Public health genomics and personalized prevention: lessons from the COGS project

Using the principles of public health genomics, we examined the opportunities and challenges of implementing personalized prevention programmes for cancer at the population level. Our model‐based estimates indicate that polygenic risk stratification can potentially improve the effectiveness and cost...

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Veröffentlicht in:Journal of internal medicine 2013-11, Vol.274 (5), p.451-456
Hauptverfasser: Pashayan, N., Hall, A., Chowdhury, S., Dent, T., Pharoah, P. D. P., Burton, H.
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container_end_page 456
container_issue 5
container_start_page 451
container_title Journal of internal medicine
container_volume 274
creator Pashayan, N.
Hall, A.
Chowdhury, S.
Dent, T.
Pharoah, P. D. P.
Burton, H.
description Using the principles of public health genomics, we examined the opportunities and challenges of implementing personalized prevention programmes for cancer at the population level. Our model‐based estimates indicate that polygenic risk stratification can potentially improve the effectiveness and cost‐effectiveness of screening programmes. However, compared with ‘one‐size‐fits‐all’ screening programmes, personalized screening adds further layers of complexity to the organization of screening services and raises ethical, legal and social challenges. Before polygenic inheritance is translated into population screening strategy, evidence from empirical research and engagement with and education of the public and the health professionals are needed.
doi_str_mv 10.1111/joim.12094
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subjects ethical
Genetic Predisposition to Disease - genetics
Genetic Testing - methods
Genomics - methods
Humans
legal and social issues
Neoplasms - diagnosis
Neoplasms - genetics
Neoplasms - prevention & control
personalized prevention
polygenic risk stratification
Precision Medicine - methods
public health genomics
Risk Assessment
screening
Symposium: Cogs Symposium
title Public health genomics and personalized prevention: lessons from the COGS project
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