Whole genome sequencing in (recurrent) glioblastoma: challenges related to informed consent procedures and data sharing.
Mira C HasnerMark P van OpijnenFilip Yves Francine De VosEdwin CuppenMarike L D BroekmanPublished in: Acta neurochirurgica (2024)
Increased use of whole genome sequencing (WGS) in neuro-oncology for diagnostics and research purposes necessitates a renewed conversation about informed consent procedures and governance structures for sharing personal health data. There is currently no consensus on how to obtain informed consent for WGS in this population. In this narrative review, we analyze the formats and contents of frameworks suggested in literature for WGS in oncology and assess their benefits and limitations. We discuss applicability, specific challenges, and legal context for patients with (recurrent) glioblastoma. This population is characterized by the rarity of the disease, extremely limited prognosis, and the correlation of the stage of the disease with cognitive abilities. Since this has implications for the informed consent procedure for WGS, we suggest that the content of informed consent should be tailor-made for (recurrent) glioblastoma patients.
Keyphrases
- health information
- palliative care
- end stage renal disease
- electronic health record
- ejection fraction
- social media
- newly diagnosed
- systematic review
- public health
- big data
- healthcare
- chronic kidney disease
- mental health
- high resolution
- minimally invasive
- machine learning
- risk assessment
- mass spectrometry
- artificial intelligence
- global health
- patient reported
- human health