临床医生对药物遗传学临床决策支持响应警报
Lauren K Lemke1, Emily J Cicali1, Roy Williams1
1Pharmacotherapy and Translational Research, University of Florida, Gainesville, Florida, USA.
Clinical pharmacology and therapeutics
|September 16, 2023
概括
临床医生对药物遗传学 (PGx) 临床决策支持 (CDS) 警报的接受率为63%,但警报响应无法可靠地预测临床作用. 未来的研究应该专注于临床反应,而不仅仅是警觉接受.
科学领域:
- 药物基因组学 药物基因组学
- 临床信息学 临床信息学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 药物遗传学 (PGx) 临床决策支持 (CDS) 警报的标准化对于优化药物治疗至关重要.
- 了解临床医生对PGx警报的反应对于有效实施至关重要.
研究的目的:
- 描述临床医生对高等学术医疗中心标准化PGx CDS警报的反应.
- 为了比较各种因素的警报接受率,并评估警报和临床反应之间的一致性.
主要方法:
- 从2020年8月到2022年5月,对PGx警报的回顾性分析.
- 预警接受率的计算和基因药物对,护理环境和临床医生专业的比较.
- 评估警报反应和药物处置之间的一致性.
主要成果:
- 警报的整体接受率为63%.
- 警报和临床反应之间的一致性仅在47%的病例中观察到.
- 根据基因药物对,临床专业和护理环境,警报的接受程度有所不同;临床反应往往与警报反应不一致.
结论:
- 警报反应不是临床作用或处方变化的可靠指标.
- 关于CDS警报影响的未来研究应该优先评估临床反应,而不是仅仅接受警报.
- 需要进一步调查PGx CDS警报对处方和患者结局的影响.
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