Clinical utility of pharmacogenetics in a psychiatric and primary care population

Autor: Krista N, Bohlen, Julie M, Kittelsrud, Morgan E, Nelson, Lisa K, Weisser, Neil J, Matthiesen, Julie A, Fieldsend, Nicholas B, Buschette, Leslie L, Cooper, Gareth E, Davies, Erik A, Ehli
Rok vydání: 2020
Zdroj: The pharmacogenomics journal.
ISSN: 1473-1150
Popis: This study evaluated the timing, use, and clinical outcomes of the GeneFolio® Pharmacogenomic Panel in a healthcare setting with patients managed by primary care providers or by psychiatrists. Participants were randomized to receive a pharmacogenetics report at four weeks or 12 weeks. After DNA collection and genetic analysis, pharmacists produced a recommendation report which was given to providers at the randomization week. The four-week group decreased depression severity (PHQ-9 and BDI) faster than the 12-week group (p = 0.0196), and psychiatrists' patients decreased their depression severity faster than primary care patients (PHQ-9 p = 0.0005, BDI p = 0.0218). Mean mental quality of life increased over time (p 0.0001), but it increased slower for patients taking drugs in the Significant drug-drug-gene interaction category (p = 0.0012). Mental quality of life, depression severity, and clinical outcomes were improved by GeneFolio® pharmacogenomic testing regardless of provider type, with earlier testing improving outcomes sooner.
Databáze: OpenAIRE