对基因组测试的额外发现的偏好进行系统审查
Daniel Sheen1, Amanda Willis2,3, Zoe Fehlberg4
1Economics of Genomics and Precision Medicine Unit, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
European journal of human genetics : EJHG
|November 20, 2025
概括
患者和研究参与者更愿意选择他们接收的基因组附加发现 (AF). 准则应该支持这种选择,同时探索返回更多类型遗传结果的选项.
科学领域:
- 基因组医学是基因组医学.
- 临床遗传学 临床遗传学
- 生物伦理学生物伦理学
背景情况:
- 基因组测试在临床和研究环境中越来越多地使用.
- 从基因组测试中管理额外的发现 (AF) 提出了挑战.
- 了解参与者对AF的偏好对于制定指南至关重要.
研究的目的:
- 系统地审查患者和参与者接受AFs的偏好.
- 为 AF 回归制定包容性指导方针和政策提供信息.
- 确定AF管理偏好中的关键主题.
主要方法:
- 使用框架分析进行系统审查.
- 包括关于AF偏好的定性和定量研究.
- 分析了87项涉及71,486名参与者的研究.
主要成果:
- 强烈支持选择是否收到以及收到哪些AF的权利.
- 对可采取行动的发现和对家庭影响的发现有很高的需求.
- 对不可起诉的发现和未知意义的变体 (VUS) 有混合的兴趣.
结论:
- 测试受试者希望系统地支持有关AF的决策.
- 结果支持接受者在AF返回中做出选择.
- 国家指导方针应建立最低可操作的AF回报,并探索提供其他发现.
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