Implementation of a pharmacogenetic management service for postmyocardial infarction care in a community pharmacy
Autor: | David F. Kisor, M Yu, M Conaway, Bright, A Smith |
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Rok vydání: | 2015 |
Předmět: |
Pharmacology
medicine.medical_specialty Antiplatelet drug business.industry medicine.medical_treatment Percutaneous coronary intervention Infarction General Medicine medicine.disease Clinical decision support system Family medicine Pharmacogenomics Medication therapy management medicine Molecular Medicine Myocardial infarction Medical emergency business Pharmacogenetics |
Zdroj: | Personalized Medicine. 12:319-325 |
ISSN: | 1744-828X 1741-0541 |
Popis: | Aim: The purpose of this study was to pilot a multisite, proof-of-concept model where community pharmacists could engage patients and physicians to provide pharmacogenetic (PGt) testing and clinical decision support. Patients & methods: Patients with history of acute myocardial infarction and percutaneous coronary intervention with no prior history of CYP2C19 testing. Results: Four community pharmacies provided pharmacogenetic testing and medication therapy management services to 30 patients, resulting in eight recommendations for antiplatelet therapy adjustment. Conclusion: Pharmacists involved in the study were able to facilitate antiplatelet therapy adjustments based on PGt data regardless of baseline antiplatelet drug selection. Whereas prior literature largely revolved around PGt management in the inpatient setting, this project supports the involvement of the community pharmacist in making PGt-based recommendations. |
Databáze: | OpenAIRE |
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