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Ethical, Legal, and Social Implications of Personalized Genomic Medicine Research: Current Literature and Suggestions for the Future
Abstract
Purpose: This review identifies the prominent topics in the literature pertaining to the ethical, legal, and social issues (ELSI) raised by research investigating personalized genomic medicine (PGM). Methods: The abstracts of 953 articles extracted from scholarly databases and published during a 5‐year period (2008–2012) were reviewed. A total of 299 articles met our research criteria and were organized thematically to assess the representation of ELSI issues for stakeholders, health specialties, journals, and empirical studies. Results: ELSI analyses were published in both scientific and ethics journals. Investigational research comprised 45% of the literature reviewed (135 articles) and the remaining 55% (164 articles) comprised normative analyses. Traditional ELSI concerns dominated the discourse including discussions about disclosure of research results. In fact, there was a dramatic increase in the number of articles focused on the disclosure of research results and incidental findings to research participants. Few papers focused on particular disorders, the use of racial categories in research, international communities, or special populations (e.g., adolescents, elderly patients, or ethnic groups). Conclusion: Considering that strategies in personalized medicine increasingly target individuals’ unique health conditions, environments, and ancestries, further analysis is needed on how ELSI scholarship can better serve the increasingly global, interdisciplinary, and diverse PGM research community.
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Incidental findings associated with genetic traits of unknown clinical significance or findings of misattributed parentage are problematic, because communicating these findings to patients and their families can also trigger stress and affect family relationships.
“In addition, incidental findings associated with genetic traits of unknown clinical significance or findings of misattributed parentage [8] are problematic, because communicating these findings to patients and their families can also trigger stress and affect family relationships.”
From Patients’ and professionals’ views related to ethical issues in precision medicine: a mixed research synthesis (2021) · cites this paper as [8]
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Metadata
- Authors
- Callier, S. L., Abudu, R., Mehlman, M. J., Singer, M. E., Neuhauser, D., Caga‐Anan, C., & Wiesner, G. L.
- Affiliations
- George Washington University (US)
- Case Western Reserve University (US)
- Vanderbilt University (US)
- Corresponding author
- Callier, Shawneequa L.
- Venue
- Bioethics
- Publisher
- Wiley
- Published
- 2016-10-21
- Volume
- 30
- Issue
- 9
- Pages
- 698-705
- ISSN
- 0269-9702 (ISSN-L)
- 1467-8519
- OpenAlex
- W2537478982
- Cited by
- 50
- References
- 0
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 9 · 2020: 7 · 2019: 1 · 2018: 3 · 2017: 3
- FWCI
- 2.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Bioethics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Human Genome Research Institute (R01 PA‐08–012)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Social Sciences › Law › Medical and Health Sciences Research
- Keywords
- personalized genomic medicine, ethical, legal and social implications, research ethics, disclosure of research results, incidental finding, special populations, adolescents, elderly patients, ethnic groups, ancestry, global research community
- MeSH terms
- Humans, Social Responsibility, Social Values, Genome, Human, Human Genome Project, Genomics, Ethical Theory, Ethics, Research, Precision Medicine
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