Storing paediatric genomic data for sequential interrogation across the lifespan

Genomic sequencing (GS) is increasingly used in paediatric medicine to aid in screening, research and treatment. Some health systems are trialling GS as a first-line test in newborn screening programmes. Questions about what to do with genomic data after it has been generated are becoming more perti...

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Main Authors: Gyngell, C, Lynch, F, Vears, D, Bowman-Smart, H, Savulescu, J, Christodoulou, J
Format: Journal article
Language:English
Published: BMJ 2023
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author Gyngell, C
Lynch, F
Vears, D
Bowman-Smart, H
Savulescu, J
Christodoulou, J
author_facet Gyngell, C
Lynch, F
Vears, D
Bowman-Smart, H
Savulescu, J
Christodoulou, J
author_sort Gyngell, C
collection OXFORD
description Genomic sequencing (GS) is increasingly used in paediatric medicine to aid in screening, research and treatment. Some health systems are trialling GS as a first-line test in newborn screening programmes. Questions about what to do with genomic data after it has been generated are becoming more pertinent. While other research has outlined the ethical reasons for storing deidentified genomic data to be used in research, the ethical case for storing data for future clinical use has not been explicated. In this paper, we examine the ethical case for storing genomic data with the intention of using it as a lifetime health resource. In this model, genomic data would be stored with the intention of reanalysis at certain points through one’s life. We argue this could benefit individuals and create an important public resource. However, several ethical challenges must first be met to achieve these benefits. We explore issues related to privacy, consent, justice and equality. We conclude by arguing that health systems should be moving towards futures that allow for the sequential interrogation of genomic data throughout the lifespan.
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spelling oxford-uuid:1a9a76fc-2e86-4948-afd2-171b36bf18532023-09-07T16:19:57ZStoring paediatric genomic data for sequential interrogation across the lifespanJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:1a9a76fc-2e86-4948-afd2-171b36bf1853EnglishSymplectic ElementsBMJ2023Gyngell, CLynch, FVears, DBowman-Smart, HSavulescu, JChristodoulou, JGenomic sequencing (GS) is increasingly used in paediatric medicine to aid in screening, research and treatment. Some health systems are trialling GS as a first-line test in newborn screening programmes. Questions about what to do with genomic data after it has been generated are becoming more pertinent. While other research has outlined the ethical reasons for storing deidentified genomic data to be used in research, the ethical case for storing data for future clinical use has not been explicated. In this paper, we examine the ethical case for storing genomic data with the intention of using it as a lifetime health resource. In this model, genomic data would be stored with the intention of reanalysis at certain points through one’s life. We argue this could benefit individuals and create an important public resource. However, several ethical challenges must first be met to achieve these benefits. We explore issues related to privacy, consent, justice and equality. We conclude by arguing that health systems should be moving towards futures that allow for the sequential interrogation of genomic data throughout the lifespan.
spellingShingle Gyngell, C
Lynch, F
Vears, D
Bowman-Smart, H
Savulescu, J
Christodoulou, J
Storing paediatric genomic data for sequential interrogation across the lifespan
title Storing paediatric genomic data for sequential interrogation across the lifespan
title_full Storing paediatric genomic data for sequential interrogation across the lifespan
title_fullStr Storing paediatric genomic data for sequential interrogation across the lifespan
title_full_unstemmed Storing paediatric genomic data for sequential interrogation across the lifespan
title_short Storing paediatric genomic data for sequential interrogation across the lifespan
title_sort storing paediatric genomic data for sequential interrogation across the lifespan
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