Toward clinical genomics in everyday medicine: perspectives and recommendations

نویسندگان

  • Susan K. Delaney
  • Michael L. Hultner
  • Howard J. Jacob
  • David H. Ledbetter
  • Jeanette J. McCarthy
  • Michael Ball
  • Kenneth B. Beckman
  • John W. Belmont
  • Cinnamon S. Bloss
  • Michael F. Christman
  • Andy Cosgrove
  • Stephen A. Damiani
  • Timothy Danis
  • Massimo Delledonne
  • Michael J. Dougherty
  • Joel T. Dudley
  • W. Andrew Faucett
  • Jennifer R. Friedman
  • David H. Haase
  • Tom S. Hays
  • Stu Heilsberg
  • Jeff Huber
  • Leah Kaminsky
  • Nikki Ledbetter
  • Warren H. Lee
  • Elissa Levin
  • Ondrej Libiger
  • Michael Linderman
  • Richard L. Love
  • David C. Magnus
  • AnneMarie Martland
  • Susan L. McClure
  • Scott E. Megill
  • Helen Messier
  • Robert L. Nussbaum
  • Latha Palaniappan
  • Bradley A. Patay
  • Bradley W. Popovich
  • John Quackenbush
  • Mark J. Savant
  • Michael M. Su
  • Sharon F. Terry
  • Steven Tucker
  • William T. Wong
  • Robert C. Green
چکیده

Precision or personalized medicine through clinical genome and exome sequencing has been described by some as a revolution that could transform healthcare delivery, yet it is currently used in only a small fraction of patients, principally for the diagnosis of suspected Mendelian conditions and for targeting cancer treatments. Given the burden of illness in our society, it is of interest to ask how clinical genome and exome sequencing can be constructively integrated more broadly into the routine practice of medicine for the betterment of public health. In November 2014, 46 experts from academia, industry, policy and patient advocacy gathered in a conference sponsored by Illumina, Inc. to discuss this question, share viewpoints and propose recommendations. This perspective summarizes that work and identifies some of the obstacles and opportunities that must be considered in translating advances in genomics more widely into the practice of medicine.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Toward More Compassionate Healthcare Systems; Comment on “Enabling Compassionate Healthcare: Perils, Prospects and Perspectives”

Compassion is central to the purpose of medicine and the care of patients and their families. Compassionate healthcare begins with compassionate people, but cannot be consistently provided without systemic changes that enable clinicians and staff to collaborate and to care. We propose seven essential commitments to foster more compassionate healthcare organizations and systems: a commitment to ...

متن کامل

“Toward a system plan for transforming cancer care to a molecular-based approach”: Recommendations from an expert panel

• Rick Wilson, Director, The Genome Institute at Washington Univ. School of Medicine • Judy Garber, Director, Cancer Risk/Prevention Clinic, Dana Farber • Shashikant Kulkarni, Head of Clinical Genomics, Wash. University School of Medicine • Shyamali Singhal, Medical Director of the Cancer Center, El Camino Hospital • Nickolas Papadopoulos, Director of Translational Genetics, Johns Hopkins Medic...

متن کامل

Attitudes of genetics professionals toward the return of incidental results from exome and whole-genome sequencing.

Professional recommendations for the return of results from exome and whole-genome sequencing (ES/WGS) have been controversial. The lack of clear guidance about whether and, if so, how to return ES/WGS incidental results limits the extent to which individuals and families might benefit from ES/WGS. The perspectives of genetics professionals, particularly those at the forefront of using ES/WGS i...

متن کامل

Motivations and perceptions of early adopters of personalized genomics: perspectives from research participants.

BACKGROUND/AIMS To predict the potential public health impact of personal genomics, empirical research on public perceptions of these services is needed. In this study, 'early adopters' of personal genomics were surveyed to assess their motivations, perceptions and intentions. METHODS Participants were recruited from everyone who registered to attend an enrollment event for the Coriell Person...

متن کامل

Preparing nurses for a 21st century role in genomics-based health care.

Advances in genomic research are changing the nature and focus of health care. All health professionals must be prepared with new knowledge and skill competencies to meet the social and scientific demands of clinical practice. Nurses can expect to take on new practice roles that involve family history assessments, screening, and case coordination for clients receiving genetic testing and gene-b...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 16  شماره 

صفحات  -

تاریخ انتشار 2016