Details

Autor(en) / Beteiligte

• Wolf, Susan M
• Amendola, Laura M
• Berg, Jonathan S
• Chung, Wendy K
• Clayton, Ellen Wright
• Green, Robert C
• Harris-Wai, Julie
• Henderson, Gail E
• Jarvik, Gail P
• Koenig, Barbara A
• Lehmann, Lisa Soleymani
• McGuire, Amy L
• O'Rourke, Pearl
• Somkin, Carol
• Wilfond, Benjamin S
• Burke, Wylie

Titel

Navigating the research-clinical interface in genomic medicine: analysis from the CSER Consortium

Ist Teil von

• Genetics in medicine, 2018-05, Vol.20 (5), p.545-553

Ort / Verlag

United States: Elsevier Limited

Erscheinungsjahr

2018

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• PurposeThe Clinical Sequencing Exploratory Research (CSER) Consortium encompasses nine National Institutes of Health-funded U-award projects investigating translation of genomic sequencing into clinical care. Previous literature has distinguished norms and rules governing research versus clinical care. This is the first study to explore how genomics investigators describe and navigate the research-clinical interface.MethodsA CSER working group developed a 22-item survey. All nine U-award projects participated. Descriptive data were tabulated and qualitative analysis of text responses identified themes and characterizations of the research-clinical interface.ResultsSurvey responses described how studies approached the research-clinical interface, including in consent practices, recording results, and using a research versus clinical laboratory. Responses revealed four characterizations of the interface: clear separation between research and clinical care, interdigitation of the two with steps to maintain separation, a dynamic interface, and merging of the two. All survey respondents utilized at least two different characterizations. Although research has traditionally been differentiated from clinical care, respondents pointed to factors blurring the distinction and strategies to differentiate the domains.ConclusionThese results illustrate the difficulty in applying the traditional bifurcation of research versus clinical care to translational models of clinical research, including in genomics. Our results suggest new directions for ethics and oversight.