The Promise and the hype of 'personalised medicine'

Personalised medicine is widely considered as the way of the future for medicine. However, progress in cancer, with a few outstanding exceptions, has fallen below expectations because of the challenges of tumour heterogeneity and clonal evolution. In both benign and malignant disease, diseases cause...

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Main Author: Maughan, T
Format: Journal article
Language:English
Published: Taylor and Francis 2017
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author Maughan, T
author_facet Maughan, T
author_sort Maughan, T
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description Personalised medicine is widely considered as the way of the future for medicine. However, progress in cancer, with a few outstanding exceptions, has fallen below expectations because of the challenges of tumour heterogeneity and clonal evolution. In both benign and malignant disease, diseases caused by single genetic alterations are more amenable to precision medicine approaches. However, most common diseases are caused by a complex interplay of multiple genetic and environmental factors making personalised medicine far more challenging. The current optimism for personalised medicine is distorting clinical consultations, resource allocation and research funding prioritisation. A research active clinician must act both as an agent of change and development, and as a communicator of realism. Thus personalised medicine that includes a sober appreciation of what genomics can achieve, together with continued focus on the individual as a person not just as a genome, will contribute to further improvements in health and healthcare.
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spelling oxford-uuid:7ac862e7-ad8b-41d9-a766-a41db3dd12972022-03-26T20:46:16ZThe Promise and the hype of 'personalised medicine'Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:7ac862e7-ad8b-41d9-a766-a41db3dd1297EnglishSymplectic Elements at OxfordTaylor and Francis2017Maughan, TPersonalised medicine is widely considered as the way of the future for medicine. However, progress in cancer, with a few outstanding exceptions, has fallen below expectations because of the challenges of tumour heterogeneity and clonal evolution. In both benign and malignant disease, diseases caused by single genetic alterations are more amenable to precision medicine approaches. However, most common diseases are caused by a complex interplay of multiple genetic and environmental factors making personalised medicine far more challenging. The current optimism for personalised medicine is distorting clinical consultations, resource allocation and research funding prioritisation. A research active clinician must act both as an agent of change and development, and as a communicator of realism. Thus personalised medicine that includes a sober appreciation of what genomics can achieve, together with continued focus on the individual as a person not just as a genome, will contribute to further improvements in health and healthcare.
spellingShingle Maughan, T
The Promise and the hype of 'personalised medicine'
title The Promise and the hype of 'personalised medicine'
title_full The Promise and the hype of 'personalised medicine'
title_fullStr The Promise and the hype of 'personalised medicine'
title_full_unstemmed The Promise and the hype of 'personalised medicine'
title_short The Promise and the hype of 'personalised medicine'
title_sort promise and the hype of personalised medicine
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