遗传性代谢疾病基因治疗研究中医疗服务提供者的理解调查。
Survey of Health Care Provider Understanding of Gene Therapy Research for Inherited Metabolic Disorders.
机构信息
Oregon Health and Science University, Portland, Oregon, USA.
Guy's and St Thomas' NHS Foundation Trust, St Thomas' Hospital, London, United Kingdom.
出版信息
Clin Ther. 2022 Aug;44(8):1045-1056. doi: 10.1016/j.clinthera.2022.07.002. Epub 2022 Aug 1.
PURPOSE
The treatment of inherited metabolic disorders (IMDs) has traditionally relied on dietary interventions that are difficult to maintain, expensive, and socially isolating. The development of gene therapy for IMDs aims to provide sufficient gene activity to address the underlying causes of these conditions. This study surveyed health care providers (HCPs) to characterize their familiarity with gene therapy technologies and to identify educational needs across roles in a multidisciplinary care team.
METHODS
The link to a Web-based, 26-question survey was distributed to HCPs in North America and Europe who were involved in IMD patient care. Results were analyzed using descriptive statistics.
FINDINGS
Of the 590 survey link recipients, 64 completed the survey. Of these, 35 (55%) respondents were physicians, 23 (36%) were dietitians, 3 (5%) were nurse practitioners, 2 (3%) were genetic counselors, and 1 (2%) was a nurse. Most survey respondents (88% [n = 56 of 64]) reported the belief that gene therapy for IMDs would be available within 5 years of study conduct. Although nearly all physicians (97% [n = 34 of 35]) expressed awareness of gene therapy, rates of reported familiarity were lower among dietitians (57% [n = 13 of 23]); confidence in conversations with colleagues and patients/caregivers was also discordant. Nearly all HCPs wanted education on gene therapy advancements, and the most preferred informational sources were published literature and congress presentations.
IMPLICATIONS
There is an urgent need for education on topics related to gene therapy modalities. Professional education on gene therapies is desired across all specialties and will be important for unified treatment practices in IMD care.
目的
遗传性代谢疾病(IMD)的传统治疗方法依赖于饮食干预,这些方法难以维持、费用高昂且具有社交隔离性。针对 IMD 的基因治疗旨在提供足够的基因活性,以解决这些疾病的根本原因。本研究调查了医疗保健提供者(HCP),以了解他们对基因治疗技术的熟悉程度,并确定多学科护理团队中各角色的教育需求。
方法
将一个包含 26 个问题的网络调查链接分发给参与 IMD 患者护理的北美和欧洲的 HCP。使用描述性统计分析结果。
结果
在 590 名调查链接收件人中,有 64 人完成了调查。其中,35 名(55%)受访者为医生,23 名(36%)为营养师,3 名(5%)为执业护士,2 名(3%)为遗传咨询师,1 名(2%)为护士。大多数调查受访者(88%[n=64 中的 56])认为 IMD 的基因治疗将在研究进行后的 5 年内可用。尽管几乎所有医生(97%[n=35 中的 34])都意识到基因治疗,但营养师的报告熟悉程度较低(57%[n=23 中的 13]);与同事和患者/照顾者交谈的信心也不一致。几乎所有 HCP 都希望接受基因治疗进展方面的教育,他们最希望的信息来源是已发表的文献和会议演讲。
意义
迫切需要开展与基因治疗模式相关的教育。所有专业都需要对基因疗法进行专业教育,这对于 IMD 护理的统一治疗实践非常重要。