医疗保健专业人员在营养基因组学测试后的临床行动。

IF 1.3 4区医学 Q4 GENETICS & HEREDITY Public Health Genomics Pub Date : 2020-01-01 Epub Date: 2020-12-04 DOI:10.1159/000511785

Irem Karamanoglu, Daiva E Nielsen

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引用次数: 2

摘要

背景:临床对营养基因组学检测(NGT)的需求正在增加，强调了在实践中评估卫生保健专业人员(HCP)能力和临床行为的重要性。虽然以前的研究探讨了HCP对NGT的感知，但没有研究考察了实际中HCP对NGT的体验。目的:本研究的目的是评估早期采用NGT的HCPs在实践中使用NGT的临床经验。我们假设NGT后HCP的临床行为会根据HCP个人经历进行基因检测(GT)以及多年的实践而有所不同。设计:对在实践中提供NGT的医护人员(n = 70)进行在线调查问卷。采用χ2检验、趋势检验和逻辑回归比较HCP特征与ngt后结局。结果:执业年数最少的HCPs(20年:85%，p趋势= 0.003)。当HCP年龄为20岁时，因NGT结果而要求患者进行血液检查的患者显著增加(60%，p趋势= 0.010)。在亲自接受过GT的医护人员报告要求患者血检的比例较高的地方，观察到近乎显著的差异(个人使用:46% vs.非个人使用:23%，p-χ2 = 0.066)。结论:早期采用NGT的HCP患者利用检测结果为患者提供基于基因的饮食建议。目前，NGT后的临床作用似乎是由HCP年数驱动的，但HCP个人使用GT也可能是一个因素。

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Healthcare Professional Clinical Actions following Nutrigenomics Testing in Practice.

Background: Clinical demand for nutrigenomics testing (NGT) is increasing, underscoring the importance of assessing healthcare professional (HCP) competence and clinical actions with NGT in practice. While previous studies have explored HCP perceptions of NGT, no study has examined real HCP experiences with NGT in practice.

Objective: The objective of this study was to evaluate the clinical experience of providing NGT among early adopter HCPs who have used NGT in their practice. We hypothesized that HCP clinical actions after NGT would differ according to HCP personal experience undergoing genetic testing (GT) as well as years in practice.

Design: An online survey questionnaire was administered to HCPs (n = 70) who have provided NGT in practice. χ2 tests, tests for trend, and logistic regression were used to compare HCP characteristics with post-NGT outcomes.

Results: HCPs with fewest years in practice (<5 years) comprised the lowest proportion of respondents (16%). Most HCPs reported good understanding of NGT results and 92% made genetic-based dietary recommendations to patients following NGT. HCP personal use of GT increased significantly with increasing years in practice (<5 years: 36%, 5-10 years: 53%, 11-20 years: 70%, and >20 years: 85%, p trend = 0.003). Requesting patient bloodwork because of NGT results increased significantly with HCP years in practice when HCPs with <5 years in practice were not considered (5-10 years: 19%, 11-20 years: 28%, and >20 years: 60%, p trend = 0.010). A near significant difference was observed where a greater proportion of HCPs who had personally undergone GT reported requesting patient bloodwork (personal use: 46% vs. no personal use: 23%, p-χ2 = 0.066).

Conclusion: Early HCP adopters of NGT utilize the test results to provide genetic-based dietary recommendations to patients. Clinical action after NGT currently appears to be driven by HCP years in practice, but HCP personal use of GT may also be a factor.

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来源期刊

Public Health Genomics 医学-公共卫生、环境卫生与职业卫生

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： ''Public Health Genomics'' is the leading international journal focusing on the timely translation of genome-based knowledge and technologies into public health, health policies, and healthcare as a whole. This peer-reviewed journal is a bimonthly forum featuring original papers, reviews, short communications, and policy statements. It is supplemented by topic-specific issues providing a comprehensive, holistic and ''all-inclusive'' picture of the chosen subject. Multidisciplinary in scope, it combines theoretical and empirical work from a range of disciplines, notably public health, molecular and medical sciences, the humanities and social sciences. In so doing, it also takes into account rapid scientific advances from fields such as systems biology, microbiomics, epigenomics or information and communication technologies as well as the hight potential of ''big data'' for public health.