Title |
Multilevel Research and the Challenges of Implementing Genomic Medicine
|
---|---|
Published in |
Journal of the National Cancer Institute. Monographs, May 2012
|
DOI | 10.1093/jncimonographs/lgs003 |
Pubmed ID | |
Authors |
Muin J. Khoury, Ralph J. Coates, Mary L. Fennell, Russell E. Glasgow, Maren T. Scheuner, Sheri D. Schully, Marc S. Williams, Steven B. Clauser |
Abstract |
Advances in genomics and related fields promise a new era of personalized medicine in the cancer care continuum. Nevertheless, there are fundamental challenges in integrating genomic medicine into cancer practice. We explore how multilevel research can contribute to implementation of genomic medicine. We first review the rapidly developing scientific discoveries in this field and the paucity of current applications that are ready for implementation in clinical and public health programs. We then define a multidisciplinary translational research agenda for successful integration of genomic medicine into policy and practice and consider challenges for successful implementation. We illustrate the agenda using the example of Lynch syndrome testing in newly diagnosed cases of colorectal cancer and cascade testing in relatives. We synthesize existing information in a framework for future multilevel research for integrating genomic medicine into the cancer care continuum. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 20 | 39% |
United Kingdom | 6 | 12% |
Canada | 2 | 4% |
Spain | 1 | 2% |
Austria | 1 | 2% |
Hong Kong | 1 | 2% |
Mexico | 1 | 2% |
Finland | 1 | 2% |
New Zealand | 1 | 2% |
Other | 2 | 4% |
Unknown | 15 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 30 | 59% |
Scientists | 15 | 29% |
Practitioners (doctors, other healthcare professionals) | 3 | 6% |
Science communicators (journalists, bloggers, editors) | 2 | 4% |
Unknown | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 3 | 2% |
Canada | 2 | 2% |
United Kingdom | 1 | <1% |
Unknown | 115 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 24 | 20% |
Student > Master | 22 | 18% |
Student > Ph. D. Student | 14 | 12% |
Student > Bachelor | 13 | 11% |
Student > Doctoral Student | 10 | 8% |
Other | 27 | 22% |
Unknown | 11 | 9% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 37 | 31% |
Social Sciences | 16 | 13% |
Agricultural and Biological Sciences | 10 | 8% |
Nursing and Health Professions | 9 | 7% |
Computer Science | 6 | 5% |
Other | 27 | 22% |
Unknown | 16 | 13% |