Direct–to-Consumer Testing: The Role of Laboratory Medicine Physicians and Scientists

2020 ◽  
Vol 40 (1) ◽  
pp. ix-x ◽  
Author(s):  
Nicole V. Tolan ◽  
Robert D. Nerenz
2020 ◽  
Vol 18 (7.5) ◽  
pp. 964-967
Author(s):  
Robert Pilarski ◽  
Jennifer M. Weiss ◽  
Susan M. Domchek ◽  
Moderated by Tuya Pal

With the introduction of panel and direct-to-consumer testing, genetic testing has become commonplace in recent years, paving the way for both increased awareness around prevalent genetic cancer risks, and also an onslaught of misinformation. At the NCCN 2020 Virtual Annual Conference, Dr. Tuya Pal led a panel of experts in discussing the utility and difficulties associated with multigene testing, the emerging role of moderate-penetrance genes in defining risks for hereditary cancer, and the controversies associated with direct-to-consumer genetic testing services.


2018 ◽  
Vol 93 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Megan A. Allyse ◽  
David H. Robinson ◽  
Matthew J. Ferber ◽  
Richard R. Sharp

Author(s):  
Carlos Lemos

Laboratory medicine has a unique capability to evaluate the correct management of a medical test, its results, and the decisions it can determine. Therefore, laboratory medicine should try to improve patient outcomes, while improving quality and productivity, so that innovation in healthcare may proceed. Innovation in laboratory medicine demands an adequate identification of the unmet clinical need, evidence of clinical and cost-effectiveness of laboratory tests, and a managed implementation that takes into account the process change, appropriate resource management, and monitoring of outcomes. The main objectives of this chapter are to elucidate the role of innovation in laboratory medicine, identifying its main issues and the barriers it faces; to define a value proposition for laboratory tests and to point out several outcome measures that can be adopted in laboratory medicine.


2020 ◽  
Vol 40 (1) ◽  
pp. 93-103
Author(s):  
Ann M. Gronowski ◽  
Melissa M. Budelier

2020 ◽  
Vol 17 (1) ◽  
pp. S27-S28
Author(s):  
R. Shahinyan ◽  
A. Amighi ◽  
A. Carey ◽  
D. Yoffe ◽  
M. Pollard ◽  
...  

2020 ◽  
Vol 58 (7) ◽  
pp. 1063-1069 ◽  
Author(s):  
Giuseppe Lippi ◽  
Mario Plebani

AbstractCoronavirus disease 2019, abbreviated to COVID-19 and sustained by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is the latest biological hazard to assume the relevance of insidious worldwide threat. One obvious question that is now engaging the minds of many scientists and healthcare professionals is whether and eventually how laboratory medicine could efficiently contribute to counteract this and other (future) viral outbreaks. Despite there being evidence that laboratory tests are vital throughout many clinical pathways, there are at least three major areas where in vitro diagnostics can also provide essential contributions to diagnostic reasoning and managed care of patients with suspected or confirmed SARS-CoV-2 infection. These include etiological diagnosis, patient monitoring, as well as epidemiologic surveillance. Nonetheless, some structural and practical aspects may generate substantial hurdles in providing timely and efficient response to this infectious emergency, which basically include inadequate (insufficient) environment and shortage of technical and human resources for facing enhanced volume of tests on many infected patients, some of whom are with severe disease. Some proactive and reactive strategies may hence be identified to confront this serious healthcare challenge, which entail major investments on conventional laboratory resources, reinforcement of regional networks of clinical laboratories, installation of mobile laboratories, as well as being proactive in establishing laboratory emergency plans.


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