临床遗传检测的特征趋势:对20多年来180万患者的EHR数据进行单中心分析
Lisa Bastarache1, Rory J Tinker2, Bryce A Schuler3
1Department of Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN, USA; Center for Digital Genomic Medicine, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
American journal of human genetics
|April 17, 2025
概括
临床遗传测试的使用在20年内在电子健康记录中从1.0%升至6.1%. 这项研究量化了基因测试的数量.
科学领域:
- 基因组学就是基因组学.
- 临床遗传学 临床遗传学
- 医疗信息学 医疗信息学
背景情况:
- 电子健康记录 (EHR) 缺乏结构数据,这阻碍了对基因测试临床影响的评估.
- 量化基因测试的使用及其随时间的演变对于理解基因测试在医疗保健中的作用至关重要.
研究的目的:
- 用EHR数据量化医疗保健中临床遗传测试的使用情况.
- 描述两十年来遗传测试模式,类型和结果的变化.
- 引入和应用遗传归因分数 (GAF) 来衡量遗传诊断对表型的影响.
主要方法:
- 从范德比尔特大学医学中心的180多万名患者的电子病历 (2002-2022) 中提取了临床遗传测试数据.
- 分析了基因测试类型,医疗专业使用和诊断产量的趋势.
- 计算了2022年诊断的全现象遗传归因分数 (GAF).
主要成果:
- 在EHR中,患者遗传测试从1.0% (2002年) 增加到6.1% (2022年),并扩大了多基因组的使用.
- 通过基因检测诊断的独特疾病数量从51个增加到509个.
- 对于2022年的诊断,观察到全现象GAF的0.46%,GAF>5%对74种表型.
结论:
- 基因检测在临床实践中越来越多地被使用,如EHR数据所证明.
- 基因测试在解释观察到的医学现象型方面越来越有用.
- 该GAF指标提供了一种新的方法来量化遗传诊断对患者状况的影响.
关键词:
临床遗传学 临床遗传学临床遗传学数据库数据库电子健康记录是电子健康记录.遗传测试的利用 遗传测试的利用基因检测 基因检测是指基因检测.传染病编码 传染病编码 传染病编码这是一个全现象的现象.现型-基因型相关性相关性罕见病是一种罕见的疾病.不确定意义的变体.更多相关视频
相关概念视频
Karyotyping
Describing the number and physical features of chromosomes can reveal abnormalities that underlie genetic diseases. This description is facilitated by special staining techniques that produce a particular banding pattern on each chromosome. State-of-the-art techniques make this approach even more powerful, enabling the detection of individual genes that cause disease.A Simple Chromosome Staining Technique Provides Valuable Scientific InsightSome genetic diseases can be detected by looking at...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Principles of Pharmacogenetics: Types of Genetic Variants
The human genome is over 99.9% identical between individuals, yet genetic differences exist at millions of bases. The human genome contains approximately 3 million variant positions per individual, many of which are heterozygous, contributing to genetic diversity and individual traits. Genetic variations include single-nucleotide polymorphisms (SNPs), insertions, deletions, and copy number variations (CNVs).SNPs, the most common variation, involve single-base changes in DNA. These can be...
Pharmacogenomics: Identification of New Drug Targets
Advances in genomics have profoundly influenced drug discovery by increasing both the speed and accuracy of pharmaceutical development. Pharmacogenomics, which examines how genetic variation influences drug response, facilitates the identification of novel therapeutic targets and enables patient stratification for personalized treatment. These strategies contribute to improved drug efficacy, minimized adverse effects, and more efficient clinical trial design.Mapping genetic differences...
Statistical Software for Data Analysis and Clinical Trials
Statistical software is pivotal in data analysis and clinical trials by providing tools to analyze data, draw conclusions, and make predictions. These software packages range from simple data management applications to complex analytical platforms, supporting various statistical tests, models, and simulation techniques. Their significance lies in their ability to handle vast amounts of data with precision and efficiency, enabling researchers to validate hypotheses, identify trends, and make...


