Parents’ and patients’ perspectives, experiences, and preferences for germline genetic or genomic testing of children with cancer: A systematic review

IF 6.6 1区 医学 Q1 GENETICS & HEREDITY
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引用次数: 0

Abstract

Purpose

Germline testing in pediatric cancer presents opportunities and challenges. Understanding family perspectives, experiences, and preferences will optimize integration into routine care.

Methods

Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we searched 4 databases for studies exploring perspectives, experiences, and preferences of parents/caregivers and/or patients regarding germline testing of children with cancer. Qualitative and quantitative data were extracted, organized, and summarized by research question and themes.

Results

We identified 2286 unique articles, of which 24 were included. Interest in and uptake of testing was high. Families were motivated by altruism and a desire for inheritance/causation information. Testing barriers included psychological concerns, timing of the testing approach if offered at diagnosis or in a high-risk cancer setting and privacy/discrimination. Testing experiences highlighted challenges yet also positive impacts, with results providing psychological relief and informing proactive decision making. Timing preferences varied; however, allowing time to adjust to a new diagnosis was a common theme. Most wanted to receive as many germline sequencing-related results as possible.

Conclusion

Findings underscore the importance of integrating germline analyses into pediatric cancer care with flexibility and support for families facing challenges. Where possible, consent should be provided at a time that suits each family’s situation with access to information aligning with their needs and preferences. PROSPERO:CRD42023444890.

父母和患者对癌症患儿种系遗传或基因组检测的看法、经验和偏好:系统综述。
目的:儿科癌症的种系检测既是机遇也是挑战。了解家庭的观点、经验和偏好将优化常规护理的整合:按照 PRISMA 指南,我们检索了四个数据库,以了解父母/照顾者和/或患者对癌症儿童种系检测的观点、经验和偏好。我们按照研究问题和主题对定性和定量数据进行了提取、整理和总结:我们发现了 2286 篇文章,其中 24 篇被收录。对检测的兴趣和接受度都很高。家庭的动机是利他主义和对遗传/病因信息的渴望。检测障碍包括心理顾虑、检测时间(如果在诊断时或在癌症高风险环境中提供)以及隐私/歧视。检测经验凸显了挑战,但也带来了积极影响,检测结果可缓解心理压力,并为积极决策提供信息。对检测时间的偏好各不相同,但有时间适应新诊断是一个共同的主题。大多数人希望收到尽可能多的种系测序相关结果:研究结果强调了将种系分析纳入儿科癌症治疗的重要性,并为面临挑战的家庭提供灵活性和支持。在可能的情况下,应在适合每个家庭情况的时间征得其同意,并根据其需求和偏好获取信息:crd42023444890.
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Genetics in Medicine
Genetics in Medicine 医学-遗传学
CiteScore
15.20
自引率
6.80%
发文量
857
审稿时长
1.3 weeks
期刊介绍: Genetics in Medicine (GIM) is the official journal of the American College of Medical Genetics and Genomics. The journal''s mission is to enhance the knowledge, understanding, and practice of medical genetics and genomics through publications in clinical and laboratory genetics and genomics, including ethical, legal, and social issues as well as public health. GIM encourages research that combats racism, includes diverse populations and is written by authors from diverse and underrepresented backgrounds.
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