日本家庭医学中的癌症遗传学的知识,态度和实践:一项混合方法研究
Keiichiro Narumoto1, Misaki Fukue2, Moriya Iwaizumi3
1Department of Family and Community Medicine, Hamamatsu University School of Medicine, 1-20-1 Handayama, Chuo-Ku, Hamamatsu, Shizuoka, 431-3192, Japan. kichiro.narumoto@gmail.com.
BMC primary care
|January 8, 2026
概括
日本家庭医生对临床癌症遗传学的知识和实践有限,阻碍了遗传性癌症综合征的整合. 解决医生的担忧和改善理解对于加强它们在癌症遗传学中的作用至关重要.
科学领域:
- 基因组医学是基因组医学.
- 主要护理是指初级护理.
- 医学遗传学 医学遗传学
背景情况:
- 在全球范围内,将临床癌症遗传学纳入初级保健是一个挑战,日本和亚洲的研究有限.
- 家庭医学在日本是一个新兴的专业,以前对家庭医生与临床癌症遗传学的参与缺乏研究.
研究的目的:
- 调查日本家庭医生关于遗传性癌症综合征的知识,态度和做法.
- 确定将临床癌症遗传学纳入日本初级保健的障碍和促进因素.
主要方法:
- 采用顺序解释设计的混合方法研究:定量调查,然后进行定性访谈.
- 一项调查评估了149名日本家庭医生关于遗传咨询和转诊的知识,态度和做法.
- 与11名医生进行的半结构面试探讨了与调查结果相关的观点.
主要成果:
- 只有6%的受访医生提供遗传咨询,5%的医生将患者转介给遗传学专业人士.
- 大多数 (64-73%) 的人对遗传性癌症综合征的了解有限,这影响了家族病史解释和风险评估.
- 医生表示担心基因测试的潜在危害以及对患者的心理影响,导致参与度低.
结论:
- 日本家庭医生在实践中应用临床癌症遗传学方面面临重大挑战.
- 需要进一步的研究,以制定有效的战略,支持家庭医生在癌症遗传学和遗传性癌症综合征管理.
相关概念视频
Combination Therapies and Personalized Medicine
5.9K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.9K
Cancer Prevention
7.6K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.6K
Cancer-Critical Genes II: Tumor Suppressor Genes
9.4K
Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
9.4K
Cancer Survival Analysis
645
Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
645
Cancer-Critical Genes I: Proto-oncogenes
11.1K
Genes usually encode proteins necessary for the proper functioning of a healthy cell. Mutations can often cause changes to the gene expression pattern, thereby altering the phenotype.
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
When the function of certain critical genes, especially those involved in cell cycle regulation and cell growth signaling cascades, gets disrupted, it upsets the cell cycle progression. Such cells with unchecked cell cycles start proliferating uncontrollably and eventually develop into tumors.
Such genes that act...
11.1K
Cancers Originate from Somatic Mutations in a Single Cell
14.5K
Cancer arises from mutations in the critical genes that allow healthy cells to escape cell cycle regulation and acquire the ability to proliferate indefinitely. Though originating from a single mutation event in one of the originator cells, cancer progresses when the mutant cell lines continue to gain more and more mutations, and finally, become malignant. For example, chronic myelogenous leukemia (CML) develops initially as a non-lethal increase in white blood cells, which progressively...
14.5K


