Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities.

Details

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State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_94C6F4C5AB44
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Reconciling evidence-based medicine and precision medicine in the era of big data: challenges and opportunities.
Journal
Genome medicine
Author(s)
Beckmann J.S., Lew D.
ISSN
1756-994X (Electronic)
ISSN-L
1756-994X
Publication state
Published
Issued date
19/12/2016
Peer-reviewed
Oui
Volume
8
Number
1
Pages
134
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: epublish
Abstract
This era of groundbreaking scientific developments in high-resolution, high-throughput technologies is allowing the cost-effective collection and analysis of huge, disparate datasets on individual health. Proper data mining and translation of the vast datasets into clinically actionable knowledge will require the application of clinical bioinformatics. These developments have triggered multiple national initiatives in precision medicine-a data-driven approach centering on the individual. However, clinical implementation of precision medicine poses numerous challenges. Foremost, precision medicine needs to be contrasted with the powerful and widely used practice of evidence-based medicine, which is informed by meta-analyses or group-centered studies from which mean recommendations are derived. This "one size fits all" approach can provide inadequate solutions for outliers. Such outliers, which are far from an oddity as all of us fall into this category for some traits, can be better managed using precision medicine. Here, we argue that it is necessary and possible to bridge between precision medicine and evidence-based medicine. This will require worldwide and responsible data sharing, as well as regularly updated training programs. We also discuss the challenges and opportunities for achieving clinical utility in precision medicine. We project that, through collection, analyses and sharing of standardized medically relevant data globally, evidence-based precision medicine will shift progressively from therapy to prevention, thus leading eventually to improved, clinician-to-patient communication, citizen-centered healthcare and sustained well-being.
Keywords
Databases, Factual, Evidence-Based Medicine/methods, Evidence-Based Medicine/trends, Humans, Precision Medicine/methods, Precision Medicine/trends
Pubmed
Web of science
Open Access
Yes
Create date
28/09/2017 13:32
Last modification date
09/08/2024 15:53
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