Center for Genomic Medicine, Institute for Genome Sciences & Policy, Duke University, Durham, North Carolina 27708, USA.
Annu Rev Genomics Hum Genet. 2011;12:217-44. doi: 10.1146/annurev-genom-082410-101446.
Personalized medicine is a broad and rapidly advancing field of health care that is informed by each person's unique clinical, genetic, genomic, and environmental information. Personalized medicine depends on multidisciplinary health care teams and integrated technologies (e.g., clinical decision support) to utilize our molecular understanding of disease in order to optimize preventive health care strategies. Human genome information now allows providers to create optimized care plans at every stage of a disease, shifting the focus from reactive to preventive health care. The further integration of personalized medicine into the clinical workflow requires overcoming several barriers in education, accessibility, regulation, and reimbursement. This review focuses on providing a comprehensive understanding of personalized medicine, from scientific discovery at the laboratory bench to integration of these novel ways of understanding human biology at the bedside.
个性化医疗是一个广泛且快速发展的医疗保健领域,它以每个人独特的临床、遗传、基因组和环境信息为依据。个性化医疗依赖多学科的医疗保健团队和集成技术(例如,临床决策支持)来利用我们对疾病的分子认识,以优化预防保健策略。人类基因组信息现在使提供者能够在疾病的每个阶段创建优化的护理计划,将重点从反应性医疗保健转移到预防保健。进一步将个性化医疗融入临床工作流程需要克服教育、可及性、监管和报销方面的几个障碍。这篇综述的重点是提供对个性化医疗的全面理解,从实验室台的科学发现到床边这些理解人类生物学新方法的整合。