父母报告的儿科基因组测序的临床实用性
Hadley Stevens Smith1,2, Bart S Ferket3,4, Bruce D Gelb4
1Center for Medical Ethics and Health Policy.
Pediatrics
|July 20, 2023
概括
基因组测序 (GS) 在临床护理中的结果可以导致后续建议. 然而,这些结果并没有显著增加儿童获得的医疗护理总量.
科学领域:
- 基因组医学是一种基因组医学.
- 儿科诊断 儿科诊断 儿科诊断
- 临床遗传学 临床遗传学
背景情况:
- 基因组测序 (GS) 越来越多地用于诊断儿童.
- 了解GS结果引起的后续护理和行动至关重要.
- 这项研究调查了临床医生的建议和父母报告的GS后行动.
研究的目的:
- 评估临床医生在儿科基因组测序后的建议.
- 评估家长报告的随访护理和在收到GS结果后启动的行动.
- 根据基因组测序结果的类型来比较后续护理.
主要方法:
- 通过临床测序证据生成研究联盟对子女接受GS的家长进行调查.
- 数据是在结果返回后大约5到7个月内收集的.
- 使用基于GS结果类型的基二测试对临床医生建议和家长行动进行比较.
主要成果:
- 大多数家长 (70.3%) 与临床医生讨论了GS结果.
- 积极的GS结果导致更频繁的护理变化建议 (39.1%),而非确的结果 (12.4%) 或负面的结果 (11.9%).
- 13.0%的家长在直接临床建议之外为孩子进行了健康或生活方式的改变.
结论:
- 基因组测序结果可以为儿科环境中的后续护理建议提供信息.
- 虽然提出了建议,但GS结果可能不会大幅增加提供的护理量.
- 需要进行进一步的研究,以优化将GS发现纳入正在进行的儿科护理.
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