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药物遗传学与平面媒体:公众被告知的是什么?

Pharmacogenetics and the print media: what is the public told?

作者信息

Almomani Basima, Hawwa Ahmed F, Goodfellow Nicola A, Millership Jeffrey S, McElnay James C

机构信息

Clinical and Practice Research Group, School of Pharmacy, Medical Biology Centre, Queen's University Belfast, 97 Lisburn Road, Belfast, BT9 7BL, UK.

Aston Pharmacy School, Aston University, Birmingham, B4 7ET, UK.

出版信息

BMC Med Genet. 2015 May 9;16:32. doi: 10.1186/s12881-015-0172-3.

Abstract

BACKGROUND

Pharmacogenetics is a rapidly growing field that aims to identify the genes that influence drug response. This science can be used as a powerful tool to tailor drug treatment to the genetic makeup of individuals. The present study explores the coverage of the topic of pharmacogenetics and its potential benefit in personalised medicine by the UK newsprint media.

METHODS

The LexisNexis database was used to identify and retrieve full text articles from the 10 highest circulation national daily newspapers and their Sunday equivalents in the UK. Content analysis of newspaper articles which referenced pharmacogenetic testing was carried out. A second researcher coded a random sample (21%) of newspaper articles to establish the inter-rater reliability of coding.

RESULTS

Of the 256 articles captured by the search terms, 96 articles (with pharmacogenetics as a major component) met the study inclusion criteria. The majority of articles over-stated the benefits of pharmacogenetic testing while paying less attention to the associated risks. Overall beneficial effects were mentioned 5.3 times more frequently than risks (p < 0.001). The most common illnesses for which pharmacogenetically based personalised medicine was discussed were cancer, cardiovascular disease and CNS diseases. Only 13% of newspaper articles that cited a specific scientific study mentioned this link in the article. There was a positive correlation between the size of the article and both the number of benefits and risks stated (P < 0.01).

CONCLUSION

More comprehensive coverage of the area of personalised medicine within the print media is needed to inform public debate on the inclusion of pharmacogentic testing in routine practice.

摘要

背景

药物遗传学是一个快速发展的领域,旨在识别影响药物反应的基因。这门科学可作为一种强大工具,根据个体的基因构成来定制药物治疗方案。本研究探讨了英国报纸媒体对药物遗传学主题的报道范围及其在个性化医疗中的潜在益处。

方法

使用LexisNexis数据库从英国发行量最大的10家全国性日报及其周日版中识别并检索全文文章。对提及药物遗传学检测的报纸文章进行内容分析。另一位研究人员对报纸文章的随机样本(21%)进行编码,以确定编码的评分者间信度。

结果

在搜索词捕获的256篇文章中,96篇(以药物遗传学为主要内容)符合研究纳入标准。大多数文章夸大了药物遗传学检测的益处,而对相关风险关注较少。总体而言,提及有益效果的频率比风险高5.3倍(p < 0.001)。讨论基于药物遗传学的个性化医疗的最常见疾病是癌症、心血管疾病和中枢神经系统疾病。在引用特定科学研究的报纸文章中,只有13%在文章中提到了这种联系。文章篇幅与所陈述的益处和风险数量之间存在正相关(P < 0.01)。

结论

印刷媒体需要更全面地报道个性化医疗领域,以便为关于将药物遗传学检测纳入常规实践的公众辩论提供信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62d/4630890/ec26b209ad3a/12881_2015_172_Fig1_HTML.jpg

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