Public Health Genomics最新文献

筛选
英文 中文
Association between SIRT6 Methylation and Human Longevity in a Chinese Population. 中国人群中SIRT6甲基化与人类寿命的关系
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-11-25 DOI: 10.1159/000508832
Xu Tang, Yi Wei, Jian Wang, Shiyi Chen, Jiansheng Cai, Jiexia Tang, Xia Xu, Bingshuang Long, Guoqi Yu, Zhiyong Zhang, Min He, Jian Qin
{"title":"Association between SIRT6 Methylation and Human Longevity in a Chinese Population.","authors":"Xu Tang,&nbsp;Yi Wei,&nbsp;Jian Wang,&nbsp;Shiyi Chen,&nbsp;Jiansheng Cai,&nbsp;Jiexia Tang,&nbsp;Xia Xu,&nbsp;Bingshuang Long,&nbsp;Guoqi Yu,&nbsp;Zhiyong Zhang,&nbsp;Min He,&nbsp;Jian Qin","doi":"10.1159/000508832","DOIUrl":"https://doi.org/10.1159/000508832","url":null,"abstract":"<p><strong>Background: </strong>Sirtuin 6 gene (SIRT6) is a longevity gene that is involved in a variety of metabolic pathways, but the relationship between SIRT6 methylation and longevity has not been clarified.</p><p><strong>Methods: </strong>We conducted a case-control study on 129 residents with a family history of longevity (1 of parents, themselves, or siblings aged ≥90 years) and 86 individuals without a family history of exceptional longevity to identify the association. DNA pyrosequencing was performed to analyze the methylation status of SIRT6 promoter CpG sites. qRT-PCR and ELISA were used to estimate the SIRT6 messenger RNA (mRNA) levels and protein content. Six CpG sites (P1-P6) were identified as methylation variable positions in the SIRT6 promoter region.</p><p><strong>Results: </strong>At the P2 and P5 CpG sites, the methylation rates of the longevity group were lower than those of the control group (p < 0.001 and p = 0.009), which might be independent determinants of longevity. The mRNA and protein levels of SIRT6 decreased in the control group (p < 0.0001 and p = 0.038). The mRNA level negatively correlated with the methylation rates at the P2 (rs = -0.173, p = 0.011) and P5 sites (rs = -0.207, p = 0.002). Furthermore, the protein content positively correlated with the methylation rate at the P5 site (rs = 0.136, p = 0.046) but showed no significant correlation with the methylation rate at the P2 site.</p><p><strong>Conclusion: </strong>The low level of SIRT6 methylation may be a potential protective factor of Chinese longevity.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 5-6","pages":"190-199"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000508832","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38739414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Assessing the Intention to Provide Human Genetic Resources: An Explanatory Model. 评估提供人类遗传资源的意愿:一个解释模型。
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-07-17 DOI: 10.1159/000509191
Qin Qin, Youhai Sun
{"title":"Assessing the Intention to Provide Human Genetic Resources: An Explanatory Model.","authors":"Qin Qin,&nbsp;Youhai Sun","doi":"10.1159/000509191","DOIUrl":"https://doi.org/10.1159/000509191","url":null,"abstract":"<p><strong>Background: </strong>Human genetic resources are an important material component for life science research and have strategic significance for medical science and technological innovation. In this study, we employ frameworks from social psychology and the science of human behavior to study human genetic resource providers.</p><p><strong>Aims: </strong>We used structural equation techniques to explain factors affecting the intention to provide human genetic resources and the mechanisms for providing such resources.</p><p><strong>Methods: </strong>We conducted an online survey with respondents from ethnic minorities (n = 912). Our model integrates key variables informed by the theory of planned behavior (TPB), the theory of benefit and risk assessment (BRA), as well as variables that represent the policy and political system.</p><p><strong>Results: </strong>Our results show that the factors affecting the intention to provide human genetic resources, ranked from highly influential to less influential, are perceived benefits, privacy risk, attitudes toward providing human genetic resources, perceived behavioral efficacy, psychological risk, subjective norms, and physical risk. The variables informed by the TPB all have a significant positive effect on the intention to provide human genetic resources. With the exception of physical risk, the variables informed by the theory of BRA have a significant effect on the intention to provide human genetic resources. Respondents with different health conditions have significantly different levels of physical risk.</p><p><strong>Conclusions: </strong>The results of our study provide insights into how to improve people's intention to provide human genetic resources. We also proposed ways to protect such resources globally.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 3-4","pages":"133-148"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000509191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38167883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Higher Odds of Type 2 Diabetes for Some Blood Groups. 某些血型的人患2型糖尿病的几率更高。
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-04-06 DOI: 10.1159/000506294
Jafar Navabi, Seyed Mohammad Navabi, Niloufar Hemmati, Zahra Shaahmadi, Abbas Aghaei
{"title":"Higher Odds of Type 2 Diabetes for Some Blood Groups.","authors":"Jafar Navabi,&nbsp;Seyed Mohammad Navabi,&nbsp;Niloufar Hemmati,&nbsp;Zahra Shaahmadi,&nbsp;Abbas Aghaei","doi":"10.1159/000506294","DOIUrl":"https://doi.org/10.1159/000506294","url":null,"abstract":"<p><strong>Background: </strong>Diabetes is one of the most common metabolic diseases in humans that cause disruption in glucose and fat metabolism. The determination of the ABO blood group system is hereditary and both diabetes and blood groups have a genetic basis.</p><p><strong>Objectives: </strong>The aim of this study was to investigate the odds of type 2 diabetes for some blood groups.</p><p><strong>Methods: </strong>This case-control study was conducted in hospitals of Kermanshah in 2018. The case group consisted of patients with diabetes admitted to hospital and the control group of nondiabetic patients hospitalized in the surgical ward. Information such as age, sex, BMI, family history of diabetes and blood group is collected and analyzed by the univariate and multivariate logistic regression method.</p><p><strong>Results: </strong>A total of 750 patients were enrolled in this study. The number of participants in both groups was 375. The average ages of the participants were 50.51 and 51.62 years, respectively. 67.5% of the patients in the case group were female in comparison with 73.6% of those in the control group. The value of Rh+ in the case and control groups was 94.4 and 93.6%, respectively (p = 0.645). The chance of having diabetes for patients with blood group A was 76% higher than for those with blood group O (p = 0.006).</p><p><strong>Conclusion: </strong>According to the results of this study, the odds of type 2 diabetes for people in blood group A was higher than for those in other blood groups. It is recommended that blood group A be considered as a risk factor in the screening of type 2 diabetes.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 1-2","pages":"37-41"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000506294","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37806306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Understanding of Inheritance and Genetic Variation Assessed through the Use of an Engaging Real-Life Survey. 通过使用引人入胜的现实生活调查评估遗传和遗传变异的理解。
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-12-08 DOI: 10.1159/000512086
Elshaddai Ephrem, Erica Gleason, Kelly Maurer, Kathleen E Sullivan
{"title":"Understanding of Inheritance and Genetic Variation Assessed through the Use of an Engaging Real-Life Survey.","authors":"Elshaddai Ephrem,&nbsp;Erica Gleason,&nbsp;Kelly Maurer,&nbsp;Kathleen E Sullivan","doi":"10.1159/000512086","DOIUrl":"https://doi.org/10.1159/000512086","url":null,"abstract":"<p><strong>Aims: </strong>This study was undertaken to examine how a layperson is likely to interpret genetic information delivered in a clinical setting.</p><p><strong>Methods: </strong>A novel survey was designed to engage the reader in a simulated discussion of heritability as it might relate to human disease. The survey took approximately 5 min to administer. 307 individuals of different backgrounds completed the survey in the outpatient waiting room on their cell phone.</p><p><strong>Results: </strong>Overall, basic knowledge of inheritance and the concepts of heredity scored very well in the study cohort. Both knowledge and interpretation questions were answered correctly more often than not. There was generally no association between the scores on survey and gender or age.</p><p><strong>Conclusions: </strong>People recognize the basic concepts of heritability but struggle with real-life interpretations and more nuanced concepts of heredity.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 5-6","pages":"246-251"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000512086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38698244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Genomic Test for Colorectal Cancer Risk: Is This Acceptable and Feasible in Primary Care? 结直肠癌风险的基因组检测:在初级保健中可接受和可行吗?
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-07-20 DOI: 10.1159/000508963
Sibel Saya, Jennifer G McIntosh, Ingrid M Winship, Mark Clendenning, Shakira Milton, Jasmeen Oberoi, James G Dowty, Daniel D Buchanan, Mark A Jenkins, Jon D Emery
{"title":"A Genomic Test for Colorectal Cancer Risk: Is This Acceptable and Feasible in Primary Care?","authors":"Sibel Saya,&nbsp;Jennifer G McIntosh,&nbsp;Ingrid M Winship,&nbsp;Mark Clendenning,&nbsp;Shakira Milton,&nbsp;Jasmeen Oberoi,&nbsp;James G Dowty,&nbsp;Daniel D Buchanan,&nbsp;Mark A Jenkins,&nbsp;Jon D Emery","doi":"10.1159/000508963","DOIUrl":"https://doi.org/10.1159/000508963","url":null,"abstract":"<p><strong>Introduction: </strong>Genomic tests can predict risk and tailor screening recommendations for colorectal cancer (CRC). Primary care could be suitable for their widespread implementation.</p><p><strong>Objective: </strong>We aimed to assess the feasibility and acceptability of administering a CRC genomic test in primary care.</p><p><strong>Methods: </strong>Participants aged 45-74 years recruited from 4 Australian general practices were offered a genomic CRC risk test. Participants received brief verbal information about the test comprising 45 CRC-associated single-nucleotide polymorphisms, before choosing whether to undertake the test. Personalized risks were given to testers. Uptake and knowledge of the genomic test, cancer-specific anxiety (Cancer Worry Scale), psychosocial impact (Multidimensional Impact of Cancer Risk Assessment [MICRA] score), and impact on CRC screening behaviour within 6 months were measured.</p><p><strong>Results: </strong>In 150 participants, test uptake was high (126, 84%), with 125 (83%) having good knowledge of the genomic test. Moderate risk participants were impacted more by the test (MICRA mean: 15.9) than average risk participants (mean: 9.5, difference in means: 6.4, 95% confidence interval (CI): 1.5, 11.2, p = 0.01), but all scores were low. Average risk participants' cancer-specific anxiety decreased (mean differences from baseline: 1 month -0.5, 95% CI: -1.0, -0.1, p = 0.03; 6 months -0.6, 95% CI: -1.0, -0.2, p = 0.01). We found limited evidence for genomic testers being more likely to complete the risk-appropriate CRC screening than non-testers (41 vs. 17%, odds ratio = 3.4, 95% CI: 0.6, 34.8, p = 0.19), but some mediators of screening behaviour were altered in genomic testers.</p><p><strong>Conclusions: </strong>Genomic testing for CRC risk in primary care is acceptable and likely feasible. Further development of the risk assessment intervention could strengthen the impact on screening behaviour.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 3-4","pages":"110-121"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000508963","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38171712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
Merkel Cell Polyomavirus Gene Expression and Mutational Analysis of Large Tumor Antigen in Non-Merkel Cell Carcinoma Tumors of Iranian Patients. 伊朗非梅克尔细胞癌中梅克尔细胞多瘤病毒基因表达及大肿瘤抗原突变分析
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-09-23 DOI: 10.1159/000510254
Farhad Motavalli Khiavi, Maryam Nasimi, Hamzeh Rahimi
{"title":"Merkel Cell Polyomavirus Gene Expression and Mutational Analysis of Large Tumor Antigen in Non-Merkel Cell Carcinoma Tumors of Iranian Patients.","authors":"Farhad Motavalli Khiavi,&nbsp;Maryam Nasimi,&nbsp;Hamzeh Rahimi","doi":"10.1159/000510254","DOIUrl":"https://doi.org/10.1159/000510254","url":null,"abstract":"<p><strong>Introduction: </strong>The presence of Merkel cell polyomavirus (MCPyV) was identified in Merkel cell carcinoma (MCC). However, there was sparse information on the link of other common nonmelanoma skin cancers - basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) - to MCPyV infection. The current study describes the phylogenetic information of MCPyV isolated from Iranian non-MCC (nonmelanoma skin cancers) focusing on tumorigenesis of mutations in large tumor (LT) antigen (LT-Ag) fragment.</p><p><strong>Methods: </strong>Sixty patients with BCC and 20 patients with SCC were included in this study (48 males and 32 females; average age 65 years). The MCPyV-DNA copy number in positive samples was measured by quantitative real-time PCR. Then, mutational analysis of the MCPyV LT gene was carried out by direct sequencing.</p><p><strong>Results: </strong>While MCPyV DNA was detected in 6 (10%) of 60 BCC samples, no viral genome was found in SCCs. There was no distinct association of MCPyV positivity with gender, age, or type of tumor (BCC or SCC) (p value >0.05). Quantitative real-time PCR revealed that the median number of viral DNA copies per cell was 0.7 in 6 MCPyV-positive BCC samples. Furthermore, full-length LT-Ag sequencing of positive samples indicated no stop codon or frameshift mutations compared to reference sequences.</p><p><strong>Conclusion: </strong>Considering the important role of the LT-Ag in the pathogenicity of MCPyV, non-synonymous mutations compared with the reference proteins triggered relevant amino acid substitutions. Overall, the results showed no tumor-associated mutations in the LT-Ag sequence of MCPyVs from positive samples.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 5-6","pages":"210-217"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000510254","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38411943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Illustrating Cancer Risk: Patient Risk Communication Preferences and Interest regarding a Novel BRCA1/2 Genetic Risk Modifier Test. 说明癌症风险:关于一种新的BRCA1/2遗传风险修饰因子测试的患者风险沟通偏好和兴趣。
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-03-19 DOI: 10.1159/000505854
Jada G Hamilton, Margaux Genoff Garzon, Ibrahim H Shah, Kechna Cadet, Elyse Shuk, Joy S Westerman, Jennifer L Hay, Kenneth Offit, Mark E Robson
{"title":"Illustrating Cancer Risk: Patient Risk Communication Preferences and Interest regarding a Novel BRCA1/2 Genetic Risk Modifier Test.","authors":"Jada G Hamilton,&nbsp;Margaux Genoff Garzon,&nbsp;Ibrahim H Shah,&nbsp;Kechna Cadet,&nbsp;Elyse Shuk,&nbsp;Joy S Westerman,&nbsp;Jennifer L Hay,&nbsp;Kenneth Offit,&nbsp;Mark E Robson","doi":"10.1159/000505854","DOIUrl":"https://doi.org/10.1159/000505854","url":null,"abstract":"<p><strong>Introduction: </strong>Genetic risk modifier testing (GRMT), an emerging form of genetic testing based on common single nucleotide polymorphisms and polygenic risk scores, has the potential to refine estimates of BRCA1/2 mutation carriers' breast cancer risks. However, for women to benefit from GRMT, effective approaches for communicating this novel risk information are needed.</p><p><strong>Objective: </strong>To evaluate patient preferences regarding risk communication materials for GRMT.</p><p><strong>Methods: </strong>We developed four separate presentations (panel of genes, icon array, verbal risk estimate, graphical risk estimate) of hypothetical GRMT results, each using varying risk communication strategies to convey different information elements including number of risk modifier variants present, variant prevalence among BRCA1/2 carriers, and implications and uncertainties of test results for cancer risk. Thirty BRCA1/2 carriers evaluated these materials (randomized to low, moderate, or high breast cancer risk versions). Qualitative and quantitative data were obtained through in-person interviews.</p><p><strong>Results: </strong>Across risk versions, participants preferred the presentation of the graphical risk estimate, often in combination with the verbal risk estimate. Interest in GRMT was high; 76.7% of participants wanted their own GRMT. Participants valued the potential for GRMT to clarify their cancer susceptibility and provide actionable information. Many (65.5%) anticipated that GRMT would make risk management decisions easier.</p><p><strong>Conclusions: </strong>Women with BRCA1/2 mutations could be highly receptive to GRMT, and the minimal amount of necessary information to be included in result risk communication materials includes graphical and verbal estimates of future cancer risk. Findings will inform clinical translation of GRMT in a manner consistent with patients' preferences.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 1-2","pages":"6-19"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000505854","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37755266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
The rs2236609 Polymorphism Is Related to Increased Risk Susceptibility of Atrial Fibrillation. rs2236609多态性与房颤易感性增加相关
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-04-21 DOI: 10.1159/000506997
Foad Alzoughool, Manar Atoum, Aymen Abu-Awad, Issa Ghanma, Raed Halalsheh
{"title":"The rs2236609 Polymorphism Is Related to Increased Risk Susceptibility of Atrial Fibrillation.","authors":"Foad Alzoughool,&nbsp;Manar Atoum,&nbsp;Aymen Abu-Awad,&nbsp;Issa Ghanma,&nbsp;Raed Halalsheh","doi":"10.1159/000506997","DOIUrl":"https://doi.org/10.1159/000506997","url":null,"abstract":"<p><strong>Introduction: </strong>Genetic variations in the slow component of the delayed rectifier potassium channels (IKs) are reported to contribute to an increased susceptibility to arrhythmias. This study aims to investigate the frequency and the possible association of the rs2236609 polymorphism in the KCNE1 gene and the risk of atrial fibrillation (AF).</p><p><strong>Methods: </strong>This was a case-control study that recruited 100 patients suffering from AF (mean age 49.4 ± 15.1 years), and a control group of 95 healthy participants older than 55 years (mean age 59.8 ± 4.1 years) with no history of cardiovascular disease, hypertension, or diabetes. Genomic DNA was extracted from whole peripheral blood, and the desired fragment was amplified using polymerase chain reaction followed by restriction digestion with the NspI restriction enzyme.</p><p><strong>Results: </strong>The results showed a significant difference between the single-nucle-otide polymorphism variations in AF patients and controls (p < 0.022). The risk of AF in the GG genotype was significantly decreased (odds ratio [OR] 0.42; 95% confidence interval [Cl] 0.23-0.79). The risk of AF in the GA (OR 2.12; 95% Cl 1.11-4.06) and AA (OR 2.28, 95% Cl 0.57-9.1) genotypes was significantly increased. The odds of developing AF according to A allele counting was significantly increased (OR 2.1; 95% Cl 1.2608-3.638; p = 0.0048).</p><p><strong>Conclusion: </strong>Our results showed a significant increase in AF risk in people carrying the A allele, while the G allele might be considered as a protective allele.</p>","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"23 1-2","pages":"54-58"},"PeriodicalIF":1.7,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000506997","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37856887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Current Practice of Lynch Syndrome Diagnosis and Management in Italy: A Qualitative Assessment 意大利林奇综合征诊断和管理的现状:定性评估
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2019-12-05 DOI: 10.1159/000504305
A. Tognetto, R. Pastorino, S. Castorina, D. Condorelli, A. Decensi, C. De Vito, A. Magnano, F. Scaldaferri, P. Villari, M. Genuardi, S. Boccia
{"title":"The Current Practice of Lynch Syndrome Diagnosis and Management in Italy: A Qualitative Assessment","authors":"A. Tognetto, R. Pastorino, S. Castorina, D. Condorelli, A. Decensi, C. De Vito, A. Magnano, F. Scaldaferri, P. Villari, M. Genuardi, S. Boccia","doi":"10.1159/000504305","DOIUrl":"https://doi.org/10.1159/000504305","url":null,"abstract":"Background: Lynch syndrome (LS) is the most frequent form of hereditary colorectal cancer (CRC; up to 3–5% of the total CRC burden) and predisposes to the development of other cancers. Multidisciplinary diagnostic strategies are relevant both to the index cases and to their at-risk relatives, but their implementation is still limited. Our study aimed to explore LS testing practices in Italy. Methods: In order to ascertain the current practice of LS diagnosis and management, we conducted a qualitative assessment by sending a questionnaire to health care professionals at 4 Italian hospitals selected as “models” representing different hospital settings. Based on the surveys, we reconstructed the management pathways for CRC patients in terms of diagnostic strategies and health professionals involved. Results: Seven of the 8 invited professionals filled in the questionnaire. Noncompliance with the latest guidelines was reported, as no tumor “screening” was performed on CRC cases. The lack of a structured multidisciplinary team who manages CRC patients from risk assessment to diagnosis and follow-up was reported. The availability of professionals and laboratory technologies differ widely between hospitals. As for cascade testing of at-risk relatives, a systematic and active approach was absent in all the considered hospitals. Conclusions: Our study shows that no structured and standardized pathways for the diagnosis and management of LS patients are currently in place in Italy. We envisage that by extending our research to further experiences and countries, an increasing awareness of the topic can be translated into a health gain for hereditary CRC patients and their at-risk relatives.","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"22 1","pages":"189 - 207"},"PeriodicalIF":1.7,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000504305","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42787828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
How to Integrate Personalized Medicine into Prevention? Recommendations from the Personalized Prevention of Chronic Diseases (PRECeDI) Consortium 如何将个性化医疗融入预防?个性化慢性病预防联盟的建议
IF 1.7 4区 医学
Public Health Genomics Pub Date : 2019-12-05 DOI: 10.1159/000504652
S. Boccia, R. Pastorino, W. Ricciardi, R. Ádány, F. Barnhoorn, P. Boffetta, M. Cornel, C. De Vito, M. Gray, A. Jani, Michael Lang, J. Roldan, A. Rosso, J. Sánchez, Cornelia M Van Dujin, C. V. van El, P. Villari, M. Zawati
{"title":"How to Integrate Personalized Medicine into Prevention? Recommendations from the Personalized Prevention of Chronic Diseases (PRECeDI) Consortium","authors":"S. Boccia, R. Pastorino, W. Ricciardi, R. Ádány, F. Barnhoorn, P. Boffetta, M. Cornel, C. De Vito, M. Gray, A. Jani, Michael Lang, J. Roldan, A. Rosso, J. Sánchez, Cornelia M Van Dujin, C. V. van El, P. Villari, M. Zawati","doi":"10.1159/000504652","DOIUrl":"https://doi.org/10.1159/000504652","url":null,"abstract":"Medical practitioners are increasingly adopting a personalized medicine (PM) approach involving individually tailored patient care. The Personalized Prevention of Chronic Diseases (PRECeDI) consortium project, funded within the Marie Skłodowska Curie Action (MSCA) Research and Innovation Staff Exchange (RISE) scheme, had fostered collaboration on PM research and training with special emphasis on the prevention of chronic diseases. From 2014 to 2018, the PRECeDI consortium trained 50 staff members on personalized prevention of chronic diseases through training and research. The acquisition of skills from researchers came from dedicated secondments from academic and nonacademic institutions aimed at training on several research topics related to personalized prevention of cancer and cardiovascular and neurodegenerative diseases. In detail, 5 research domains were addressed: (1) identification and validation of biomarkers for the primary prevention of cardiovascular diseases, secondary prevention of Alzheimer disease, and tertiary prevention of head and neck cancer; (2) economic evaluation of genomic applications; (3) ethical-legal and policy issues surrounding PM; (4) sociotechnical analysis of the pros and cons of informing healthy individuals on their genome; and (5) identification of organizational models for the provision of predictive genetic testing. Based on the results of the research carried out by the PRECeDI consortium, in November 2018, a set of recommendations for policy makers, scientists, and industry has been issued, with the main goal to foster the integration of PM approaches in the field of chronic disease prevention.","PeriodicalId":49650,"journal":{"name":"Public Health Genomics","volume":"22 1","pages":"208 - 214"},"PeriodicalIF":1.7,"publicationDate":"2019-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000504652","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45753775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 23
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信