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预测性基因检测的经济学评价:范围综述。

Economic evaluations of predictive genetic testing: A scoping review.

机构信息

Primary Care Unit, Department of Public Health and Primary Care, University of Cambridge, Cambridge, United Kingdom.

Department of Pharmaceutical and Health Economics, Leonard D. Schaeffer Center for Health Policy and Economics, School of Pharmacy, University of Southern California, Los Angeles, California, United States of America.

出版信息

PLoS One. 2023 Aug 2;18(8):e0276572. doi: 10.1371/journal.pone.0276572. eCollection 2023.

Abstract

Predictive genetic testing can provide information about whether or not someone will develop or is likely to develop a specific condition at a later stage in life. Economic evaluation can assess the value of money for such testing. Studies on the economic evaluation of predictive genetic testing have been carried out in a variety of settings, and this research aims to conduct a scoping review of findings from these studies. We searched the PubMed, Web of Science, Embase, and Cochrane databases with combined search terms, from 2019 to 2022. Relevant studies from 2013 to 2019 in a previous systematic review were also included. The study followed the recommended stages for undertaking a scoping review. A total of 53 studies were included, including 33 studies from the previous review and 20 studies from the search of databases. A significant number of studies focused on the US, UK, and Australia (34%, 23%, and 11%). The most frequently included health conditions were cancer and cardiovascular diseases (68% and 19%). Over half of the studies compared predictive genetic testing with no genetic testing, and the majority of them concluded that at least some type of genetic testing was cost-effective compared to no testing (94%). Some studies stated that predictive genetic testing is becoming more cost-effective with the trend of lowering genetic testing costs. Studies on predictive genetic testing covered various health conditions, particularly cancer and cardiovascular diseases. Most studies indicated that predictive genetic testing is cost-effective compared to no testing.

摘要

预测性基因检测可以提供关于一个人在以后的生活中是否会患上或可能患上特定疾病的信息。经济评估可以评估此类检测的货币价值。已经在各种环境中开展了关于预测性基因检测的经济评估研究,本研究旨在对这些研究的结果进行范围综述。我们使用联合搜索词在 PubMed、Web of Science、Embase 和 Cochrane 数据库中进行了搜索,时间范围为 2019 年至 2022 年。还包括之前系统评价中 2013 年至 2019 年的相关研究。研究遵循了进行范围综述的建议阶段。共纳入 53 项研究,包括之前综述中的 33 项研究和数据库搜索中的 20 项研究。相当多的研究集中在美国、英国和澳大利亚(34%、23%和 11%)。最常包括的健康状况是癌症和心血管疾病(68%和 19%)。超过一半的研究将预测性基因检测与无基因检测进行了比较,其中大多数研究得出结论,与不进行任何检测相比,至少某些类型的基因检测具有成本效益(94%)。一些研究表明,随着基因检测成本降低的趋势,预测性基因检测的成本效益正在提高。关于预测性基因检测的研究涵盖了各种健康状况,特别是癌症和心血管疾病。大多数研究表明,与不进行任何检测相比,预测性基因检测具有成本效益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/936c/10395838/87859e7dc01f/pone.0276572.g001.jpg

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