Title |
Implementing Precision Medicine: The Ethical Challenges
|
---|---|
Published in |
Trends in Pharmacological Sciences, December 2016
|
DOI | 10.1016/j.tips.2016.11.007 |
Pubmed ID | |
Authors |
Diane M. Korngiebel, Kenneth E. Thummel, Wylie Burke |
Abstract |
Precision medicine aims to individualize care by understanding differences in genetics, lifestyle, and environment. Pharmacogenomics and cancer genetics represent two promising areas for this approach. Pharmacogenomic tests have the potential to direct drug prescribing to increase safety and effectiveness because individuals vary on a genetic basis in their response to many drugs. Similarly, tests to identify people with an inherited cancer risk can guide prevention. For both, a few tests have entered clinical practice and more are under development. Implementation challenges include the limited evidence base available to guide clinical use and the lack of data from diverse populations. Accordingly, ongoing research should prioritize procedures that enhance the trustworthiness of clinical practice guidelines and create decision support for clinicians and patients that address their needs and accommodate flexibility. Each step involves choices with ethical implications. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 43% |
Spain | 1 | 14% |
Unknown | 3 | 43% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 43% |
Scientists | 3 | 43% |
Science communicators (journalists, bloggers, editors) | 1 | 14% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 182 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 27 | 15% |
Researcher | 25 | 14% |
Student > Ph. D. Student | 18 | 10% |
Student > Bachelor | 15 | 8% |
Other | 12 | 7% |
Other | 36 | 20% |
Unknown | 49 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 37 | 20% |
Biochemistry, Genetics and Molecular Biology | 22 | 12% |
Pharmacology, Toxicology and Pharmaceutical Science | 16 | 9% |
Nursing and Health Professions | 10 | 5% |
Social Sciences | 10 | 5% |
Other | 36 | 20% |
Unknown | 51 | 28% |