基因测试主流化的吸收率和患者相关结果:系统性审查和元分析
Ashwin Kalra1, Subhasheenee Ganesan1, Jacqueline J Y Sia1
1Wolfson Institute of Population Health, Queen Mary University of London, London, UK; Department of Gynaecological Oncology, Barts Health NHS Trust, Royal London Hospital, London, UK.
American journal of obstetrics and gynecology
|April 25, 2025
概括
基因测试的主流化显示了患者的高接受度和满意度,决策冲突和遗憾程度较低. 这种方法有效指导癌症治疗和预防策略.
科学领域:
- 在瘤学瘤学.
- 遗传学 遗传学 是一个
- 公共卫生 公共卫生
背景情况:
- 主流基因测试涉及患者诊断后的癌症易感性基因测试,由非遗传学专家提供便利.
- 这一策略有助于癌症治疗决策,二次预防和家族成员的级联测试.
研究的目的:
- 评估将癌症易感性基因测试纳入主流的吸收率和患者报告的结果.
主要方法:
- 来自PubMed和Cochrane图书馆的研究的系统审查和元分析 (至2024年6月).
- 包括成年患者的基因测试提供了主流化;评估结果是吸收,满意度,决策冲突/遗憾,焦虑,抑郁和痛苦.
- 根据PRISMA指南进行了定性合成和随机效应元分析.
主要成果:
- 在所有癌症中,基因测试的吸收率为91%,在非选择性测试中吸收率更高 (95%),而不是基于标准的测试 (80%).
- 吸收因癌症类型而异,子宫内膜癌的吸收率为99%,前列腺癌的吸收率为73%.
- 患者报告满意度高,决策冲突低,遗憾最小,测试后痛苦低,尽管焦虑和痛苦水平显示出一些变化.
结论:
- 主流基因测试与高患者吸收率,满意度和有利的心理结果有关.
- 在不同类型的癌症中,证据基础和吸收率有很大差异,突出了需要进一步研究和实施的领域.
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