临床实践中的精密瘤学:克罗地亚两年全面的基因组分析
Dora Čerina Pavlinović1,2, Jelena Šuto Pavičić1, Antonela Njavro3
1Department of Oncology, University Hospital Center Split, 21 000 Split, Croatia.
Journal of personalized medicine
|February 25, 2025
概括
精准医学在癌症治疗中的采用是有限的,只有不到5%的符合条件的患者接受了全面的基因组分析 (CGP). 这突显了癌症患者获得向治疗的巨大差距.
科学领域:
- 在瘤学瘤学.
- 基因组学就是基因组学.
- 精准医学是一门精准的医学.
背景情况:
- 精准医学提供个性化癌症疗法,但在日常护理中广泛采用面临挑战.
- 综合基因组分析 (CGP) 是精密瘤学的关键技术.
- 现实世界的数据收集对于评估CGP的临床价值至关重要.
研究的目的:
- 介绍克罗地亚CGP实施的现实数据.
- 识别常规精确瘤学的机遇和挑战.
- 评估CGP在国家医疗保健环境中的使用情况.
主要方法:
- 在国家一级进行回顾性观察性研究.
- 包括2020年1月至2021年12月期间接受CGP的所有患者.
- 对CGP结果和患者人口统计数据收集的现实世界数据的分析.
主要成果:
- 包括481名患者;胃肠道和生殖系统癌症是最常见的.
- 在76.7%的患者中发现了临床相关的基因组变异;KRAS突变最常见.
- 只有3.6%的潜在符合条件的患者接受了CGP,这表明采用率低.
结论:
- CGP在80%的患者中发现了可操作的基因组改变,这表明他们有资格接受向治疗.
- 尽管有保险覆盖,CGP的采用仍然有限 (<5%的转移患者接受了测试),尽管有保险覆盖.
- 在获得基因组测试方面存在很大的差距,可能会剥夺患者精准医学的好处.
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