在第三级医院推进药物遗传测试:经过10年的活动后的回顾性分析
Stefan Stewart1, Jose Manuel Dodero-Anillo2, Javier Guijarro-Eguinoa1
1Clinical Pharmacology Department, IdiPAZ, La Paz University Hospital, Madrid, Spain.
Frontiers in pharmacology
|November 6, 2023
概括
药物遗传学 (PGx) 测试在临床实践中越来越多地使用,每年进行的测试超过1,145次,增长率为35%. 这种个性化医疗方法显示了引导治疗决策的巨大潜力.
科学领域:
- 药物遗传学 药物遗传学
- 个性化医疗是个性化的医疗.
- 临床基因组学 临床基因组学
背景情况:
- 药物遗传学 (PGx) 通过根据遗传特征量身定制治疗来提供个性化医疗.
- 经济,道德和制度障碍阻碍了PGx的广泛实施.
- 评估PGx测试的实际影响和利用对于其整合至关重要.
研究的目的:
- 评估药物遗传学测试在临床环境中的影响和利用.
- 分析电子健康记录中的处方模式和测试结果.
- 将当前的PGx测试活动与10年前的数据进行比较.
主要方法:
- 匿名电子健康记录的回顾性分析.
- 包括多样化的患者群体.
- 与同一个PGx实验室的历史数据进行对比.
主要成果:
- 在一年内进行了1,145次药物遗传试验,增长率为35%.
- 瘤学是领先的部门,占测试的58.47%.
- 在1000名符合条件的患者中,有76名患者接受了基因型导向剂量调整.
结论:
- 药物遗传学测试显示在日常临床实践中具有显著的利用.
- 这些数据强烈支持将PGx测试纳入常规医疗保健.
- 在瘤学等领域的持续增长和有针对性的应用是显而易见的.
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