ASH Clinical News October 2016 | Page 16

Data Stream The Fearful Future of Gene Editing Supporting the Support Team A survey conducted by the Pew Research Center reveals that most Americans, while intrigued about the possibilities of cutting-edge biomedical technologies like gene editing, are worried about the consequences. The demands of caregiving can take a large psychological toll on the families of patients with incurable cancer, and that distress can sometimes match the patients’ own stress levels, according to a report published in Annals of Oncology. Respondents were asked for their opinions on the potential use of three technologies, and whether they were “worried” or “enthusiastic” about their use. Each was met with more skepticism than excitement: 21.5% VS. 16.4% VS. 68 % FOR DEPRESSION ENTHUSIASTIC WORRIED Among 275 patients and their family caregivers, self-reported levels of depression were similar, and anxiety levels higher, for patients and their family caregivers: gene editing to give babies a lifetime with much reduced risk of serious disease 49 % 28.4% VS. 42.2% FOR ANXIETY Patients’ use of certain coping strategies had a significant effect on caregivers’ emotional distress. The use of “emotional support” was associated with a 28% higher rate of depression among caregivers than the use of “acceptance coping.” “[These results] underscore the importance of targeting these risk factors when seeking to address the psychological distress experienced by family caregivers,” the authors concluded. Source: Nipp RD, El-Jawahri A, Fishbein JN, et al. Factors associated with depression and anxiety symptoms in family caregivers of patients with incurable cancer. Ann Oncol. 2016;27:1607-12. 69% implanting brain chips to give people a much improved ability to concentrate and process information 34% Digging Out of the Inbox 63% transfusing of synthetic blood to give people much greater speed, strength, and stamina 36% Physicians are getting buried under the amount of notifications delivered to their electronic health record (EHR)–based inboxes, according to a review of the inboxes of 92 primary-care (PCP) and specialty physicians’ (including hematologists and oncologists) inboxes. The sheer information overload makes it difficult to discern important from irrelevant messages. Within a six-month period: PCPs received an average of 76.9 notifications per day. Specialists received an average of 29.1 notifications per day. Overall, concern outpaces excitement, with many saying these “enhancements” could exacerbate the divide between the haves and have-nots. Source: Pew Research Center, “U.S. Public Wary of Biomedical Technologies to ‘Enhance’ Human Abilities,” July 26, 2016. The most common type of notifications were related to test results: 15.5 per day for PCPs and 10.4 per day for specialists. They further estimated that physicians spent 66.8 minutes per day processing these notifications. Source: Murphy DR, Meyer AN, Russo E, et al. The burden of inbox notifications in commercial electronic health records. JAMA Intern Med. 2016;176:559-60. 14 ASH Clinical News October 2016