儿科基因治疗的实践经验:一个范围的审查
Laura Kimberly1,2, Cara Hunt2, Katherine Beaverson3
1Hansjörg Wyss Department of Plastic Surgery, NYU Grossman School of Medicine, New York, New York, USA.
Human gene therapy
|November 15, 2023
概括
了解患者和家庭对儿科基因疗法 (GT) 临床试验的看法至关重要. 研究强调了明确沟通和权衡风险和利益的重要性,以便在这些复杂的决策中获得知情同意.
科学领域:
- 儿科基因治疗的基因疗法
- 临床试验 临床试验
- 以患者为中心的研究
背景情况:
- 儿科基因疗法 (GT) 试验涉及多种罕见疾病,涉及儿童和护理人员.
- 了解儿科GT试验参与者的生活经验是有限的.
- GT决策独特地涉及儿童护理人员双重关系,需要深入了解他们对负担和收益的看法.
研究的目的:
- 在儿科GT临床试验中对患者和家庭经验的文献进行范围审查.
- 确定当前研究中的差距,并了解儿科GT对患者和家人的影响.
- 在儿科GT研究和政策中为以患者为中心的方法提供信息.
主要方法:
- 对儿科基因治疗临床试验现有的文献进行范围审查.
- 分析与患者和护理人员的感知和决策相关的主题.
- 识别关于生活经验与对GT的表达思想的研究差距.
主要成果:
- 确定的主要主题包括:权衡风险和收益,参与时间,清晰沟通的价值和对生活质量的影响.
- 文献主要关注的是患者/护理人员如何*思考*GT (安全性,有效性,风险),而不是他们实际的*经验*.
- 在了解儿科GT试验参与的体验的社会,情感,身体和后勤方面存在差距.
结论:
- 结果提供了洞察力,以提高儿童基因疗法试验的知情同意过程.
- 建议包括开发以患者和家庭为中心的教育材料和政策.
- 需要进一步的研究,以捕捉儿基因治疗试验参与者及其家人的实际生活经历.
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