复杂基因组测序的患者体验 探索患者的偏好,障碍和提供交付的支持者
Kortnye Smith1,2, Sophie O'Haire1,2, Benjamin Markman3
1Division of Medical Oncology, Medical Oncology Department, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
JCO precision oncology
|August 29, 2024
概括
复杂基因组测序 (CGS) 在个性化癌症治疗中提供了显著的价值,尽管在实施方面存在挑战. 改善临床医生的教育和支持是实现更广泛采用和最大限度地使患者受益的关键.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 翻译研究是翻译研究.
背景情况:
- 复杂基因组测序 (CGS) 显示了个性化癌症治疗的前景.
- 尽管有证据表明CGS的益处,但其广泛的临床采用仍然有限.
研究的目的:
- 评估CGS在晚期癌症患者护理中的实施情况.
- 评估患者和临床医生的CGS经验.
主要方法:
- 一个混合方法,前性,跨机构研究.
- 瘤和血液DNA测序 (391个基因),由瘤学家领导的同意和结果交付.
- 患者调查和临床医生采访,以评估价值,理解和障碍.
主要成果:
- 199名患者 (63%) 有可采取行动的发现,其中172人 (55%) 可能会影响治疗.
- 16%的参与者在6个月内根据CGS结果进行了治疗变化.
- 患者报告满意度和价值,尽管在理解结果和高估影响方面存在一些挑战.
结论:
- 患者对CGS的价值超出了直接的治疗变化,报告高满意度.
- 提高CGS的效用需要解决诸如流程效率,临床医生的基因组素养和决策支持等障碍.
- 加强实施策略对于最大限度地提高CGS对患者和机构的价值至关重要.
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