Availability and funding of clinical genomic sequencing globally
The emergence of next-generation genomic sequencing (NGS) tests for use in clinical care has generated widespread interest around the globe, but little is known about the availability and funding of these tests worldwide. We examined NGS availability across world regions and countries, with a partic...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-02-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/6/2/e004415.full |
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| author | Sarah Wordsworth Deborah A Marshall Kathryn A Phillips Michael P Douglas James Buchanan |
| author_facet | Sarah Wordsworth Deborah A Marshall Kathryn A Phillips Michael P Douglas James Buchanan |
| author_sort | Sarah Wordsworth |
| collection | DOAJ |
| description | The emergence of next-generation genomic sequencing (NGS) tests for use in clinical care has generated widespread interest around the globe, but little is known about the availability and funding of these tests worldwide. We examined NGS availability across world regions and countries, with a particular focus on availability of three key NGS tests—Whole-Exome Sequencing or Whole-Genome Sequencing for diagnosis of suspected genetic diseases such as intellectual disability disorders or rare diseases, non-invasive prenatal testing for common genetic abnormalities in fetuses and tumor sequencing for therapy selection and monitoring of cancer treatment. We found that these NGS tests are available or becoming available in every major region of the world. This includes both high-income countries with robust genomic programmes such as the USA and the UK, and growing availability in countries with upper-middle-income economies. We used exploratory case studies across three diverse health care systems (publicly funded/national (UK), publicly funded/provincial (Canada) and mixed private/public system (USA)) to illustrate the funding challenges and approaches used to address those challenges that might be adopted by other countries. We conclude by assessing what type of data and initiatives will be needed to better track and understand the use of NGS around the world as such testing continues to expand. |
| format | Article |
| id | doaj-art-44c030b143164b77aa470f93cf6b9942 |
| institution | Kabale University |
| issn | 2059-7908 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj-art-44c030b143164b77aa470f93cf6b99422024-12-05T07:00:09ZengBMJ Publishing GroupBMJ Global Health2059-79082021-02-016210.1136/bmjgh-2020-004415Availability and funding of clinical genomic sequencing globallySarah Wordsworth0Deborah A Marshall1Kathryn A Phillips2Michael P Douglas3James Buchanan4NIHR Oxford Biomedical Research Centre, Oxford, UKDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, CanadaUCSF Center for Translational and Policy Research on Personalized Medicine (TRANSPERS); Department of Clinical Pharmacy, University of California San Francisco, San Francisco, California, USAUCSF Center for Translational and Policy Research on Personalized Medicine (TRANSPERS); Department of Clinical Pharmacy, University of California San Francisco, San Francisco, California, USAHealth Economics Research Centre, Nuffield Department of Population Health, National Institute for Health Research Oxford Biomedical Research Centre, University of Oxford, Oxford, Oxfordshire, UKThe emergence of next-generation genomic sequencing (NGS) tests for use in clinical care has generated widespread interest around the globe, but little is known about the availability and funding of these tests worldwide. We examined NGS availability across world regions and countries, with a particular focus on availability of three key NGS tests—Whole-Exome Sequencing or Whole-Genome Sequencing for diagnosis of suspected genetic diseases such as intellectual disability disorders or rare diseases, non-invasive prenatal testing for common genetic abnormalities in fetuses and tumor sequencing for therapy selection and monitoring of cancer treatment. We found that these NGS tests are available or becoming available in every major region of the world. This includes both high-income countries with robust genomic programmes such as the USA and the UK, and growing availability in countries with upper-middle-income economies. We used exploratory case studies across three diverse health care systems (publicly funded/national (UK), publicly funded/provincial (Canada) and mixed private/public system (USA)) to illustrate the funding challenges and approaches used to address those challenges that might be adopted by other countries. We conclude by assessing what type of data and initiatives will be needed to better track and understand the use of NGS around the world as such testing continues to expand.https://gh.bmj.com/content/6/2/e004415.full |
| spellingShingle | Sarah Wordsworth Deborah A Marshall Kathryn A Phillips Michael P Douglas James Buchanan Availability and funding of clinical genomic sequencing globally BMJ Global Health |
| title | Availability and funding of clinical genomic sequencing globally |
| title_full | Availability and funding of clinical genomic sequencing globally |
| title_fullStr | Availability and funding of clinical genomic sequencing globally |
| title_full_unstemmed | Availability and funding of clinical genomic sequencing globally |
| title_short | Availability and funding of clinical genomic sequencing globally |
| title_sort | availability and funding of clinical genomic sequencing globally |
| url | https://gh.bmj.com/content/6/2/e004415.full |
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