在精准医学中整合personomics.
Karolin Rose Krause1, Philippe Ravaud1, Viet-Thi Tran1
1Centre de Recherche en Epidémiologie et Statistiques (CRESS UMR 1153), Université Paris Cité, 1 Parvis Notre Dame, Paris 75004, France.
Journal of clinical epidemiology
|June 1, 2025
概括
精准医学需要纳入"人体学" - - 患者的心理社会和上下文因素 - - 以改善治疗参与度和结果. 需要进行研究,以便在个性化医学临床试验中系统地测量这些因素.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 行为医学是一种行为医学.
- 精准医学是一门精准的医学.
背景情况:
- 精准医学推进了基于生物标记的治疗方法,但往往忽视了心理社会和环境患者因素 ("人体学").
- 这些个人因素会影响患者的参与,并会改变治疗干预的效果.
- 目前的临床实践直观地使用人体因子,但缺乏临床试验数据,说明它们对治疗反应异质性的影响.
研究的目的:
- 为了澄清"人称学"的概念范围.
- 提出一个人体因素的概念地图.
- 概述一个研究议程,将个人因素纳入治疗评估和精准医学中.
主要方法:
- 系统的Medline寻找心理社会/情境患者因素的框架.
- 通过生态系统理论和COM-B模型将提取的因素合成为概念图.
- 将框架应用于案例,以确定额外的因素.
主要成果:
- 确定了41个影响治疗参与和坚持治疗的个人因素.
- 因素包括稳定的特征 (例如,性别,个性) 和动态的元素 (例如,健康素养,疾病感知).
- 这些因素影响了患者如何参与和遵循护理计划.
结论:
- 在临床试验中测量人体因素需要采用系统的,数据驱动的方法.
- 整合个人数据将增强基于证据的治疗计划个性化.
- 这种整合对于推进精准医学至关重要.
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