在儿童进行诊断全基因组测序时,是否应该积极选和报告二次药基因组变异?
Jan M Friedman1, Yvonne Bombard2, Bruce Carleton3
1Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
概括
本文回顾了在接受基因组测序的儿童中返回二级药物基因组变异的伦理问题. 它为临床医生和政策制定者提供了关于例行查和报告这些遗传发现的考虑.
科学领域:
- 基因组学和健康问题
- 生物伦理学生物伦理学
- 儿科医学 儿科医学
背景情况:
- 患有严重疾病的儿童接受外基因组/基因组测序以诊断.
- 偶尔可能会发现二次药物基因组变异.
- 返回这些发现的伦理,法律和社会影响 (ELSI) 是复杂的.
研究的目的:
- 审查有关儿科患者中二次药物基因组变异的回归的伦理,法律和社会问题.
- 为这些发现的临床实用性和影响提供视角.
- 为政策和临床实践提供有关药物基因组变异回归的信息.
主要方法:
- 对道德,法律和社会问题的审查.
- 积极搜索和报告策略的讨论.
- 分析数据返回,维护,决策支持和数据共享.
主要成果:
- 探索各种方法来返回二次药物基因组发现.
- 考虑在患者健康记录中长期维护数据.
- 对药物遗传学结果的决策支持工具进行讨论.
结论:
- 为临床医生和政策制定者提出了需要考虑的要点.
- 解决了常规查和药物基因组变异返回的适当性.
- 强调需要仔细考虑在儿童中返回偶然的药物基因组发现的必要性.
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