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Past-futures in experimental care: breast cancer and HIV medicine
New Genetics and Society ( IF 1.8 ) Pub Date : 2021-01-06 , DOI: 10.1080/14636778.2020.1861542
Sophie Day 1 , William Viney 1 , Jane Bruton 2 , Helen Ward 2
Affiliation  

Cambrosio et al. (2018. “Extending Experimentation: Oncology’s Fading Boundary Between Research and Care.” New Genetics and Society 37 (3): 207–226) argue that “experimental care” in contemporary oncology involves the rapid merging of patient research and care, and invite further study into developments across other health conditions. We present a 2018–2019 study of experimental breast cancer care in an urban clinical setting in the light of two other studies in the same hospital group: in the same cancer service (2013–14) and, prompted by these earlier findings, an interview study in HIV services (2014–15). We found that patients and staff anticipated better outcomes by treating sub-types of breast cancer but they also hoped for a better one-size-fits-all approach, akin to the antiretroviral treatments introduced for HIV and explored in our interview study. We conclude that the promise of targeted treatment for sub-types of disease – variously described as experimental care, personalised, precision, stratified and sub-group medicine – is accompanied by hopes for a single, standard, effective approach.



中文翻译:

实验护理的过去未来:乳腺癌和艾滋病毒医学

坎布罗西奥等人。(2018 年。“扩展实验:研究和护理之间的肿瘤学逐渐消失的边界。”新遗传学与社会37 (3): 207-226) 认为当代肿瘤学中的“实验性护理”涉及患者研究和护理的快速合并,并邀请进一步研究其他健康状况的发展。根据同一医院组的其他两项研究,我们展示了 2018-2019 年在城市临床环境中进行的实验性乳腺癌护理研究:在同一癌症服务中(2013-14 年),并根据这些早期发现,进行了一次采访艾滋病服务研究(2014-15)。我们发现,患者和工作人员预期通过治疗亚型乳腺癌获得更好的结果,但他们也希望有一种更好的一刀切的方法,类似于针对 HIV 引入的抗逆转录病毒治疗,并在我们的访谈研究中进行了探讨。我们得出的结论是,针对亚型疾病的靶向治疗的前景 - 不同地描述为实验性护理,

更新日期:2021-01-06
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