Individualizing Care: Management Beyond Medical Therapy

Surg Oncol Clin N Am. 2020 Jan;29(1):87-103. doi: 10.1016/j.soc.2019.08.007.

Abstract

The evolving research landscape, with advances in the omics technologies, availability of large-scale patient cohorts, and forthcoming availability of novel drugs in primary biliary cholangitis (PBC), is creating a unique opportunity for developing a precision medicine (PM) program. PM has potential to change the paradigm of management. Diagnostic work-up of PBC patients may include information on genetic variants and molecular signature to define a particular subtype of disease and provide an estimate of treatment response and survival. To reach this point, specific interventions, such as sequencing more genomes, creating bigger biobanks, and linking biological information to health data, are needed.

Keywords: Autoimmune liver disease; Individualized care; Novel therapies; Omics; Precision medicine; Primary biliary cholangitis; Risk-stratification.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use*
  • Biomarkers, Tumor / genetics*
  • Delivery of Health Care / standards*
  • Humans
  • Molecular Targeted Therapy / methods*
  • Neoplasms / drug therapy*
  • Neoplasms / genetics
  • Pharmacogenetics / methods*
  • Precision Medicine / methods
  • Precision Medicine / trends*

Substances

  • Antineoplastic Agents
  • Biomarkers, Tumor