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 |
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container_title | Journal of internal medicine |
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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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Journal of Internal Medicine published by John Wiley & Sons Ltd on behalf of The Association for the Publication of the Journal of Internal Medicine.</rights><rights>2013 The Association for the Publication of the Journal of Internal Medicine.</rights><rights>2013 The Authors. 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D. P.</creatorcontrib><creatorcontrib>Burton, H.</creatorcontrib><title>Public health genomics and personalized prevention: lessons from the COGS project</title><title>Journal of internal medicine</title><addtitle>J Intern Med</addtitle><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.</description><subject>ethical</subject><subject>Genetic Predisposition to Disease - genetics</subject><subject>Genetic Testing - methods</subject><subject>Genomics - methods</subject><subject>Humans</subject><subject>legal and social issues</subject><subject>Neoplasms - diagnosis</subject><subject>Neoplasms - genetics</subject><subject>Neoplasms - prevention & control</subject><subject>personalized prevention</subject><subject>polygenic risk stratification</subject><subject>Precision Medicine - methods</subject><subject>public health genomics</subject><subject>Risk Assessment</subject><subject>screening</subject><subject>Symposium: Cogs Symposium</subject><issn>0954-6820</issn><issn>1365-2796</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNqNkU1PGzEQhi3UCgLlwg-o9lghberPzbqHSijiU6C0anu2vPYsceRdB3sDgl-PQwDRC2Iu1mgePRrPi9ABwWOS6_siuG5MKJZ8C40Iq0RJJ7L6hEZYCl5WNcU7aDelBcaE4Qpvox3KSUY4GaHfv1aNd6aYg_bDvLiGPnTOpEL3tlhCTKHX3j1AbiLcQj-40P8oPKQ8SEUbQ1cMcyims9M_mQgLMMMX9LnVPsH-87uH_p0c_52elZez0_Pp0WVpuGC8nFiMG4ZtbQVmrIUW7ERo3dRScomtpdwCrVltKmHIxArNG4sZ4byRRFIq2B76ufEuV00H1uTlovZqGV2n470K2qn_J72bq-twq3jWYs6y4NuzIIabFaRBdS4Z8F73EFZJES5qwVg-7AdQzvJJpaAZPdygJoaUIrSvGxGs1nGpdVzqKa4Mf337h1f0JZ8MkA1w5zzcv6NSF7Pzq430EduJoIQ</recordid><startdate>201311</startdate><enddate>201311</enddate><creator>Pashayan, N.</creator><creator>Hall, A.</creator><creator>Chowdhury, S.</creator><creator>Dent, T.</creator><creator>Pharoah, P. 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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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