在日本,在进行针对罕见疾病的综合生殖系遗传测试的机构披露二次发现时遇到困难
Kana Hiromoto1, Takahiro Yamada2,3, Mio Tsuchiya4
1Department of Clinical Genetics, Hyogo Prefectural Kobe Children's Hospital, Hyogo, Japan.
Congenital anomalies
|March 26, 2024
概括
日本实验室不愿透露罕见疾病综合基因检测的二次发现 (SFs). 需要改进数据库和公开讨论,以加强SF披露政策.
科学领域:
- 医学遗传学 医学遗传学
- 生物伦理学生物伦理学
- 罕见疾病 罕见疾病
背景情况:
- 日本有限的实验室对罕见疾病进行全面的基因检测.
- 这些实验室对披露二次发现 (SF) 的态度尚不清楚.
研究的目的:
- 调查日本实验室对二次发现 (SFs) 的披露进行综合基因测试的态度.
- 将这些态度与美国的态度进行比较.
- 为了确定日本SF披露的障碍和潜在解决方案.
主要方法:
- 一项初步调查确定了相关的实验室.
- 在20个选定的设施 (16名受访者) 进行了在线调查.
- 用内容分析来确定建议的解决方案.
主要成果:
- 被调查实验室的响应率为80%.
- 71.4%的设施报告说有SFs.
- 只有42.9%的人制定了披露具有临床实用性的SF的政策,14.3%的人积极寻找可操作的变体.
- 日本实验室对SF披露的热情不如美国实验室.
- 关键障碍包括参与者对SF的低意愿和对他们的愿望的不确定性.
- 需要改进致病性/可操作性数据库和公众意见的需求得到了强调.
- 科学兴趣,而不是焦虑,似乎推动了信息搜索.
结论:
- 日本的医疗专业人员可能对社会对SF披露的要求缺乏信心.
- 加强SF披露需要改进数据库,公众参与和社会讨论.
- 进一步的研究应该探索日本公众对SF披露的态度.
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