Precision Medicine in Diabetes: A Consensus Report From the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD)
The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences i...
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| Vydáno v: | Diabetes care Ročník 43; číslo 7; s. 1617 |
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| Hlavní autoři: | , , , , , , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
01.07.2020
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| Témata: | |
| ISSN: | 1935-5548, 1935-5548 |
| On-line přístup: | Zjistit podrobnosti o přístupu |
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| Abstract | The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence, and how best practice in treatment varies between populations. In parallel, focus has been placed on the development of tools for the application of precision medicine to numerous conditions. This Consensus Report presents the American Diabetes Association (ADA) Precision Medicine in Diabetes Initiative in partnership with the European Association for the Study of Diabetes (EASD), including its mission, the current state of the field, and prospects for the future. Expert opinions are presented on areas of precision diagnostics and precision therapeutics (including prevention and treatment), and key barriers to and opportunities for implementation of precision diabetes medicine, with better care and outcomes around the globe, are highlighted. Cases where precision diagnosis is already feasible and effective (i.e., monogenic forms of diabetes) are presented, while the major hurdles to the global implementation of precision diagnosis of complex forms of diabetes are discussed. The situation is similar for precision therapeutics, in which the appropriate therapy will often change over time owing to the manner in which diabetes evolves within individual patients. This Consensus Report describes a foundation for precision diabetes medicine, while highlighting what remains to be done to realize its potential. This, combined with a subsequent, detailed evidence-based review (due 2022), will provide a roadmap for precision medicine in diabetes that helps improve the quality of life for all those with diabetes. |
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| AbstractList | The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence, and how best practice in treatment varies between populations. In parallel, focus has been placed on the development of tools for the application of precision medicine to numerous conditions. This Consensus Report presents the American Diabetes Association (ADA) Precision Medicine in Diabetes Initiative in partnership with the European Association for the Study of Diabetes (EASD), including its mission, the current state of the field, and prospects for the future. Expert opinions are presented on areas of precision diagnostics and precision therapeutics (including prevention and treatment), and key barriers to and opportunities for implementation of precision diabetes medicine, with better care and outcomes around the globe, are highlighted. Cases where precision diagnosis is already feasible and effective (i.e., monogenic forms of diabetes) are presented, while the major hurdles to the global implementation of precision diagnosis of complex forms of diabetes are discussed. The situation is similar for precision therapeutics, in which the appropriate therapy will often change over time owing to the manner in which diabetes evolves within individual patients. This Consensus Report describes a foundation for precision diabetes medicine, while highlighting what remains to be done to realize its potential. This, combined with a subsequent, detailed evidence-based review (due 2022), will provide a roadmap for precision medicine in diabetes that helps improve the quality of life for all those with diabetes.The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence, and how best practice in treatment varies between populations. In parallel, focus has been placed on the development of tools for the application of precision medicine to numerous conditions. This Consensus Report presents the American Diabetes Association (ADA) Precision Medicine in Diabetes Initiative in partnership with the European Association for the Study of Diabetes (EASD), including its mission, the current state of the field, and prospects for the future. Expert opinions are presented on areas of precision diagnostics and precision therapeutics (including prevention and treatment), and key barriers to and opportunities for implementation of precision diabetes medicine, with better care and outcomes around the globe, are highlighted. Cases where precision diagnosis is already feasible and effective (i.e., monogenic forms of diabetes) are presented, while the major hurdles to the global implementation of precision diagnosis of complex forms of diabetes are discussed. The situation is similar for precision therapeutics, in which the appropriate therapy will often change over time owing to the manner in which diabetes evolves within individual patients. This Consensus Report describes a foundation for precision diabetes medicine, while highlighting what remains to be done to realize its potential. This, combined with a subsequent, detailed evidence-based review (due 2022), will provide a roadmap for precision medicine in diabetes that helps improve the quality of life for all those with diabetes. The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known as "diabetes." Increased knowledge of this condition has emerged from populations around the world, illuminating the differences in how diabetes presents, its variable prevalence, and how best practice in treatment varies between populations. In parallel, focus has been placed on the development of tools for the application of precision medicine to numerous conditions. This Consensus Report presents the American Diabetes Association (ADA) Precision Medicine in Diabetes Initiative in partnership with the European Association for the Study of Diabetes (EASD), including its mission, the current state of the field, and prospects for the future. Expert opinions are presented on areas of precision diagnostics and precision therapeutics (including prevention and treatment), and key barriers to and opportunities for implementation of precision diabetes medicine, with better care and outcomes around the globe, are highlighted. Cases where precision diagnosis is already feasible and effective (i.e., monogenic forms of diabetes) are presented, while the major hurdles to the global implementation of precision diagnosis of complex forms of diabetes are discussed. The situation is similar for precision therapeutics, in which the appropriate therapy will often change over time owing to the manner in which diabetes evolves within individual patients. This Consensus Report describes a foundation for precision diabetes medicine, while highlighting what remains to be done to realize its potential. This, combined with a subsequent, detailed evidence-based review (due 2022), will provide a roadmap for precision medicine in diabetes that helps improve the quality of life for all those with diabetes. |
| Author | Rich, Stephen S Norris, Jill M Philipson, Louis Chung, Wendy K Hivert, Marie-France Hattersley, Andrew T McElvaine, Allison T Lee, Christine G Pearson, Ewan R McCarthy, Mark I Erion, Karel Cefalu, William T Florez, Jose C Nolan, John J Franks, Paul W |
| Author_xml | – sequence: 1 givenname: Wendy K surname: Chung fullname: Chung, Wendy K organization: Department of Medicine, Columbia University Irving Medical Center, New York, NY – sequence: 2 givenname: Karel surname: Erion fullname: Erion, Karel organization: American Diabetes Association, Arlington, VA – sequence: 3 givenname: Jose C orcidid: 0000-0002-1730-9325 surname: Florez fullname: Florez, Jose C organization: Department of Medicine, Harvard Medical School, Boston, MA – sequence: 4 givenname: Andrew T orcidid: 0000-0001-5620-473X surname: Hattersley fullname: Hattersley, Andrew T organization: Institute of Biomedical and Clinical Science, College of Medicine and Health, University of Exeter, Exeter, U.K – sequence: 5 givenname: Marie-France orcidid: 0000-0001-7752-2585 surname: Hivert fullname: Hivert, Marie-France organization: Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA – sequence: 6 givenname: Christine G surname: Lee fullname: Lee, Christine G organization: National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD – sequence: 7 givenname: Mark I surname: McCarthy fullname: McCarthy, Mark I organization: Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, U.K – sequence: 8 givenname: John J orcidid: 0000-0003-3648-1590 surname: Nolan fullname: Nolan, John J organization: School of Medicine, Trinity College, Dublin, Ireland – sequence: 9 givenname: Jill M orcidid: 0000-0001-8674-2598 surname: Norris fullname: Norris, Jill M organization: Department of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO – sequence: 10 givenname: Ewan R orcidid: 0000-0001-9237-8585 surname: Pearson fullname: Pearson, Ewan R organization: Division of Population Health and Genomics, Ninewells Hospital and School of Medicine, University of Dundee, Dundee, Scotland, U.K – sequence: 11 givenname: Louis surname: Philipson fullname: Philipson, Louis organization: Department of Pediatrics, University of Chicago, Chicago, IL – sequence: 12 givenname: Allison T orcidid: 0000-0002-0654-4047 surname: McElvaine fullname: McElvaine, Allison T organization: Duke University School of Medicine, Durham, NC – sequence: 13 givenname: William T surname: Cefalu fullname: Cefalu, William T organization: National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, MD – sequence: 14 givenname: Stephen S orcidid: 0000-0003-3872-7793 surname: Rich fullname: Rich, Stephen S organization: Department of Public Health Sciences, University of Virginia, Charlottesville, VA – sequence: 15 givenname: Paul W orcidid: 0000-0002-0520-7604 surname: Franks fullname: Franks, Paul W email: paul.franks@med.lu.se organization: Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32561617$$D View this record in MEDLINE/PubMed |
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| PublicationTitle | Diabetes care |
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| PublicationYear | 2020 |
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| Snippet | The convergence of advances in medical science, human biology, data science, and technology has enabled the generation of new insights into the phenotype known... |
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| SubjectTerms | Biomedical Research - economics Biomedical Research - organization & administration Biomedical Research - standards Biomedical Research - trends Consensus Diabetes Mellitus - therapy Endocrinology - economics Endocrinology - organization & administration Endocrinology - standards Europe Evidence-Based Medicine Financial Management Health Plan Implementation - standards Humans Practice Guidelines as Topic - standards Practice Patterns, Physicians' - standards Precision Medicine - economics Precision Medicine - methods Precision Medicine - standards Quality of Life Societies, Medical - economics Societies, Medical - organization & administration Societies, Medical - standards United States |
| Title | Precision Medicine in Diabetes: A Consensus Report From the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD) |
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