Health Systems and Equity, Eastern Health Clinical School, Monash University, Box Hill, Victoria, Australia.
Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Nat Med. 2024 Jul;30(7):1874-1881. doi: 10.1038/s41591-024-03033-3. Epub 2024 Jul 19.
Precision medicine should aspire to reduce error and improve accuracy in medical and health recommendations by comparison with contemporary practice, while maintaining safety and cost-effectiveness. The etiology, clinical manifestation and prognosis of diseases such as obesity, diabetes, cardiovascular disease, kidney disease and fatty liver disease are heterogeneous. Without standardized reporting, this heterogeneity, combined with the diversity of research tools used in precision medicine studies, makes comparisons across studies and implementation of the findings challenging. Specific recommendations for reporting precision medicine research do not currently exist. The BePRECISE (Better Precision-data Reporting of Evidence from Clinical Intervention Studies & Epidemiology) consortium, comprising 23 experts in precision medicine, cardiometabolic diseases, statistics, editorial and lived experience, conducted a scoping review and participated in a modified Delphi and nominal group technique process to develop guidelines for reporting precision medicine research. The BePRECISE checklist comprises 23 items organized into 5 sections that align with typical sections of a scientific publication. A specific section about health equity serves to encourage precision medicine research to be inclusive of individuals and communities that are traditionally under-represented in clinical research and/or underserved by health systems. Adoption of BePRECISE by investigators, reviewers and editors will facilitate and accelerate equitable clinical implementation of precision medicine.
精准医学应通过与当代实践进行比较,力求减少医疗和健康建议中的错误,并提高准确性,同时保持安全性和成本效益。肥胖症、糖尿病、心血管疾病、肾病和脂肪肝等疾病的病因、临床表现和预后存在异质性。如果没有标准化的报告,这种异质性,再加上精准医学研究中使用的研究工具的多样性,使得跨研究比较和实施研究结果具有挑战性。目前没有针对精准医学研究报告的具体建议。由 23 名精准医学、代谢性心血管疾病、统计学、编辑和真实体验方面的专家组成的 BePRECISE(临床干预研究和流行病学证据的更精准数据报告)联盟,开展了范围界定审查,并参与了改良德尔菲法和名义群体技术流程,以制定精准医学研究报告指南。BePRECISE 清单包含 23 个项目,分为 5 个部分,与科学出版物的典型部分一致。一个关于健康公平的专门部分旨在鼓励精准医学研究将传统上在临床研究中代表性不足的个人和社区以及卫生系统服务不足的个人和社区纳入其中。研究人员、评审员和编辑采用 BePRECISE 将有助于并加速精准医学的公平临床实施。