Literature DB >> 29515690

Implementation of personalized medicine in Central-Eastern Europe: pitfalls and potentials based on citizen's attitude.

Peter Balicza1, Andras Terebessy2, Zoltan Grosz1, Noemi Agnes Varga1, Aniko Gal1, Balint Andras Fekete1, Maria Judit Molnar1.   

Abstract

OBJECTIVE: Next-generation sequencing is increasingly utilized worldwide as a research and diagnostic tool and is anticipated to be implemented into everyday clinical practice. Since Central-Eastern European attitude toward genetic testing, especially broad genetic testing, is not well known, we performed a survey on this issue among Hungarian participants.
METHODS: A self-administered questionnaire was distributed among patients and patient relatives at our neurogenetic outpatient clinic. Members of the general population were also recruited via public media. We used chi-square testing and binary logistic regression to examine factors influencing attitude.
RESULTS: We identified a mixed attitude toward genetic testing. Access to physician consultation positively influenced attitude. A higher self-determined genetic familiarity score associated with higher perceived genetic influence score, which in turn associated with greater willingness to participate in genetic testing. Medical professionals constituted a skeptical group.
CONCLUSIONS: We think that given the controversies and complexities of the next-generation sequencing field, the optimal clinical translation of NGS data should be performed in institutions which have the unique capability to provide interprofessional health education, transformative biomedical research, and crucial patient care. With optimization of the clinical translational process, improvement of genetic literacy may increase patient engagement and empowerment. RELEVANCE OF THE ARTICLE FOR PREDICTIVE PREVENTIVE AND PERSONALIZED MEDICINE: The paper highlights that in countries with relatively low-genetic literacy, a special strategy is needed to enhance the implementation of personalized medicine.

Entities:  

Keywords:  Counseling; Direct to consumer genetic tests; Ethic; Genetic literacy; Hungary; Next-generation sequencing; Predictive genetic tests; Predictive preventive personalized medicine; Survey

Year:  2018        PMID: 29515690      PMCID: PMC5833891          DOI: 10.1007/s13167-017-0125-3

Source DB:  PubMed          Journal:  EPMA J        ISSN: 1878-5077            Impact factor:   6.543


  37 in total

1.  Opportunities, Risks, and Limitations of Genetic Testing: Looking to the Future From Patients' Point of View.

Authors:  Mauro Bertolotti
Journal:  Mayo Clin Proc       Date:  2015-10       Impact factor: 7.616

Review 2.  Exome sequencing: dual role as a discovery and diagnostic tool.

Authors:  Chee-Seng Ku; David N Cooper; Constantin Polychronakos; Nasheen Naidoo; Mengchu Wu; Richie Soong
Journal:  Ann Neurol       Date:  2012-01       Impact factor: 10.422

3.  Measuring genetic knowledge: a brief survey instrument for adolescents and adults.

Authors:  S M Fitzgerald-Butt; A Bodine; K M Fry; J Ash; A N Zaidi; V Garg; C A Gerhardt; K L McBride
Journal:  Clin Genet       Date:  2015-06-29       Impact factor: 4.438

Review 4.  Managing the ethical challenges of next-generation sequencing in genomic medicine.

Authors:  Angus J Clarke
Journal:  Br Med Bull       Date:  2014-08-13       Impact factor: 4.291

5.  Genetic counseling practice in next generation sequencing research: implications for the ethical oversight of the informed consent process.

Authors:  Nathalie Egalite; Iris Jaitovich Groisman; Beatrice Godard
Journal:  J Genet Couns       Date:  2014-03-25       Impact factor: 2.537

6.  How Well Do Customers of Direct-to-Consumer Personal Genomic Testing Services Comprehend Genetic Test Results? Findings from the Impact of Personal Genomics Study.

Authors:  Jenny E Ostergren; Michele C Gornick; Deanna Alexis Carere; Sarah S Kalia; Wendy R Uhlmann; Mack T Ruffin; Joanna L Mountain; Robert C Green; J Scott Roberts
Journal:  Public Health Genomics       Date:  2015-06-16       Impact factor: 2.000

Review 7.  Developing and evaluating polygenic risk prediction models for stratified disease prevention.

Authors:  Nilanjan Chatterjee; Jianxin Shi; Montserrat García-Closas
Journal:  Nat Rev Genet       Date:  2016-05-03       Impact factor: 53.242

8.  Public awareness and use of direct-to-consumer personal genomic tests from four state population-based surveys, and implications for clinical and public health practice.

Authors:  Katherine Kolor; Debra Duquette; Amy Zlot; Joan Foland; Beth Anderson; Rebecca Giles; Jennifer Wrathall; Muin J Khoury
Journal:  Genet Med       Date:  2012-07-19       Impact factor: 8.822

9.  Patient decisions for disclosure of secondary findings among the first 200 individuals undergoing clinical diagnostic exome sequencing.

Authors:  Layla Shahmirzadi; Elizabeth C Chao; Erika Palmaer; Melissa C Parra; Sha Tang; Kelly D Farwell Gonzalez
Journal:  Genet Med       Date:  2013-10-10       Impact factor: 8.822

Review 10.  More Is Better: Recent Progress in Multi-Omics Data Integration Methods.

Authors:  Sijia Huang; Kumardeep Chaudhary; Lana X Garmire
Journal:  Front Genet       Date:  2017-06-16       Impact factor: 4.599

View more

北京卡尤迪生物科技股份有限公司 © 2022-2023.