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患者对建立DNA生物样本库方法的态度和看法。

Attitudes and perceptions of patients towards methods of establishing a DNA biobank.

作者信息

Pulley Jill M, Brace Margaret M, Bernard Gordon R, Masys Dan R

机构信息

Vanderbilt University Medical Center, Vanderbilt Office of Research, 2525 West End Avenue, 6th Floor, Nashville, TN 37203-8820, USA.

出版信息

Cell Tissue Bank. 2008 Mar;9(1):55-65. doi: 10.1007/s10561-007-9051-2. Epub 2007 Oct 25.

Abstract

BACKGROUND

This study aimed to assess patient attitudes as part of the planning process for a large-scale effort to collect genetic samples for research from excess clinical blood specimens ('DNA Databank' project).

METHOD

A pre-tested, 38-item questionnaire was mailed to a random sample of 5,000 inpatients, outpatients, and emergency department patients.

RESULTS

Approximately 20% of patients responded (n = 1003). Most were comfortable with anonymized genetic information being used for research (89.3%) and supported the potential benefits (98.7%). A binary logistic regression on the level of comfort with the DNA program shows that the variability in respondents' feelings about the program can best be explained by beliefs, age, and health status. Respondents were attitudinally segmented into 5 distinct categories.

CONCLUSIONS

These data indicate general acceptance among respondents, but a subset of the population would be opposed to the program. This reinforces the need to broadly and continuously communicate with patients about the program and the ability to exclude a given sample. The effects of prior beliefs would benefit from further exploration.

摘要

背景

本研究旨在评估患者的态度,这是一项大规模工作规划过程的一部分,该工作旨在从多余的临床血液样本中收集基因样本用于研究(“DNA数据库”项目)。

方法

一份经过预测试的、包含38个条目的问卷被邮寄给5000名住院患者、门诊患者和急诊科患者的随机样本。

结果

约20%的患者做出了回应(n = 1003)。大多数患者对匿名基因信息用于研究感到放心(89.3%),并支持其潜在益处(98.7%)。对DNA项目放心程度的二元逻辑回归表明,受访者对该项目感受的差异最好由信念、年龄和健康状况来解释。受访者在态度上被分为5个不同类别。

结论

这些数据表明受访者普遍接受,但有一部分人群会反对该项目。这强化了需要就该项目以及排除特定样本的能力与患者进行广泛且持续沟通的必要性。先前信念的影响将受益于进一步探索。

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