Recently, a beauty salon in Shanxi launched a “gene detection limited packageâ€, claiming that “it is a cooperation with a hospital in Beijing. After taking blood samples and sending samples, you can detect whether your body has cancer or high blood pressure or diabetes. Subsequently, this statement was denied by the relevant person in charge of the hospital.
In the past two years, the genetic testing market has become more and more glamorous, and some medical institutions, medical institutions and even beauty institutions have stimulated people's consumption nerves. How to use genetic testing on the “blade†and how to regulate regulation?
The result can't be too serious
Clinically, genetic testing can be used to assist in clinical diagnosis, medication guidance, carrier screening, and fertility guidance. The reporter found that, from the formal point of view, there are mainly three kinds of genetic testing institutions appearing on the market, one is for scientific research and medical institutions, and most of them provide third-party testing services for customers; one is directly for consumers; Some cooperate with hospitals, medical examination centers, insurance companies, marriage and love companies, and even cord blood storage organizations to package and sell genetic testing programs to a fixed customer base. From the price point of view, up to hundreds of thousands of dollars down to 99 yuan of all kinds of packages have everything.
According to experts, genetic testing technology is still in its infancy in China, and technical standards and market access standards have yet to be filled. This has led to a large number of institutions that use genetic testing brands to seek profits. Many of these institutions commission blood or saliva samples to third-party genetic testing agencies for testing.
In addition to the mixed genetic testing institutions, the accuracy of the data is also a big problem. At present, the principles of some testing projects are still unclear, and there is no causal relationship with genes. Take the popular child talent test as an example. Experts say that talent has a certain correlation with genes. “But at present, it can only be regarded as an entertainment.â€
Good steel should be used on the blade
The reporter visited a company specializing in tumor genetic testing - Yihe (Beijing) Technology Co., Ltd., co-founder and chief scientific officer, chief medical officer Zhang Henghui introduced that the current genetic testing technology is more and more mature, the operating threshold is gradually reduced In addition, driven by the interests of capital, there have been some industrial chaos, which are mainly used in clinical medicine, which we call pan-gene detection. Strictly speaking, it is not a real genetic test. Some companies have made a relevant piece of analysis in the testing process that has not been confirmed by a large amount of clinical data, and lack a complete evidence system for the disease, so the current value is unknown.
Zhang Henghui emphasized that consumers must first understand why genetic testing is needed. If it is to diagnose the disease or guide medication, it should be completely evaluated by the clinician, and the results of the examination and family history should be determined; but if it is purely for health management, the reference value of genetic testing is not as big as expected.
“The evaluation of genetic testing should return to the value medical level. Genetic testing can help patients achieve personalized and precise diagnosis and accompanying treatment. However, current projects on the market can easily over-consume genetic testing,†said Zhang Henghui.
Establish a certification and supervision system as soon as possible
The reporter learned that at present, China's genetic testing has set strict management practices in criminal investigation and pre-pregnancy diagnosis. At the same time, in the detection of diseases and tumors, it is gradually becoming standardized. However, there are no unified standards for the genetic testing of talents and alcohol tolerance in the non-clinical field, and domestic supervision is still in a state of perfection.
According to the relevant person in charge of the Medical and Health Hospital of the National Health and Family Planning Commission, according to the “Regulations on the Regulations for the Administration of Medical Institutionsâ€, all institutions engaged in medical treatment activities are required to obtain a medical institution license. Therefore, the first thing that needs to be used for medical diagnosis and treatment is to supervise this.
From 2014 to 2015, the National Health and Family Planning Commission evaluated and published the first batch of high-throughput sequencing technology clinical application pilot units, and made corresponding requirements for the laboratory and related staff of the selected pilot units. “But genetic testing involves national multi-sectoral responsibilities,†said the relevant person in charge of the Medical and Health Hospital of the National Health and Family Planning Commission.
Graduated from the Peking University School of Medicine, as a clinician, Zhang Henghui, who is currently in the first line of clinical and scientific research, believes that genetic testing can truly achieve close cooperation between research and clinical practice. From the results, the sequencing process is continuously optimized to achieve precise treatment and improvement. Patient quality of life.
Some experts said that the United States listed genetic testing as a clinical specialty 30 years ago, and carried out professional training, but in China, there is no official qualification certification and training institutions, and should establish a standardized training, certification, and supervision system as soon as possible. (health report)
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