” reflects the average year of first occurrence for keywords within the cluster, signifying the approximate time of the topic’s emergence or peak popularity; and the “Cluster Label (LLR)”, automatically extracted using the Log-Likelihood Ratio algorithm, represents the most thematically representative core keyword/phrase, serving as the identifier for the research theme. The burstness demonstrates a specific duration when a sudden change in the frequency of an element occurs, thus identifying emerging terms, which can represent trends and frontiers to some extent (24). CiteSpace visualizations represent elements (authors, countries, institutions, keywords) as nodes. Node size corresponds to publication count or frequency. Lines between nodes denote co-occurrence or co-citation, with thickness indicating relationship strength. Red nodes signify high activity (“hot”), and a purple outer ring indicates high centrality (>0.1) (15). With Citespace, the study group drew the cooperation map of the country, the co-cited reference and Keywords time zone diagram, and the references and keywords burst maps to realize the visualization analysis of research status, hotspots, and frontiers. Within the CiteSpace software, specific settings were configured: Time Slicing was set to 1999ingre with 1 year per slice. Various Node Types were offered, including Author, Country, Institution, Journal and Keywords. The Selection Criteria was established at Top N = 50, and Pruning options were chosen to include the “pathfinder”, “pruning of sliced networks”, and “pruning of merged networks”. Once these settings were finalized, the software was executed to produce a comprehensive visual map.

3 Results

3.1 Number of publications

As illustrated in Figure 2, the trend of the number of publications in international studies on oncology genetic nursing has fluctuated in recent years, but overall, there has been an upward trend. Particularly, the analysis reveals that the period from 2001 to 2009 and 2015 to 2020 show the most significant growth in the number of published papers.

Figure 2
Line graph showing the number of articles published from 1999 to 2025. The count starts at 13 in 1999, fluctuates with peaks in 2008, 2013, and 2020 reaching 42, and decreases to 18 by 2025.

Figure 2. Number of articles published per year.

3.2 Analysis of countries/regions and institutions

A total of 54 countries participated in the studies analyzed, with 16 countries publishing more than 10 studies each. The United States (USA) emerged as the leading contributor, followed by the England and China. The top 10 contributing countries are detailed in Table 2. CiteSpace analysis was utilized to create a visualization of country collaborations; as depicted in Figure 3, the network consists of 55 nodes and 266 links, illustrating the interconnected academic collaborations among high-producing countries. The top five countries by centrality identified are Canada, the United States, Italy, Germany and England. Among these, Canada, the United States and Italy emerge as the top three countries in terms of centrality, with values of 0.49, 0.47, and 0.39. Analysis based on publication numbers and centrality metrics highlights Canada, the United States, Italy and Germany as the significant research powerhouses in this study.

Table 2
www.frontiersin.org

Table 2. A list of the top 10 most country.

Figure 3
Visualization of international collaboration in genetic nursing, featuring labeled nodes representing countries such as the United States, England, and China. Node size reflects collaboration intensity, with larger nodes like the USA indicating higher levels. Colored links show collaboration pathways between countries. A color gradient legend is present for reference.

Figure 3. Visualization of research networks of country distribution on oncology genetic nursing.

A total of 318 institutions participated in publishing research papers, with 49 institutions (15.41%) contributing more than 2 papers. The top 10 institutions, detailed in Table 3, each produced at least 14 papers. The Brigham & Women’s Hospital emerged as the leading contributor in this field, with a significantly higher number of publications compared to other institutions. Following the Brigham & Women’s Hospital, Harvard University and Dana Farber Cancer Institute demonstrated substantial contributions. Collaborative institution mapping results, illustrated in Figure 4, showcased 318 nodes and 461 links, indicating cooperative solid relationships. The top 10 institutions are all from the United States.

Table 3
www.frontiersin.org

Table 3. A list of the top 10 most Institution.

Figure 4
Network visualization showing relationships among various academic and medical institutions, such as Harvard University and Brigham & Women's Hospital. Circles represent institutions, with size indicating prominence or connectivity. Lines indicate collaborations or connections, with various colors representing different network attributes. A color scale is shown on the left.

Figure 4. Visualization of research networks of institution distribution on oncology genetic nursing.

3.3 Distribution of journals

A total of 282 academic journals have published articles on the research of oncology genetic nursing. Table 4 displays the top 10 most cited journals. The impact of journals depends on the number of times they are collectively cited, which reflects their necessary influence on specific topics. The top five cited journals include Journal of Clinical Oncology (with 252 citations), Cancer Epidemiology Biomarkers&Prevention (with 222 citations), New England Journal of Medicine (with 222 citations), Jama-Journal of the American Medical Association (with 208 citations) and Cancer Research (with 182 citations) in Figure 5.

Table 4
www.frontiersin.org

Table 4. A list of the top 10 most cited journals.

Figure 5
Network visualization depicting interconnected nodes representing various academic journals. Larger nodes, such as “NATURE,” “LANCET,” and “NEW ENGL J MED,” indicate higher significance or influence. Lines illustrate connections, indicating relationships or collaboration between journals. A color gradient reflects different metrics.

Figure 5. The co-citation journal analysis on Oncology Genetic Nursing.

3.4 Analysis of authors

The papers were contributed by 337 authors. The top 10 authors in terms of number of publications are presented in Table 5. The top three most frequently cited authors were Colditz, Graham A (N=47), Hunter, David J (N=32), and Hallowell N (N=26).

Table 5
www.frontiersin.org

Table 5. A list of the top 10 most author and cited author.

Co-cited authors refer to authors who are also cited in the article, and based on bibliometric analysis, a co-author network diagram is generated. According to the visualization analysis of CiteSpace co-cited authors, Colditz, Graham A ranked first among co-cited authors. As shown in Figure 6, this indicates the involvement of numerous research teams, including several highly productive authors contributing significantly to the field, such as Hankinson, Susan E, De vivo, Immaculata, Hunter, David J, and Kraft, Peter.

Figure 6
Network visualization showing nodes labeled with names such as “Hankinson, Susan E” and “De vivo, Immaculata.” Nodes are connected by lines, forming clusters. Larger nodes likely indicate higher connectivity. A color gradient, from orange to purple, represents unspecified metrics.

Figure 6. Author cooperative network analysis of oncology genetic nursing.

3.5 Keyword co-occurrence analysis

The top five high-frequency keywords in Table 6 are “breast cancer” (n=146), “risk” (n=104), “women” (n=73), “genetic testing” (n=44), and”association” (n=39). Keywords with high intermediation are “cigarette smoking” (0.32), “breast cancer” (0.31), “family history” (0.19) and “polymorphism” (0.18) (Figure 7).In order to capture the key themes in studies related to oncology genetic nursing, keyword clustering was performed, and the top ten largest clusters were identified. (Table 7) They are as follows: “single-nucleotide polymorphism” (Cluster 0), “genetic testing” (Cluster 1), “radiation therapy” (Cluster 2), “single nucleotide polymorphisms” (Cluster 3), “health” (Cluster 4), “nurse practitioner” (Cluster 5), “risk assessment”(Cluster 6), “hereditary cancer syndromes” (Cluster 7), “body mass index” (Cluster 8), “nursing care” (Cluster 9). The largest thematic cluster (#0, 34 keywords), centered on single-nucleotide polymorphism (emerging in 2007), encompasses genetic testing and variation analysis, reflecting the foundational role of early-stage genetic research. Notably, Cluster #2 (Silhouette=0.99) demonstrates exceptional thematic coherence in cancer therapy and quality-of-life integration (2010), with keywords like “radiation therapy” and “quality of life” revealing the intrinsic link between clinical interventions and patient well-being. Emerging as a recent hotspot, Cluster #7 (2015) highlights innovations in hereditary cancer syndrome care, emphasizing the growing prominence of oncology nurses and clinical “mainstreaming” of genomics. Cross-domain convergence is evident in Cluster #3 (2012), where precision medicine penetrates primary care (“primary care”, “genomic testing”), and Cluster #6 (2010), where risk assessment drives personalized medicine (“risk prediction”, “hereditary syndromes”).

Table 6
www.frontiersin.org

Table 6. Top 20 keywords in terms of frequency on oncology genetic nursing.

Figure 7
Network visualization showing connections between terms related to cancer research, such as “breast cancer,” “genetic testing,” and “risk assessment.” Larger nodes indicate more significant topics. A color gradient legend represents different metrics. Text elements include keywords like “genome wide association,” “ovarian cancer,” and “susceptibility,” connected by lines of varying thickness.

Figure 7. The network map of high-frequency keywords on oncology genetic nursing.

Table 7
www.frontiersin.org

Table 7. Clustering of keywords in the field of oncology genetic nursing.

3.6 Keywords with citation bursts

Through the burst keyword analysis (Figure 8), there are a total of nine burst keywords. Combined with the keyword frequency, centrality and suddenness, it can be seen that the research hotspot of oncology genetic nursing has shifted from the initial primary care, health, susceptibility, polymorphism, etc. to meta-analysis, risk, management, Genome Wide Association, Genetic Testing, Precision Medicine continues to this day.

Figure 8
Bar chart titled “Top 18 Keywords with the Strongest Citation Bursts” from 1999 to 2025. Keywords are listed with the year, strength, and burst duration. Red bars highlight burst periods. Examples include “primary care” from 2001 to 2006, and “genetic counseling” from 2022 to 2025.

Figure 8. Top18 keywords with the strongest citation bursts.

4 Discussion

4.1 General information

This study analyzed 658 oncology genetic nursing-related papers included in the Web of Science core collection, covering the period from 1999 to 2025, contributed by 337 scholars across 282 journals. CiteSpace analysis revealed a steady growth trend in academic output over the 26-year period, with the number of papers in 2020 reaching nearly five times the 2000 record, demonstrating the sustained vitality of academic research in this field.

The United States had the highest volume of oncology genetic nursing publications, surpassing England, the second highest-ranking country by over six times. The top 10 institutions in the field of oncology genetic nursing are all the United States, underlining its significant contributions to this field. While the United States accounts for 44.28% of total publications in the field of oncology genetic nursing research, network analysis shows that Canada and Italy are key knowledge intermediaries with significantly higher central values (0.46) than the United States. This suggests that these countries serve as primary bridges for facilitating the dissemination of oncogenetic nursing-related knowledge. The rapid development of oncology genetic nursing primarily from two factors: the establishment of a robust competency framework through systematic integration of genomics education (into curricula, licensing exams, and continuing education) (25, 26) and standardized professional certification (e.g., ANCC., genetic nurse credentialing) (27); Meanwhile, strong advocacy by professional organizations (such as the Oncology Nursing Society) and cross-national collaboration within Europe and North America created a rapid development in this field.

Among the top ten journals publishing in oncology genetic nursing, five are based in the United States and four in the United Kingdom, aligning with these nations’ dominant scholarly output in the field. The most frequently cited journal, Journal of Clinical Oncology (Oncology, JCR Q1), maintains a 2024 Journal Impact Factor of 41.9. Continuous tracking of research developments in these high-impact publications and their contributing authors provides critical insight into this rapidly evolving discipline. There are no nursing journals among the top 10 journals in terms of citation frequency. At the same time, highly cited authors and institutions are not from the nursing field. This is because oncology genetic nursing is still in its infancy in the nursing field, and the research foundation consists mainly of clinically related articles, resulting in fewer citations of nursing journals. This indicates that the field of oncology nursing is still in its early stages of development.

4.2 Knowledge base

From a historical perspective, genetic nursing in oncology emerged alongside the Human Genome Project (1990–2003). The first genetic nursing network in the United States was established in 1984, and the founding of the International Society of Genetic Nurses in 1988 marked a pivotal moment. Following the establishment of genetic nursing competency standards in Europe and the United States after the year 2000, the American Nurses Credentialing Centre began unified certification in 2014. Advanced Practice Genetic Nurses (APGNs) have gradually begun to operate outpatient clinics independently, particularly in the fields of oncology and obstetrics/gynecology. The core function of genetic outpatient clinics is to assess, manage, and prevent the risks of genetic diseases. The International Society of Nurses in Genetics (ISONG) defines genetic nurses as registered nurses who have received professional genetic knowledge training and education and are capable of providing genetic risk assessment, analysis results, and genetic counselling to patients with genetic risks or their affected blood relatives (28). Their primary roles and responsibilities include: assisting in the collection, recording, and interpretation of genetic information; assessing genetic risks; providing genetic information and resources to patients and counselees; participating in the development of risk management strategies for patients and families, and conducting follow-up and monitoring (28). Genetic services led by oncology genetic nurses are cost-effective and effective. Genetic counselling clinics led by oncology genetic nurses play an important role in primary care. A study on comprehensive cancer genetic care provided by genetic advanced practice nurses (27) examined the distribution of work time across different activities. The results indicated that cancer genetic nurses spent approximately 41% of their time on direct clinical care for patients and their families, including initial genetic counselling, telephone consultations, and follow-ups; the remaining time was allocated to indirect care activities, such as pre-consultation preparation, risk calculation, clinical trial registration, communication, education, and administration. Cancer nurses possess unique advantages in minimizing and managing the risks of hereditary cancers, thereby improving patient outcomes (29). A study on the feasibility and acceptability of genetic counselling clinics led by genetic nurses in primary care in the UK (9) found that patients reported high overall satisfaction, were satisfied with the time and distance required to travel to the hospital, and found the cost of visits to be low. With the sharp increase in demand for oncology genetic counselling, there is a shortage of genetic services professionals. Advanced practice oncology nurses will play a key role in cancer risk assessment, genetic counselling, genetic testing, management of hereditary tumour families, and psychosocial support. Although countries are continuously advancing the comprehensive development of genetic counselling and striving to professionalize it, currently, there remain issues such as insufficient theoretical knowledge of genetics among oncology nursing staff, inadequate mastery of specialized skills in cancer genetic counselling, the absence of a training system and certification for genetic specialty nurses, and deficiencies in genetic communication skills (30, 31). Therefore, nursing staff should actively participate in genetic counselling for cancer patients, continuously enhance their genetic knowledge and practical skills, strengthen their foundational knowledge of genetics and genomics, and conduct professional nursing work under scientific guidance to promote the development of specialized cancer nursing.

4.3 Hotspots and frontiers

From the keywords “breast cancer,” “ovarian cancer,” “women,” and “colorectal cancer”, it is evident that breast cancer was an initial research hotspot. Breast cancer patients are among the first to receive genetic evaluation (32). Over time, although “breast cancer” did not reappear at the forefront, it remained a continuously focused area of study (33). Meanwhile, research related to ovarian cancer, colorectal cancer also began to emerge (34, 35). This is related to the fact that these cancers are genetically correlated. The keywords “risk”, “susceptibility” and Cluster 8# risk assessment indicate that researchers are deeply concerned about the risk factors and genetic-related risk assessments for cancer. Risk factor analysis and disease risk assessment remain key research priorities in oncology genetic nursing. Researchers conducted in-depth explorations into the mechanisms of cancer development and discovered that various factors, including genetics, environment, and lifestyle, could influence its occurrence. In some developed countries in Europe and North America, extensive research has been conducted on risk assessment for genetically related cancers (36, 37). Risk factor analysis and disease risk assessment remain key research priorities in oncology genetic nursing. Mayo Clinic nurses conducted a study (38) that provided genetic mutation screening and interpretation of test results for a population, followed by statistical analysis of genetic data. The findings revealed that over half of participants (53.8%) carried at least one recessive disease-causing gene, while 44.5% exhibited genetic variants associated with multifactorial diseases. The keyword “genetic testing”, “genome-wide association”, “polymorphisms” along with Cluster 0# and 3# single-nucleotide polymorphism, Cluster 1# genetic testing focusing on the same, suggests that researchers at that time had started to pay attention to utilizing genetic testing as a means to predict and diagnose cancer. Performing genetic testing in high-risk populations for cancer has significant guiding significance for early cancer prevention. Nursing professionals play a vital role in facilitating informed decisions regarding genetic testing and/or treatment, as well as supporting patients’ choices for gene therapy. They assist patients in determining the necessity of genetic testing and selecting appropriate tests to identify potential genetic mutations within families, assess cancer risks for patients and other family members, calculate cancer risk for individuals with mutated genes, and provide counseling before and after genetic testing (39, 40). Study showed (8) that the average waiting time for results from a test was reduced to 35.8 days under a nurse-led genetic testing service. The keyword “impact” reflects that the influence of cancer on patients’ quality of life and socio-economic aspects is gradually being recognized. The keyword “knowledge” indicates that health education regarding cancer genetics is also a research hotspot. Studies have shown that inadequate understanding of cancer genetics, lack of screening awareness, and fear of the results are significant factors hindering the popularization of early cancer detection (41, 42). Nurses can address these issues by providing genetic knowledge to patients, high-risk populations for cancer, and their families, developing systematic and standardized health education programs, conducting long-term psychosocial follow-up, formulating preventive measures, and improving treatment outcomes. The keyword “genetic counseling” suggests Genetic counseling is also one of the research hotspots. International research on genetic counseling extends beyond patient populations to include healthcare professionals and caregivers. A Johns Hopkins Hospital study reveals that nursing teams serve as crucial sources of genetic information (43) Patients and their families actively seek guidance from nurses regarding genetic data, which helps them better understand disease risks and appropriate treatment strategies. Currently, advanced practice oncology nurses in genetics have become vital members of the multidisciplinary team for oncology genetic counseling. Clusters 5# Nurse Practitioner and 9# Nursing Care indicate that the training and certification of senior practicing oncology genetic nurses remain key research priorities. Further improvements to specialized accreditation systems, policy support for standardized services, and strengthening nurse-led health education programs continue to be actively explored (44, 45).

Through an in-depth analysis of emerging terms and their temporal distribution patterns, we have gained insights into the evolving trends in tumor genetics research. During the early phase from 2001 to 2006, “primary care”, “health” and “services” emerged as key themes, reflecting the academic community’s and clinicians’ growing emphasis on the quality of healthcare services. This trend may be linked to the global push for improving healthcare quality at the time, particularly the strengthening of primary healthcare services. There was also a growing focus on the training of nurses specializing in oncology genetics (39). From 2006 to 2012, the frequent appearance of keywords such as “cancer genetics,” “single nucleotide polymorphism,” and “susceptibility” marked a shift in research focus toward broader health issues, focusing on the association between genetic polymorphisms and disease susceptibility (46). These studies not only deepened our understanding of the genetic basis of diseases but also paved the way for the development of personalized medicine. Scientists during this period were increasingly interested in the association between specific genetic variations (such as single nucleotide polymorphisms, or SNPs) and diseases (47), and employed meta-analysis methods to integrate results from different studies to draw more reliable conclusions. Between 2012 and 2016, the terms “nurses”, “health” and “management” emerged, marking a shift toward nurse-coordinated care models. From 2016 to 2025, “genome-wide association,” “precision medicine,” “genetic testing,” and “genetic counseling” emerged as key themes, indicating the onset of the precision medicine era. These studies not only focused on disease diagnosis and treatment but also emphasized the importance of developing personalized treatment plans based on individual patient differences (48, 49). How to promote the development of precision medicine in oncology nursing is currently a research frontier (11). In recent years (2019–2025), “genetic testing” and “genetic counseling” have once again become popular keywords, reflecting the ongoing importance of these fields. This also marks the current research hotspot and frontier in building a nurse-led personalized genetic counseling and genetic testing service framework (50, 51).

5 Strengths and limitations

This study utilized the Web of Science core database and leveraged the citespace software tools to provide a comprehensive analysis of the literature on oncology genetic nursing from various perspectives. However, there are certain limitations to our approach. Firstly, our study only represents the current state of research. Secondly, our search was limited to a single database, which may have excluded potentially valuable information, and our results were restricted by search language (only English-language literature was included). In light of these constraints, future research should aim to conduct more inclusive systematic reviews of this area, incorporating a wider range of databases and addressing language limitations, to provide a more comprehensive exploration of the field of oncology genetic nursing.

6 Conclusion

This scientific metrology study focuses on oncology genetic nursing, revealing research hotspots and trends since the database’s establishment. We conducted a systematic review of the most influential countries, authors, and journals in this field and performed a thorough analysis of the correlation between basic scientific knowledge and keyword research trends. Our findings suggest that breast, ovarian, and colorectal cancers are the primary subjects of research. Current research priorities include offering nurse-led genetic risk assessments, genetic testing, and genetic counseling services, as well as improving the training of senior oncology genetic practice nurses. Additionally, applying precision medicine, genetic testing, and genetic counseling to cancer treatment has become a key research direction and frontier area. We hope this study provides researchers with clearer insights into field trends and helps them identify potential collaborators and directions for future research.

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Author contributions

YH: Conceptualization, Data curation, Formal Analysis, Methodology, Supervision, Visualization, Writing – original draft, Writing – review & editing. CF: Conceptualization, Data curation, Formal Analysis, Methodology, Software, Supervision, Validation, Visualization, Writing – original draft, Writing – review & editing.

Funding

The author(s) declared that financial support was not received for this work and/or its publication.

Conflict of interest

The authors declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Generative AI statement

The author(s) declared that generative AI was not used in the creation of this manuscript.

Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

References

1. Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. Ca-a Cancer J Clin. (2024) 74:229–63. doi: 10.3322/caac.21834

PubMed Abstract | Crossref Full Text | Google Scholar

2. Raza W, Luqman S, and Meena A. Prospects of tangeretin as a modulator of cancer targets/pathways. Pharmacol Res. (2020) 161:105202. doi: 10.1016/j.phrs.2020.105202

PubMed Abstract | Crossref Full Text | Google Scholar

3. Chen S, Cao Z, Prettner K, Kuhn M, Yang JT, Li RJ, et al. Estimates and projections of the global economic cost of 29 cancers in 204 countries and territories from 2020 to 2050. JAMA Oncol. (2023) 9:465–72. doi: 10.1001/jamaoncol.2022.7826

PubMed Abstract | Crossref Full Text | Google Scholar

4. Williams JK. Advancing genetic nursing research. Biol Res nursing. (2001) 3:3. doi: 10.1177/109980040100300101

PubMed Abstract | Crossref Full Text | Google Scholar

5. Anderson G and Monsen RB. State of the art and science of knowledge development in genetic nursing. Biol Res nursing. (1999) 1:85–8. doi: 10.1177/109980049900100202

PubMed Abstract | Crossref Full Text | Google Scholar

6. Frazier L, Meininger J, Halsey Lea D, and Boerwinkle E. Genetic discoveries and nursing implications for complex disease prevention and management. J Prof Nurs. (2004) 20:222–9. doi: 10.1016/j.profnurs.2004.05.004

PubMed Abstract | Crossref Full Text | Google Scholar

7. Skirton H, Barnes C, Curtis G, and Walford-Moore J. The role and practice of the genetic nurse: report of the AGNC Working Party. J Med Genet. (1997) 34:141–7. doi: 10.1136/jmg.34.2.141

PubMed Abstract | Crossref Full Text | Google Scholar

8. Scott N, O’Sullivan J, Asgeirsson K, Macmillan D, and Wilson E. Changing practice: moving to a specialist nurse-led service for BRCA gene testing. Br J Nurs. (2020) 29:S6–S13. doi: 10.12968/bjon.2020.29.10.S6

PubMed Abstract | Crossref Full Text | Google Scholar

9. Westwood G, Pickering RM, Latter S, Lucassen A, Little P, and Temple IK. Feasibility and acceptability of providing nurse counsellor genetics clinics in primary care. J Adv Nurs. (2006) 53:591–604. doi: 10.1111/j.1365-2648.2006.03760.x

PubMed Abstract | Crossref Full Text | Google Scholar

10. Dick J, Aue V, Wesselmann S, Brédart A, Dolbeault S, Devilee P, et al. Survey on physicians’ Knowledge and training needs in genetic counseling in Germany. Breast Care (Basel Switzerland). (2021) 16:389–95. doi: 10.1159/000511136

PubMed Abstract | Crossref Full Text | Google Scholar

11. Rahman B, McEwen A, Phillips JL, Tucker K, Goldstein D, Jacobs C, et al. Genetic and genomic learning needs of oncologists and oncology nurses in the era of precision medicine: a scoping review. Personalized Med. (2022) 19:139–53. doi: 10.2217/pme-2021-0096

PubMed Abstract | Crossref Full Text | Google Scholar

12. Stan DL, Shuster LT, Wick MJ, Swanson CL, Pruthi S, Bakkum-Gamez JN, et al. Challenging and complex decisions in the management of the BRCA mutation carrier. J women’s Health. (2013) 22:825–34. doi: 10.1089/jwh.2013.4407

PubMed Abstract | Crossref Full Text | Google Scholar

13. Chair SY, Law BMH, Zang YL, Waye MMY, Cheng HY, and Chow KM. The effects of decision aids for genetic counselling among people considering genetic testing: A systematic review. J Clin Nurs. (2023) 32:6796–810. doi: 10.1111/jocn.16768

PubMed Abstract | Crossref Full Text | Google Scholar

14. Zhao XM, Li XY, Liu Y, Calzone K, Xu J, Xiao XL, et al. Genetic and genomic nursing competency among nurses in tertiary general hospitals and cancer hospitals in mainland China: a nationwide survey. BMJ Open. (2022) 12:e066296. doi: 10.1136/bmjopen-2022-066296

PubMed Abstract | Crossref Full Text | Google Scholar

15. Sabe M, Pillinger T, Kaiser S, Chen C, Taipale H, Tanskanen A, et al. Half a century of research on antipsychotics and schizophrenia: A scientometric study of hotspots, nodes, bursts, and trends. Neurosci Biobehav Rev. (2022) 136:104608. doi: 10.1016/j.neubiorev.2022.104608

PubMed Abstract | Crossref Full Text | Google Scholar

16. Chen C. Searching for intellectual turning points: progressive knowledge domain visualization. Proc Natl Acad Sci USA. (2004) 101:5303–10. doi: 10.1073/pnas.0307513100

PubMed Abstract | Crossref Full Text | Google Scholar

17. Duan Y, Zhang P, Zhang T, Zhou L, and Yin R. Characterization of global research trends and prospects on platinum-resistant ovarian cancer: a bibliometric analysis. Front Oncol. (2023) 13:1151871. doi: 10.3389/fonc.2023.1151871

PubMed Abstract | Crossref Full Text | Google Scholar

18. Chen C and Song M. Visualizing a field of research: A methodology of systematic scientometric reviews. PloS One. (2019) 14:e0223994. doi: 10.1371/journal.pone.0223994

PubMed Abstract | Crossref Full Text | Google Scholar

19. Aggarwal A, Lewison G, Idir S, Peters M, Aldige C, Boerckel W, et al. The state of lung cancer research: A global analysis. J Thorac Oncol. (2016) 11:1040–50. doi: 10.1016/j.jtho.2016.03.010

PubMed Abstract | Crossref Full Text | Google Scholar

20. Jiang M, Qi Y, Liu H, and Chen Y. The role of nanomaterials and nanotechnologies in wastewater treatment: a bibliometric analysis. Nanoscale Res Let. (2018) 13:233. doi: 10.1186/s11671-018-2649-4

PubMed Abstract | Crossref Full Text | Google Scholar

21. Freeman LC. A set of measures of centrality based on betweenness. Sociometry. (1977) 40:35–41. doi: 10.2307/3033543

Crossref Full Text | Google Scholar

22. Brandes U. Mapping knowledge domains of industrial structure research in China: 1992-2015. J Discret Math Sci C. (2017) 20:1393–7. doi: 10.1080/09720529.2017.1392452

Crossref Full Text | Google Scholar

23. Shibata N, Kajikawa Y, Takeda Y, and Matsushima K. Detecting emerging research fronts based on topological measures in citation networks of scientific publications. Technovation. (2008) 28:758–75. doi: 10.1016/j.technovation.2008.03.009

Crossref Full Text | Google Scholar

24. Kleinberg J. Bursty and hierarchical structure in streams. Data Min Knowl Discovery. (2003) 7:373–97. doi: 10.1023/A:1024940629314

Crossref Full Text | Google Scholar

25. Regan M, Engler MB, Coleman B, Daack-Hirsch S, and Calzone KA. Establishing the genomic knowledge matrix for nursing science. J Nurs Scholarship. (2019) 51:50–7. doi: 10.1111/jnu.12427

PubMed Abstract | Crossref Full Text | Google Scholar

26. Eggert J. Genetics and genomics in oncology nursing: what does every nurse need to know? Nurs Clin North Am. (2017) 52:1–25. doi: 10.1016/j.cnur.2016.11.001

PubMed Abstract | Crossref Full Text | Google Scholar

27. Mahon SM. Allocation of work activities in a comprehensive cancer genetics program. Clin J Oncol nursing. (2013) 17:397–404. doi: 10.1188/13.Cjon.397-404

PubMed Abstract | Crossref Full Text | Google Scholar

28. What is a genetics nurse? Available online at: https://www.registerednursing.org/specialty/genetic-nurse/ (Accessed August 24, 2024).

Google Scholar

29. Hoopes S, Simmons V, and Perkins L. The genetic management clinic: oncology nurses and management of hereditary cancer risk. Clin J Oncol Nurs. (2022) 26:147–50. doi: 10.1188/22.CJON.147-150

PubMed Abstract | Crossref Full Text | Google Scholar

30. Wang X, You J, Zhao YJ, Wang H, and Cai HY. The development of oncology genetic nurses abroad and its enlightenment to advanced nursing practice in China. Fudan Univ J Med Sci. (2024) 51:837–44. doi: 10.3969/j.issn.1672-8467.2024.05.029

Crossref Full Text | Google Scholar

31. Wang H, Kang Y, Wang X, and Fan FQ. The status of genetic nurses in foreign countries and its implications to the development of genetic specialist nursing in China. Chin Nurs Manage. (2023) 23:317–20. doi: 10.3969/j.issn.1672-1756.2023.02.032

Crossref Full Text | Google Scholar

32. Guinigundo AS. Precision oncology and the evolution of breast cancer care. Clin J Oncol Nurs. (2025) 29:196–200. doi: 10.1188/25.CJON.196-200

PubMed Abstract | Crossref Full Text | Google Scholar

33. Jabaley T, Underhill-Blazey ML, and Berry DL. Development and testing of a decision aid for unaffected women with a BRCA1 or BRCA2 mutation. J Cancer Educ. (2020) 35:339–44. doi: 10.1007/s13187-019-1470-9

PubMed Abstract | Crossref Full Text | Google Scholar

34. Berkman J, DeBortoli E, Steinberg J, Milch V, Yanes T, and McInerney-Leo A. Mainstreaming cancer genomic testing: A scoping review of the acceptability, efficacy, and impact. Clin Genet. (2025) 107:123–35. doi: 10.1111/cge.14660

PubMed Abstract | Crossref Full Text | Google Scholar

35. Yoes MV and Thomas L. Hereditary cancer genetic risk assessment,testing,and counseling:a nurse practitioner-led program in a community setting. J Nurse Pract. (2020) 16:660–5. doi: 10.1016/j.nurpra.2020.07.006

Crossref Full Text | Google Scholar

36. Owens DK, Davidson KW, Krist AH, Barry MJ, Cabana M, Caughey AB, et al. Risk assessment, genetic counseling, and genetic testing for BRCA-related cancer: US preventive services task force recommendation statement. Jama. (2019) 322:652–65. doi: 10.1001/jama.2019.10987

PubMed Abstract | Crossref Full Text | Google Scholar

37. Shore ND, Lenz L, Cogan ES, Iliev D, Spencer L, Flake DD 2nd, et al. Hereditary cancer risk assessment and genetic testing in the community urology practice setting. Prostate. (2022) 82:850–7. doi: 10.1002/pros.24327

PubMed Abstract | Crossref Full Text | Google Scholar

38. Anderson JL, Kruisselbrink TM, Lisi EC, Hughes TM, Steyermark JM, Winkler EM, et al. Clinically actionable findings derived from predictive genomic testing offered in a medical practice setting. Mayo Clin Proc. (2021) 96:1407–17. doi: 10.1016/j.mayocp.2020.08.051

PubMed Abstract | Crossref Full Text | Google Scholar

39. Calzone KA, Jenkins J, and Masny A. Core competencies in cancer genetics for advanced practice oncology nurses. Oncol Nurs Forum. (2002) 29:1327–33. doi: 10.1188/02.ONF.1327-1333

PubMed Abstract | Crossref Full Text | Google Scholar

40. McReynolds KM and Connors LM. Genomics of prostate cancer: what nurses need to know. Semin Oncol Nurs. (2019) 35:79–92. doi: 10.1016/j.soncn.2018.12.003

PubMed Abstract | Crossref Full Text | Google Scholar

41. Du Q, Chen J, Meng Y, Gong N, Wu X, Lyu Q, et al. Factors associated with colorectal cancer screening among first-degree relatives of patients with colorectal cancer in China. Cancer Nurs. (2022) 45:E447–53. doi: 10.1097/NCC.0000000000000985

PubMed Abstract | Crossref Full Text | Google Scholar

42. Carter-Harris L, Slaven JE 2nd, Monahan PO, Draucker CB, Vode E, and Rawl SM. Understanding lung cancer screening behaviour using path analysis. J Med Screen. (2020) 27:105–12. doi: 10.1177/0969141319876961

PubMed Abstract | Crossref Full Text | Google Scholar

43. Li KA, Sloat LM, Kung J, Jung J, Li A, Smith CH, et al. Considerations in methods and timing for delivery of genetic counseling information to pediatric oncology patients and families. J Pediatr Hematol Oncol. (2022) 44:313–7. doi: 10.1097/MPH.0000000000002376

PubMed Abstract | Crossref Full Text | Google Scholar

44. Chiu P, Limoges J, Pike A, Calzone K, Tonkin E, Puddester R, et al. Integrating genomics into Canadian oncology nursing policy: Insights from a comparative policy analysis. J Adv Nurs. (2024) 80:4488–509. doi: 10.1111/jan.16099

PubMed Abstract | Crossref Full Text | Google Scholar

45. Thomas J, Keels J, Calzone KA, Badzek L, Dewell S, Patch C, et al. Current state of genomics in nursing: A scoping review of healthcare provider oriented (Clinical and educational) outcomes (2012-2022). Genes (Basel). (2023) 14:2013. doi: 10.3390/genes14112013

PubMed Abstract | Crossref Full Text | Google Scholar

46. MacDonald DJ. Germline mutations in cancer susceptibility genes: an overview for nurses. Semin Oncol Nurs. (2011) 27:21–33. doi: 10.1016/j.soncn.2010.11.004

PubMed Abstract | Crossref Full Text | Google Scholar

47. Goh CL, Saunders EJ, Leongamornlert DA, Tymrakiewicz M, Thomas K, Selvadurai ED, et al. Clinical implications of family history of prostate cancer and genetic risk single nucleotide polymorphism (SNP) profiles in an active surveillance cohort. BJU Int. (2013) 112:666–73. doi: 10.1111/j.1464-410X.2012.11648.x

PubMed Abstract | Crossref Full Text | Google Scholar

48. Martin JC. Genetic biomarkers: implications of increased understanding and identification in lung cancer management. Clin J Oncol Nurs. (2020) 24:648–56. doi: 10.1188/20.CJON.648-656

PubMed Abstract | Crossref Full Text | Google Scholar

49. Lahiri Batra S. Management of gynecologic cancers in relation to genetic predisposition. Semin Oncol Nurs. (2019) 35:182–91. doi: 10.1016/j.soncn.2019.02.005

PubMed Abstract | Crossref Full Text | Google Scholar

50. Park SY, Kim Y, Katapodi MC, Kim YJ, Chae H, Choi YJ, et al. Healthcare professionals’ Learning needs and perspectives on essential information in genetic cancer care: A systematic review. Cancers. (2024) 16:1963. doi: 10.3390/cancers16111963

PubMed Abstract | Crossref Full Text | Google Scholar

51. Giri VN, Shimada A, and Leader AE. Predictors of population awareness of cancer genetic tests: implications for enhancing equity in engaging in cancer prevention and precision medicine. JCO Precis Oncol. (2021) 5:231. doi: 10.1200/PO.21.00231

PubMed Abstract | Crossref Full Text | Google Scholar

Keywords: bibliometric, CiteSpace, genetic nursing, hotspots, oncology

Citation: Hu Y and Fu C (2025) Research status and hotspots of oncology genetic nursing: a bibliometric analysis. Front. Oncol. 15:1523185. doi: 10.3389/fonc.2025.1523185

Received: 05 November 2024; Accepted: 03 December 2025; Revised: 29 November 2025;
Published: 17 December 2025.

Edited by:

Jiao Feng, Hangzhou Normal University, China

Reviewed by:

Dijana Majstorović, Juraj Dobrila University of Pula, Croatia
Jinhuan Yue, Vitality University, United States

Copyright © 2025 Hu and Fu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Cangmei Fu, NTA3NzUyQGNzdS5lZHUuY24=

ORCID: Ya Hu, orcid.org/0009-0008-4095-1536
Cangmei Fu, orcid.org/0009-0008-6909-4056

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.