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Knowledge and attitudes on pharmacogenetics among pediatricians
Shahad Rahawi1,2, Hetanshi Naik1, Kathryn V Blake3,4
1Department of Genetics and Genomic Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.
Pediatricians show low knowledge but high interest in pharmacogenetics. Educational initiatives are crucial for implementing genetic testing in pediatric care for improved efficacy and safety.
Area of Science:
- Clinical Pharmacology
- Genetics
- Pediatrics
Background:
- Clinical pharmacogenetic testing is growing, requiring pediatricians to interpret results.
- Previous studies show a knowledge gap in pharmacogenetics across specialties, but not specifically in pediatrics.
Purpose of the Study:
- To assess U.S. and Japanese pediatricians' knowledge, attitudes, and educational needs regarding pharmacogenetics.
Main Methods:
- Anonymous survey of 282 pediatricians (210 U.S., 72 Japan) on pharmacogenetics knowledge, perception, and education.
- Survey included questions on clinical experience, prior genetics education, and specific pharmacogenetic knowledge (e.g., codeine/CYP2D6).
Main Results:
- Despite >10 years of experience for over 50%, <10% felt familiar with pharmacogenetics.
- Fewer than 20% of U.S. pediatricians answered a CYP2D6 question correctly, and <10% knew of CPIC guidelines.
- Over 80% believed pharmacogenetic testing improves efficacy/safety and want to apply it, with 83.1% interested in education.
Conclusions:
- Pediatrician knowledge of clinical pharmacogenetics is currently low in the U.S. and Japan.
- There is strong interest among pediatricians for pharmacogenetics education, particularly in result interpretation and treatment recommendations.
- High interest suggests a readiness to adopt pharmacogenetic testing, facilitating future clinical implementation.
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