Skip to main content

The Meaning of “Individualized Medicine”: A Terminological Adjustment of a Perplexing Term

  • Chapter
  • First Online:
Individualized Medicine

Abstract

This chapter introduces “Individualized Medicine” as a technical term. In order to do this the chapter first gives a precise, logical and conceptual analysis of relevant explanations and definitions from English and German speaking areas. It secondly presents a definition according to which the term “Individualized Medicine” should be used for describing research approaches and health care practices, when the biomarker-based prediction of (a) diseases and/or (b) the effectiveness of therapies by stratification is central. The relevant terms “research approach”, “health care practice”, “biomarker”, “prediction” and “stratification” will be discussed in detail. Finally the term “Individualized Medicine” will be examined regarding its extension and be compared to “Personalized Medicine”, which is also understood terminologically.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ameling S, Herda LR, Hammer E et al (2013) Myocardial gene expression profiles and cardiodepressant autoantibodies predict response of patients with dilated cardiomyopathy to immunoadsorption therapy. Eur Heart J 34(9):666–675

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Costigliola V, Gahan P, Golubnitschaja O (2009) Predictive medicine as the new philosophy in healthcare. Introduction of the general concept. In: Golubnitschaja O (ed) Predicitive diagnostics and personalized treatment. Nova Publishers, New York, p 1–3

    Google Scholar 

  • Felix SB, Staudt A (2008) Immunoadsorption as treatment option in dilated cardiomyopathy. Autoimmunity 41(6):484–489

    Article  CAS  PubMed  Google Scholar 

  • Fricke A (2011) Individualisierte Medizin: Hoffnung und Risiko zugleich. Deutsche Ärzte Zeitung 22.02.2011. http://www.aerztezeitung.de/politik_gesellschaft/arzneimittelpolitik/article/642186/individualisierte-medizin-hoffnung-risiko-zugleich.html. Accessed 27 June 2014

  • Grabe HJ, Assel H, Bahls T et al (2014) Cohort profile: Greifswald approach to individualized medicine (GANI_MED). J Transl Med 12:144

    Article  PubMed Central  PubMed  Google Scholar 

  • Hasler-Strub U (2009) Aktuelle Therapien beim metastasierten Brustkrebs. Eine Übersicht über evidenzbasierte Optionen. Schweizer Zeitschrift für Onkologie 5:20–22

    Google Scholar 

  • Herda LR, Trimpert C, Nauke U et al (2010) Effects of immunoadsorption and subsequent immunoglobulin G substitution on cardiopulmonary exercise capacity in patients with dilated cardiomyopathy. Am Heart J 159(5):809–816

    Article  CAS  PubMed  Google Scholar 

  • Hüsing B, Hartig J, Bührlen B et al (2008) Individualisierte Medizin und Gesundheitssystem, TAB-Arbeitsbericht Nr. 126. http://www.tab-beim-bundestag.de/de/publikationen/berichte/ab126.html. Accessed 27 June 2014

  • Individualisierte Medizin: Etikettenschwindel (2011). http://www.bdi.de/allgemeine-infos/aktuelle-meldungen/ansicht/article/individualisierte-medizin-etikettenschwindel.html. Accessed 27 June 2014

  • Kollek R, Lemke T (2008) Der medizinische Blick in die Zukunft. Gesellschaftliche Implikationen prädiktiver Gentests. Campus-Verlag, Frankfurt a. M.

    Google Scholar 

  • Kuhn TS (1970) The structure of scientific revolutions, 2 edn. University of Chicago Press, Chicago

    Google Scholar 

  • Lakatos I (1978) The methodology of scientific research programmes, philosophical papers Vol. 1. Cambridge University Press, Cambridge

    Book  Google Scholar 

  • Langanke M, Brothers KB, Erdmann P et al (2011) Comparing different scientific approaches to personalized medicine: research ethics and privacy protection. Per Med 8(4):437–444

    Google Scholar 

  • Langanke M, Erdmann P, Dörr M et al (2012a) Gesundheitsökonomische Forschung im Kontext Individualisierter Medizin: Forschungsethische und datenschutzrechtliche Aspekte am Beispiel des GANI_MED-Projekts. Pharmacoecon Ger Res Artic 10(2):105–121

    Google Scholar 

  • Langanke M, Lieb W, Erdmann P et al (2012b) Was ist Individualisierte Medizin? Zur terminologischen Justierung eines schillernden Begriffs. Zeitschrift für medizinische Ethik 58:295–314

    Google Scholar 

  • Manzeschke A (2011) Technische Assistenzsysteme. Eine Antwort auf die Herausforderung des demographischen Wandels? Pro Alter 5:36–40

    Google Scholar 

  • Manzeschke A, Oehmichen F (2010) Tilgung des Zufälligen. Ethische Aspekte der Verantwortung in Ambient-Assisted-Living-Kontexten. Jahrbuch für Wissenschaft und Ethik 15:121–138

    Google Scholar 

  • Marckmann G (2011) BMBF-Verbundprojekt „Individualisierte Gesundheitsversorgung: Ethische, ökonomische und rechtliche Implikationen für das deutsche Gesundheitswesen“. 1. Expertenworkshop, München, 20. September 2011. http://www.igv-ethik.de/vortraege/projektvorstellung.pdf. Accessed 27 June 2014

  • Niederlag W, Lemke HU, Golubnitschaja O et al (eds) (2010) Personalisierte Medizin. General Hospital, Dresden

    Google Scholar 

  • Pfaff H (2006) Präventive Versorgung. Begriffsbestimmung und theoretisches Konzept. Prävention und Gesundheitsförderung 1:17–23

    Article  Google Scholar 

  • Presidentʼs Council of Advisors on Science and Technology (2008) Priorities for personalized medicine. Report of Presidentʼs Council of Advisors on Science and Technology, September 2008. http://www.whitehouse.gov/files/documents/ostp/PCAST/pcast_report_v2.pdf. Accessed 27 June 2014

  • Schleidgen S, Klingler C, Bertram T et al (2013) What is personalized medicine: sharpening a vague term based on a systematic literature review. BMC Medical Ethics 14:55

    Article  PubMed Central  PubMed  Google Scholar 

  • Staudt A, Herda LR, Trimpert C et al (2010) Fcgamma-receptor IIa polymorphism and the role of immunoadsorption in cardiac dysfunction in patients with dilated cardiomyopathy. Clin Pharmacol Ther 87(4):452–458

    Article  CAS  PubMed  Google Scholar 

  • Staudt A, Eichler P, Trimpert C et al (2007) Fc(gamma) receptors IIa on cardiomyocytes and their potential functional relevance in dilated cardiomyopathy. J Am Coll Cardiol 49(16):1684–1692

    Article  CAS  PubMed  Google Scholar 

  • Staudt A, Hummel A, Ruppert J et al (2006) Immunoadsorption in dilated cardiomyopathy: 6-month results from a randomized study. Am Heart J 152(4):712.e711–712.e716

    Article  PubMed  Google Scholar 

  • Trimpert C, Herda LR, Eckerle LG et al (2010) Immunoadsorption in dilated cardiomyopathy: long-term reduction of cardiodepressant antibodies. Eur J Clin Invest 40(8):685–691

    Article  CAS  PubMed  Google Scholar 

  • Vasan RS (2006) Biomarkers of cardiovascular disease. Molecular basis and practical considerations. Circulation 113:2335–2362

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Martin Langanke .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Langanke, M. et al. (2015). The Meaning of “Individualized Medicine”: A Terminological Adjustment of a Perplexing Term. In: Fischer, T., Langanke, M., Marschall, P., Michl, S. (eds) Individualized Medicine. Advances in Predictive, Preventive and Personalised Medicine, vol 7. Springer, Cham. https://doi.org/10.1007/978-3-319-11719-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-11719-5_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-11718-8

  • Online ISBN: 978-3-319-11719-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics