Individualized Medicine Between Hype and Hope

Individualized Medicine Between Hype and Hope
Author: Peter Dabrock
Publisher: LIT Verlag Münster
Total Pages: 245
Release: 2012
Genre: Medical
ISBN: 3643902980

"Individualized medicine" is a catchphrase currently used to denote efforts in medical research and practice to establish tailored healthcare. The vision of "personalized" medicine has proved to be highly ambivalent, reflecting hype and hope - compared to the great expectations only very few applications have been realized up to now. The contributions to this volume discuss the challenges for patients, doctors, and the healthcare system and examine ethical and societal issues arising from one the most promising and most controversial developments in medical science and biotechnology. (Series: Medizin und Gesellschaft - Vol. 19)

Hope Or Hype

Hope Or Hype
Author: Richard A. Deyo
Publisher: AMACOM/American Management Association
Total Pages: 364
Release: 2005
Genre: Business & Economics
ISBN: 9780814428597

Annotation Medical science has always promised -- and often delivered -- a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?Hope or Hype is a taboo-shattering look at what drives the American obsession with medical "miracles," exposing the equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery; the politicians; the press; and our own "technoconsumption" mindset. The authors spread blame for the parade of so-called miracle cures that too often are marginally effective at best -- and sometimes downright dangerous. They examine consumers? eager embrace of medical advances, and present riveting stories of the conscientious doctors and researchers who blew the whistle on ineffective treatments. Finally, they provide sane, practical recommendations for the adoption of new developments. The consequences of questionable practices include costly recalls, billions in wasted money, and the pain and suffering of innumerable patients and their families. In short, they must stop.

Precision Cancer Medicine

Precision Cancer Medicine
Author: Sameek Roychowdhury
Publisher: Springer Nature
Total Pages: 196
Release: 2020-01-02
Genre: Medical
ISBN: 3030236374

Genomic sequencing technologies have augmented the classification of cancer beyond tissue of origin and towards a molecular taxonomy of cancer. This has created opportunities to guide treatment decisions for individual patients with cancer based on their cancer’s unique molecular characteristics, also known as precision cancer medicine. The purpose of this text will be to describe the contribution and need for multiple disciplines working together to deliver precision cancer medicine. This entails a multi-disciplinary approach across fields including molecular pathology, computational biology, clinical oncology, cancer biology, drug development, genetics, immunology, and bioethics. Thus, we have outlined a current text on each of these fields as they work together to overcome various challenges and create opportunities to deliver precision cancer medicine. As trainees and junior faculty enter their respective fields, this text will provide a framework for understanding the role and responsibility for each specialist to contribute to this team science approach.

An Immense New Power to Heal

An Immense New Power to Heal
Author: Lee Gutkind
Publisher: Underland Press
Total Pages: 0
Release: 2012
Genre: Medical
ISBN: 9781937163068

The successful completion of the Human Genome Project in 2003 created both hope and hype with regard to advancements in medical therapies. The delineation of precise genetic information suggested the possibility of predicting an individual's future health as well as the theoretical ability to intervene and fix it. Nearly a decade later, Gutkind and Kennedy (writers who are well versed in exploring both the technical and personal sides of science and medicine) chronicle the growing pains of personalized medicine, a genomic-driven, individualized type of preventive health care with uniquely targeted treatments. Interviews with researchers, patients, physicians, and others in the genomic business lead the authors to conclude that although personalized medicine has plenty of power and promise, it has a long way to go before becoming the standard of medical care. Sequencing your own genome is already quite accessible and getting cheaper all the time. Managing and making sense of vast amounts of genetic data remain daunting." (Booklist, copyright 2012, American Library Association.).--

The Ethics of Personalised Medicine

The Ethics of Personalised Medicine
Author: Jochen Vollmann
Publisher: Routledge
Total Pages: 291
Release: 2016-03-09
Genre: Medical
ISBN: 1317033728

In recent times, the phrase ’personalised medicine’ has become the symbol of medical progress and a label for better health care in the future. However, a controversial debate has developed around whether these promises of better, more personal and more cost-efficient medicine are realistic. This book brings together leading researchers from across Europe and North America, from both normative and empirical disciplines, who take a more critical view of the often encountered hype associated with personalised medicine. Partially drawing on a four year collaborative research project funded by the German Ministry for Education and Research, the book presents a multidisciplinary debate on the current state of research on the ethical, legal and social implications of personalised medicine. At a time when future health care is a topic of much discussion, this book provides valuable policy recommendations for the way forward. This study will be of interest to researchers from various disciplines including philosophy, bioethics, law and social sciences.

Toward Precision Medicine

Toward Precision Medicine
Author: National Research Council
Publisher: National Academies Press
Total Pages: 142
Release: 2012-01-16
Genre: Medical
ISBN: 0309222222

Motivated by the explosion of molecular data on humans-particularly data associated with individual patients-and the sense that there are large, as-yet-untapped opportunities to use this data to improve health outcomes, Toward Precision Medicine explores the feasibility and need for "a new taxonomy of human disease based on molecular biology" and develops a potential framework for creating one. The book says that a new data network that integrates emerging research on the molecular makeup of diseases with clinical data on individual patients could drive the development of a more accurate classification of diseases and ultimately enhance diagnosis and treatment. The "new taxonomy" that emerges would define diseases by their underlying molecular causes and other factors in addition to their traditional physical signs and symptoms. The book adds that the new data network could also improve biomedical research by enabling scientists to access patients' information during treatment while still protecting their rights. This would allow the marriage of molecular research and clinical data at the point of care, as opposed to research information continuing to reside primarily in academia. Toward Precision Medicine notes that moving toward individualized medicine requires that researchers and health care providers have access to very large sets of health- and disease-related data linked to individual patients. These data are also critical for developing the information commons, the knowledge network of disease, and ultimately the new taxonomy.

Individualized Medicine

Individualized Medicine
Author: Tobias Fischer
Publisher: Springer
Total Pages: 326
Release: 2015-01-16
Genre: Medical
ISBN: 331911719X

In 2009 the University Medicine Greifswald launched the “Greifswald Approach to Individualized Medicine” (GANI_MED) to implement biomarker-based individualized diagnostic and therapeutic strategies in clinical settings. Individualized Medicine (IM) has led not only to controversies about its potentials, but also about its societal, ethical and health economic implications. This anthology focusses on these areas and includes – next to clinical examples illustrating how the integrated analysis of biomarkers leads to significant improvement of therapeutic outcomes for a subgroup of patients – chapters about the definition, history and epistemology of IM. Additionally there is a focus on conceptual philosophical questions as well as challenges for applied research ethics (informed consent process, the IT-based consent management and the handling of incidental findings). Finally it pays attention to health economic aspects. The possibilities of IM to initiate a paradigm shift in the German health care provision are investigated. Furthermore, it is asked whether the G-DRG system is ready for the implementation of such approaches into clinical routine.

Pharmacogenomics

Pharmacogenomics
Author: Julio Licinio
Publisher: John Wiley & Sons
Total Pages: 599
Release: 2009-07-30
Genre: Science
ISBN: 3527616306

This work represents the first comprehensive publication in the innovative field of pharmacogenomics, a field which is set to revolutionize pharmaceutical research. In addition to renowned editors, the list of contributors is a "who-is-who" in the field. Broad coverage of all aspects of pharmacogenomics with a full presentation of applications to disease conditions is featured. Anyone involved in pharmaceutical research and drug development needs this book to keep up with this new and revolutionary approach

Medical Ethics, Prediction, and Prognosis

Medical Ethics, Prediction, and Prognosis
Author: Mariacarla Gadebusch Bondio
Publisher: Routledge
Total Pages: 280
Release: 2017-04-21
Genre: Philosophy
ISBN: 1351802585

Recent scientific developments, in particular advances in pharmacogenetics and molecular genetics, have given rise to numerous predictive procedures for detecting predispositions to diseases in patients. This knowledge, however, does not necessarily promise benign results for either patients or health care professionals. The aim of this volume is to analyse issues related to prediction and prognosis as a burgeoning field of medicine, which is revolutionizing the way we understand and approach diagnosis and treatment. Combining epistemic and ethical reflection with medical expertise on contemporary practice and research, an interdisciplinary group of international experts critically examine anticipatory medicine from various perspectives, including history of medicine, bioethics, theories of science, and health economics. The highly complex issues involved in medical prediction call for a far-reaching debate on the value and scope of foreknowledge. For example, which responsibilities and burdens arise when still healthy people learn of their predisposition to diseases? How should health care insurance reflect risky life styles? Is the increasing medicalization of life connected with prevention ethically sustainable and financially possible in the developing world? These and other related issues are the subject of this timely and important book, which not only serves as an introduction to the area, but also proposes many feasible solutions to the problems outlined.

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine’s Computer Age
Author: Robert Wachter
Publisher: McGraw Hill Professional
Total Pages: 352
Release: 2015-04-10
Genre: Business & Economics
ISBN: 0071849475

The New York Times Science Bestseller from Robert Wachter, Modern Healthcare’s #1 Most Influential Physician-Executive in the US While modern medicine produces miracles, it also delivers care that is too often unsafe, unreliable, unsatisfying, and impossibly expensive. For the past few decades, technology has been touted as the cure for all of healthcare’s ills. But medicine stubbornly resisted computerization – until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital. Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America’s leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point? Logically enough, we’ve pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . . Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation’s most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story. "We need to recognize that computers in healthcare don’t simply replace my doctor’s scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it’s not too late to get it right." This riveting book offers the prescription for getting it right, making it essential reading for everyone – patient and provider alike – who cares about our healthcare system.