Growing up in the genomic era: implications of whole-genome sequencing for children, families, and pediatric practice.

Growing up in the genomic era: implications of whole-genome sequencing for children, families, and pediatric practice.
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DOI:
10.1146/annurev-genom-091212-153425
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发表时间:
2013
影响因子:
8.7
通讯作者:
Wilfond BS
Wilfond BS
中科院分区:
生物学2区
文献类型:
--
作者:
Wade CH;Tarini BA;Wilfond BS

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全基因组测序(WGS)已经发展到一个点,它开始整合到儿科实践。关于如何最大限度地发挥WGS对儿童的益处的共识很少,因此越来越需要集中努力,将研究人员、临床医生和家庭联系起来,共同制定前进的道路。为了说明相关问题,本文探讨了儿童WGS的两种对比应用:临床应用于未确诊疾病的儿童,以及基于人群的筛查。根据目前的研究,讨论了保健服务、政策制定和儿童福利方面的具体挑战。为了确保以证据为基础的儿科WGS,我们确定了一些策略,以促进我们对儿童在WGS结果指导下成长意味着什么的理解。
Whole-genome sequencing (WGS) has advanced to a point where it is beginning to be integrated into pediatric practice. With little consensus on how to maximize the benefits of WGS for children, there is a growing need for focused efforts that connect researchers, clinicians, and families to chart a path forward. To illustrate relevant concerns, two contrasting applications of pediatric WGS are explored: clinical use with children who have undiagnosed conditions, and population-based screening. Specific challenges for health care services, policy development, and the well-being of children are discussed in light of current research. In the interest of ensuring evidence-based pediatric WGS, strategies are identified for advancing our understanding of what it means for children to grow up with WGS results guiding their health care.
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