达成共识报告准则,以弥补超罕见遗传疾病描述的差距
Ali AlMail1,2, Ahmed Jamjoom1,3,4, Amy Pan5
1Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
NPJ genomic medicine
|April 6, 2024
概括
对于新的遗传疾病的表型数据往往不足以用于临床使用. 新的指导方针PHELIX (PHENotype LIsting fiX) 旨在改善临床医生和家庭的报告.
科学领域:
- 基因组学和精准医学
- 临床遗传学和遗传咨询
- 医疗信息学和数据标准
背景情况:
- 全基因组测序推进了新型遗传条件的发现.
- 发现性研究中的现有表型数据可能无法满足临床需求.
研究的目的:
- 评估新型门德尔障碍报告中的表型数据的质量和细节.
- 制定共识指南,以改善基因组时代的表型报告.
主要方法:
- 在10个遗传学期刊上对200篇出版物 (2017-2021) 的系统审查.
- 在六个优先领域中使用46个问题判断表型数据.
- 修改后的Delphi方法与国际专家的输入,以创建报告准则.
主要成果:
- 超过87%的论文在关键领域具有肤浅或缺乏表型细节.
- 不到10%的人提供了关于神经精神问题或养问题的具体数据.
- 后续报告很少添加关键的表型信息.
结论:
- 新描述的遗传疾病的表型信息往往不足以用于临床管理和遗传咨询.
- 菲利克斯 (PHEnotype LIsting fiX) 报告指南的检查清单是为了解决这个关键差距而开发的.
- 改善表型报告对于支持基因组时代的患者,家庭和临床医生至关重要.
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