个性化癌症基因组学的临床报告需要广泛获取仅限订阅的文献。

IF 2.9 4区 医学 Q1 INFORMATION SCIENCE & LIBRARY SCIENCE Journal of the Medical Library Association Pub Date : 2023-04-21 DOI:10.5195/jmla.2023.1572
Schnell D'Souza, Gregory Downs, Shawn Hendrikx, Rouhi Fazelzad, Gabriel Boldt, Karen Burns, Darlene Chapman, Declan Dawes, Antonia Giannarakos, Lori Anne Oja, Risa Schorr, Maureen Babb, Amanda Hodgson, Jessica McEwan, Pamela Jacobs, Tracy Stockley, Tim Tripp, Ian King
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引用次数: 0

摘要

目的:癌症的医疗越来越多地由基因组实验室检测指导,以检测肿瘤基因组的改变,这对诊断、预后和治疗具有重要意义。在医学中,提供者必须为每个病人检索生物医学文献,以确定这些改变的临床意义。获取已发表的科学文献往往需要支付高额费用,而且仅限于机构订阅。我们试图调查临床癌症基因组学提供者获取科学文献的程度,以及大学和医院系统图书馆在癌症治疗信息获取中的潜在作用。方法:我们在大学健康网络(多伦多,加拿大)的1842名癌症患者的临床检测结果的解释和报告过程中检索了265种期刊。我们确定了这组临床重要文献的开放获取程度,对于无法通过开放获取获得的期刊,我们调查了七个学术医院系统及其附属大学的订阅情况。结果:这项研究发现,近一半(116/265)的期刊有开放获取授权,使文章在发布一年内免费提供。对于其余的订阅访问期刊,大学提供了统一的高水平访问,但通过医院系统收集的访问权限差异很大。结论:本研究强调了在临床实践中获取使用科学文献的不同模式的重要性,并指出了随着基因组医学规模和复杂性的增长,必须克服的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Clinical reporting for personalized cancer genomics requires extensive access to subscription-only literature.

Objective: Medical care for cancer is increasingly directed by genomic laboratory testing for alterations in the tumor genome that are significant for diagnosis, prognosis and therapy. Uniquely in medicine, providers must search the biomedical literature for each patient to determine the clinical significance of these alterations. Access to published scientific literature is frequently subject to high fees, with access limited to institutional subscriptions. We sought to investigate the degree to which the scientific literature is accessible to clinical cancer genomics providers, and the potential role of university and hospital system libraries in information access for cancer care.

Methods: We identified 265 journals that were accessed during the interpretation and reporting of clinical test results from 1,842 cancer patients at the University Health Network (Toronto, Canada). We determined the degree of open access for this set of clinically important literature, and for any journals not available through open access we surveyed subscription access at seven academic hospital systems and at their affiliated universities.

Results: This study found that nearly half (116/265) of journals have open access mandates that make articles freely available within one year of release. For the remaining subscription access journals, universities provided a uniformly high level of access, but access available through hospital system collections varied widely.

Conclusion: This study highlights the importance of different modes of access to the use of the scientific literature in clinical practice and points to challenges that must be overcome as genomic medicine grows in scale and complexity.

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来源期刊
Journal of the Medical Library Association
Journal of the Medical Library Association INFORMATION SCIENCE & LIBRARY SCIENCE-
CiteScore
4.10
自引率
10.00%
发文量
39
审稿时长
26 weeks
期刊介绍: The Journal of the Medical Library Association (JMLA) is an international, peer-reviewed journal published quarterly that aims to advance the practice and research knowledgebase of health sciences librarianship. The most current impact factor for the JMLA (from the 2007 edition of Journal Citation Reports) is 1.392.
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