Clinical research experts comment on the state of their fields
In an Editorial published this week in PLOS Medicine, editors ask an international panel of eleven expert researchers and clinicians spanning a range of specialties to answer questions on their field and what developments they hope and expect to see in 2016.
The panel includes Ewan Birney, the Joint Director of the European Bioinformatics Institute. He comments on the clinical genomics field, citing examples of how systematic genomic data can impact diagnosis and discovery and he discusses technologies that are driving down costs and making sequencing more accessible. Birney notes: "the question about personalized genomic data is not about whether these data will be freely available but rather how they will be integrated into the health care systems around the world."
Philipp du Cros of Médecins Sans Frontières was asked about combating tuberculosis (TB) and points to the challenge of multidrug-resistant (MDR) TB and strategies to decrease its burden. He notes that standard MDR-TB treatment is inadequate, and says "In 2016, a more urgent scale-up of [new drugs bedaquiline and delamanid] is required…in the longer term, clinical trials are needed to define the best drug combinations enabling shorter, more effective regimens."
Nick Wareham of the University of Cambridge discusses the growing diabetes epidemic and says the greatest impact in the fight to reverse the increase in incidence will likely be seen from population approaches designed to change behaviors in large groups of people at low and moderate risk of diabetes, rather than focusing on those at high risk. He adds: "Perhaps the biggest initial step is for governments to recognize and accept that diabetes is a clinical manifestation of a societal problem that requires societal solutions."
Other topics include improving cancer diagnosis, identifying treatments for neurodegenerative diseases, training for and practicing health care in resource-limited settings, improving recognition and treatment of mental health disorders, curbing overdiagnosis and overtreatment, and identifying the best strategies to combat the HIV epidemic. This interesting spread of topics and opinions hints at some potentially interesting areas to keep an eye on in 2016.
The PLOS Medicine editors are each paid a salary by the Public Library of Science, and they contributed to this editorial during their salaried time. LvS, AP, JT, PH, MG, NL, AB, HSA, NW, EB, PdC received no funding for this work.
The following authors have no competing interests to declare: HSA, NW. The PLOS Medicine Editors' individual competing interests are at http://www.plosmedicine.org/static/editorsInterests.action. PLOS is funded partly through manuscript publication charges, but the PLOS Medicine Editors are paid a fixed salary (their salaries are not linked to the number of papers published in the journal). EB is a paid consultant to Oxford Nanopore. PdC is a member of the Steering Committee for TB-PRACTECAL, a randomised control trial, and a member of the European Technical Advisory Group on Tuberculosis Control. LvS, AP, JT, PH, MG, NL, AB are all members of the PLOS Medicine Editorial Board.
The PLOS Medicine Editors, Beck A, Birney E, Graeber M, Tumwine J, Hay P, et al. (2015) Progress in Medicine: Experts Take Stock. PLoS Med 12(12): e1001933. doi:10.1371/journal.pmed.1001933
Public Library of Science, San Francisco, California, United States of America
Department of Pathology, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America
European Bioinformatics Institute, Hinxton, United Kingdom
Brain Tumour Research, University of Sydney, Sydney, Australia
School of Medicine, Makerere University, College of Health Sciences, Kampala, Uganda
University of Western Sydney, Sydney, Australia
Department of Preventive Medicine, College of Medicine, Korea University, Seoul, Korea
The George Institute for Global Health, University of Sydney, Sydney, Australia
Médecins Sans Frontières (MSF), London, United Kingdom
Mahidol-Oxford Tropical Medicine Research Unit (MORU), Mahidol University, Bangkok, Thailand
MRC Epidemiology Unit, University of Cambridge, Cambridge, United Kingdom
Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland
IN YOUR COVERAGE PLEASE USE THIS URL TO PROVIDE ACCESS TO THE FREELY AVAILABLE PAPER: