在基因组研究中代表性不足的人群中对遗传测试的偏好:系统性审查
Taylor Montgomery1, Madison R Hickingbotham1, Hadley Stevens Smith2,3,4
1Precision Medicine Translational Research (PROMoTeR) Center, Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA, USA.
European journal of human genetics : EJHG
|February 24, 2025
概括
了解患者的偏好是公平基因组医学的关键. 研究往往缺乏多样化的参与者,限制了对种族和种族如何影响基因组测试选择的见解.
科学领域:
- 基因组医学是基因组医学.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 公平的基因组医学实施需要了解不同的人口偏好.
- 陈述偏好方法,就像离散选择实验一样,评估基于人口统计学的偏好变化.
- 之前的审查强调了代表性和分析偏好异质性的差距.
研究的目的:
- 评估基因组医学中声明偏好研究的人口代表性.
- 评估在这个领域的种族和种族偏好异质性分析的程度.
- 识别研究缺口,并为公平的实施策略提供信息.
主要方法:
- 基因组医学中声明偏好文献的系统审查 (2021年2月 - 2023年11月).
- 搜索了多个数据库,包括PubMed,Embase和SCOPUS.
- 提取了受访者人口统计数据,种族/种族分析,并确定了偏好异质性.
主要成果:
- 确定了138篇新文章,增加了之前审查的38篇,共176篇.
- 只有18篇文章报告了参与者的种族或种族.
- 八篇文章分析了根据种族/种族的偏好,在两篇文章中发现了异质性.
结论:
- 基因组医学中的声明偏好研究经常缺乏人口代表性样本.
- 分析种族和种族的偏好异质性是不常见的.
- 提高样本代表性对于理解子组偏好和指导政策至关重要.
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