确定诊断基因组学的实用性:一个概念框架
Andrew Mallett1,2,3,4, Zornitza Stark5,6,7, Zoe Fehlberg5,7
1Australian Genomics, Murdoch Children's Research Institute, Melbourne, VIC, Australia. Andrew.mallett@health.qld.gov.au.
Human genomics
|August 16, 2023
概括
评估诊断基因组学的实用性需要一个全面的框架. 本研究提出了一个考虑类型,视角和时间的新模型,以指导未来的证据生成和基因组测试的资金.
科学领域:
- 基因组学就是基因组学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 诊断基因组测试是为罕见疾病建立的.
- 评估基因组测试的更广泛的实用性是关键的下一步.
- 当前对实用性的概念化和测量是模两可的,阻碍了全面的评估.
研究的目的:
- 提出一个概念框架来确定诊断基因组学的更广泛的实用性.
- 涵盖包括患者,家庭,临床医生和卫生系统在内的各种利益相关者.
- 帮助未来的证据生成和基因组诊断的资金决策.
主要方法:
- 开发一个基因组实用性的概念框架.
- 该框架将实用性定义为三个维度:领域 (什么),关系/视角 (谁) 和时间地平线 (何时).
- 建议对单个效用点进行三角测量,以推断总的效用.
主要成果:
- 为评估基因组实用性提出了一个新的本体学框架.
- 该框架允许对实用性的多维分析.
- 个别的公用事业点可以汇总起来,以了解整体影响.
结论:
- 拟议的框架需要通过追溯和前性应用进行验证.
- 该框架旨在改善基因组实用性的表征和描述.
- 告知决策和优化基因组诊断测试的好处.
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