常见的遗传性癌症和对初级保健的影响
J Emery1, A Lucassen, M Murphy
1General Practice and Primary Care Research Unit, Department of Public Health and Primary Care, University of Cambridge, Forvie Site, CB2 2SR, Cambridge, UK. jde10@medschl.cam.ac.uk
Lancet (London, England)
|July 17, 2001
概括
基因发现可以识别患有遗传性癌症的高风险个体. 初级保健需要策略来管理遗传风险,并指导适当的遗传检测和监测.
科学领域:
- 医学遗传学 医学遗传学
- 在瘤学瘤学.
- 初级医疗保健医学 一级医疗保健医学
背景情况:
- 鉴定遗传性乳腺癌,卵巢癌和结直肠癌的基因方面的进展提高了公众和临床意识.
- 这导致遗传咨询,手术咨询和遗传检测的转诊人数增加.
研究的目的:
- 审查关于管理具有遗传性癌症风险增加的个体的证据.
- 突出不确定性,并讨论对初级保健实践的影响.
- 专注于具有重大未来临床影响的常见遗传性癌症.
主要方法:
- 关于管理遗传性癌症风险的已发表证据的审查.
- 专注于常见的遗传癌症综合征.
- 讨论遗传医学对初级保健整合的影响.
主要成果:
- 增加对患常见癌症遗传风险的个体的识别.
- 对基因测试和监测策略的需求日益增加.
- 目前的管理协议存在不确定性的领域.
结论:
- 基因发现正在改变癌症倾向的理解和临床实践.
- 初级保健从业者需要支持,以有效地识别和管理患有遗传性癌症风险增加的患者.
- 开发将遗传医学整合到初级保健中的战略对于最佳的患者护理和资源配置至关重要.
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