Narrative review on ethical and psychological issues raised by genetic and genomic testing in pediatric oncology care.

In pediatric oncology, genetic and genomic tests are proposed throughout the care pathway for many reasons (e.g., cancer characterization, identification of the most appropriate treatment, patient selection for clinical trials, identification of tissue/organ donors, or risk of relapse prediction). D...

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Publicado en:Journal of Genetic Counseling Vol. 34; no. 2; pp. 1 - 13
Autores principales: Droin‐Mollard, Marion, Hervouet, Lucile, Lahlou‐Laforêt, Khadija, de Montgolfier, Sandrine
Formato: review tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2025
Acceso en línea:Ver este registro en EBSCOhost
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      place: Malden, Massachusetts
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        atl: Narrative review on ethical and psychological issues raised by genetic and genomic testing in pediatric oncology care.
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        au:
          Droin‐Mollard, Marion
          Hervouet, Lucile
          Lahlou‐Laforêt, Khadija
          de Montgolfier, Sandrine
        affil: UF de Psychologie et Psychiatrie de Liaison et d'Urgences, DMU Psychiatrie et Addictologie, et Département de Génétique, APHP, Centre‐Universités de Paris, Paris, France
      sug:
        subj:
          Pediatric Care Ethical Issues
          Oncologic Care Ethical Issues
          Genomics Ethical Issues
          Cancer Patients Psychosocial Factors
          Parental Attitudes
          Attitude of Health Personnel
          Patient Attitudes
          Ethics
          Sequence Analysis
          Psychology
          Child
          Child: 6-12 years
      ab: In pediatric oncology, genetic and genomic tests are proposed throughout the care pathway for many reasons (e.g., cancer characterization, identification of the most appropriate treatment, patient selection for clinical trials, identification of tissue/organ donors, or risk of relapse prediction). Despite the many different approaches (somatic or germline testing, targeted gene or genome sequencing), the implicated individuals are confronted with situations that may intersect and that are interesting to compare. No study has identified and analyzed the available works on these new practices in pediatric oncology. The aim of this narrative literature review was to describe the ethical and psychological perspectives of children with cancer, parents, and healthcare professionals when genetic or genomic testing is proposed as part of the cancer management. Eighteen articles met the inclusion criteria and were comprehensively coded using MAXQDA. Their analysis showed that concerning the subjective implications of genetic and genomic testing, the areas of ambivalence (desire of treatment, desire for knowledge, uncertainty, and guilt) reported by patients and their parents seem to mirror the healthcare professionals' concerns. The ethical and psychological issues about predisposition testing, long discussed in the context of hereditary retinoblastoma and Li‐Fraumeni syndrome, represent a useful starting point for a wider discussion of a genetic and genomic testing pathway in pediatric oncology more broadly.
      pubtype: Academic Journal
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        review
        tables/charts
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      ougenre: Article
    language: English
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