Patient Decisions to Receive Secondary Pharmacogenomic Findings and Development of a Multidisciplinary Practice Model to Integrate Results Into Patient Care
| Autor: | Hicks, J. Kevin, Shealy, Amy, Schreiber, Allison, Coleridge, Marissa, Noss, Ryan, Natowicz, Marvin, Moran, Rocio, Moss, Timothy, Erwin, Angelika, Eng, Charis |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Patient Care Team Pharmacogenomic Variants Delivery of Health Care Integrated Research Decision Making Genetic Counseling Patient Preference Articles Pharmacists Article Pharmacogenomic Testing Young Adult Phenotype Models Organizational Physicians Exome Sequencing Humans Female Interdisciplinary Communication Patient Care Prospective Studies Retrospective Studies |
| Zdroj: | Clinical and Translational Science |
| ISSN: | 1752-8062 1752-8054 |
| Popis: | Whole exome sequencing (WES) has the potential of identifying secondary findings that are predictive of poor pharmacotherapy outcomes. The purpose of this study was to investigate patients’ wishes regarding the reporting of secondary pharmacogenomic findings. WES results (n = 106 patients) were retrospectively reviewed to determine the number of patients electing to receive secondary pharmacogenomic results. Phenotypes were assigned based on Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines. The percent of patients with a predicted phenotype associated with a gene‐based CPIC dosing recommendation was determined. Ninety‐nine patients (93.4%) elected to receive secondary pharmacogenomic findings. For each gene–drug pair analyzed, the number of patients with an actionable phenotype ranged from two (2%) to 43 patients (43.4%). Combining all gene–drug pairs, 84 unique patients (84.8%) had an actionable phenotype. A prospective multidisciplinary practice model was developed for integrating secondary pharmacogenomic findings into clinical practice. Our model highlights a unique collaboration between physician‐geneticists, pharmacists, and genetic counselors. |
| Databáze: | OpenAIRE |
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