ゲノム医学におけるエビデンス構築と臨床成果の測定
Josh F Peterson1, Dan M Roden2, Lori A Orlando3
1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA; Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Lancet (London, England)
|August 10, 2019
まとめ
ゲノムシーケンシングは臨床的に有意義な効果があるが,患者への広範な使用には結果の証拠がない. このレビューでは,ゲノム医学を日常のケアに統合する研究と課題を考察しています.
科学分野:
- ゲノム医学
- 臨床遺伝学
- 翻訳ゲノミクス
背景:
- ヒトゲノム配列解析は 診断,予後,治療に 期待を寄せています
- 広範な採用は,特に遺伝子検査のための特定の指示のない患者で,改善された結果の限られた証拠によって妨げられています.
研究 の 目的:
- ゲノム医学における臨床結果の研究をレビューする.
- 次の世代のシーケンシング (NGS) に関するエビデンスの作成における主要な特徴と課題について議論する.
主な方法:
- ゲノム医学における臨床結果研究の体系的レビュー
- ゲノム解析のための証拠構築戦略の分析
主要な成果:
- 広範なゲノムシーケンシングによる患者の改善を証明する証拠のギャップを特定しました.
- 研究設計,データ解釈,ルーティンゲノムケアにおける課題を強調した.
結論:
- 多様な患者集団におけるゲノム配列決定の臨床的有用性と費用対効果を確立するには,さらなる研究が必要である.
- ゲノム医学を標準的な医療慣行に成功させるには 確固たる証拠を 開発することが不可欠です
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