Why precision medicine is not the best route to a healthier world

Detalhes bibliográficos
Autor(a) principal: Rey-López, Juan Pablo
Data de Publicação: 2018
Outros Autores: Sá, Thiago Herick de, Rezende, Leandro Fórnias Machado de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/142728
Resumo: Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary, we express the reasons why precision medicine cannot be a health revolution for population health. Advocates of precision medicine neglect the limitations of individual-centred, high-risk strategies (reduced population health impact) and the current crisis of evidence-based medicine. Overrated “precision medicine” promises may be serving vested interests, by dictating priorities in the research agenda and justifying the exorbitant healthcare expenditure in our finance-based medicine. If societies aspire to address strong risk factors for non-communicable diseases(such as air pollution, smoking, poor diets, or physical inactivity), they need less medicine and more investment in population prevention strategies.
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spelling Why precision medicine is not the best route to a healthier worldPublic Health. Precision Medicine. Therapeutic Approaches. Risk Factors. Preventive Medicine.Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary, we express the reasons why precision medicine cannot be a health revolution for population health. Advocates of precision medicine neglect the limitations of individual-centred, high-risk strategies (reduced population health impact) and the current crisis of evidence-based medicine. Overrated “precision medicine” promises may be serving vested interests, by dictating priorities in the research agenda and justifying the exorbitant healthcare expenditure in our finance-based medicine. If societies aspire to address strong risk factors for non-communicable diseases(such as air pollution, smoking, poor diets, or physical inactivity), they need less medicine and more investment in population prevention strategies.Universidade de São Paulo. Faculdade de Saúde Pública2018-01-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14272810.11606/S1518-8787.2018052000209Revista de Saúde Pública; Vol. 52 (2018); 12Revista de Saúde Pública; Vol. 52 (2018); 12Revista de Saúde Pública; v. 52 (2018); 121518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/rsp/article/view/142728/137678https://www.revistas.usp.br/rsp/article/view/142728/148284Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRey-López, Juan PabloSá, Thiago Herick deRezende, Leandro Fórnias Machado de2018-07-20T11:44:55Zoai:revistas.usp.br:article/142728Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:55Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Why precision medicine is not the best route to a healthier world
title Why precision medicine is not the best route to a healthier world
spellingShingle Why precision medicine is not the best route to a healthier world
Rey-López, Juan Pablo
Public Health. Precision Medicine. Therapeutic Approaches. Risk Factors. Preventive Medicine.
title_short Why precision medicine is not the best route to a healthier world
title_full Why precision medicine is not the best route to a healthier world
title_fullStr Why precision medicine is not the best route to a healthier world
title_full_unstemmed Why precision medicine is not the best route to a healthier world
title_sort Why precision medicine is not the best route to a healthier world
author Rey-López, Juan Pablo
author_facet Rey-López, Juan Pablo
Sá, Thiago Herick de
Rezende, Leandro Fórnias Machado de
author_role author
author2 Sá, Thiago Herick de
Rezende, Leandro Fórnias Machado de
author2_role author
author
dc.contributor.author.fl_str_mv Rey-López, Juan Pablo
Sá, Thiago Herick de
Rezende, Leandro Fórnias Machado de
dc.subject.por.fl_str_mv Public Health. Precision Medicine. Therapeutic Approaches. Risk Factors. Preventive Medicine.
topic Public Health. Precision Medicine. Therapeutic Approaches. Risk Factors. Preventive Medicine.
description Precision medicine has been announced as a new health revolution. The term precision implies more accuracy in healthcare and prevention of diseases, which could yield substantial cost savings. However, scientific debate about precision medicine is needed to avoid wasting economic resources and hype. In this commentary, we express the reasons why precision medicine cannot be a health revolution for population health. Advocates of precision medicine neglect the limitations of individual-centred, high-risk strategies (reduced population health impact) and the current crisis of evidence-based medicine. Overrated “precision medicine” promises may be serving vested interests, by dictating priorities in the research agenda and justifying the exorbitant healthcare expenditure in our finance-based medicine. If societies aspire to address strong risk factors for non-communicable diseases(such as air pollution, smoking, poor diets, or physical inactivity), they need less medicine and more investment in population prevention strategies.
publishDate 2018
dc.date.none.fl_str_mv 2018-01-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.revistas.usp.br/rsp/article/view/142728
10.11606/S1518-8787.2018052000209
url https://www.revistas.usp.br/rsp/article/view/142728
identifier_str_mv 10.11606/S1518-8787.2018052000209
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/142728/137678
https://www.revistas.usp.br/rsp/article/view/142728/148284
dc.rights.driver.fl_str_mv Copyright (c) 2018 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2018 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/xml
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 52 (2018); 12
Revista de Saúde Pública; Vol. 52 (2018); 12
Revista de Saúde Pública; v. 52 (2018); 12
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
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instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
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