OnCo
ideasIdea

A cancer data donor card: patient-controlled donation of records for research

Like an organ donor card, anyone with cancer could sign once to let their medical records and leftover samples be used for research, and change their mind at any time.

Most cancer patients say they would share their data for research, yet consent is sought piecemeal per study. The proposal is a national, patient-initiated registration (via the patient portal or a paper card) that grants broad, revocable consent for secondary use of records, images and residual tissue, with a public dashboard of what the data have been used for. Count Me In and the UK Biobank show that broad consent at scale is feasible; the Metastatic Breast Cancer Project enrolled thousands of patients directly.

Hypothesis
Offering broad revocable data donation at diagnosis will be accepted by more than 70 percent of patients and will double the sample size available to registry-linked studies within five years, with withdrawal below 3 percent.
Rationale
Surveys consistently show 70 to 90 percent willingness to share; the barrier is that no one asks in a standard, portable way. Organ donation registers show that a one-time civic act can be scaled.
What would test it
Pilot in ten cancer centres: offer the donor card at first oncology visit, measure uptake, withdrawal and demographic skew over 24 months; compare research-ready cohort size with matched centres that do not offer it.
Maturity
speculative
Who has to act
patients
Cost to try
Medium ($1M to $50M)
Years to first evidence
3
Bottlenecks it attacks

Connected

5top