对实施心血管药物基因组测试的知识和态度
Callan Russell1, MaryAnn Campion1, Megan E Grove2
1Department of Genetics, Stanford University, Stanford, California, USA.
Clinical and translational science
|February 29, 2024
概括
心脏病提供者表现出适度的药物基因组学知识,但测试订购经验有限. 他们对将药物基因组测试,特别是面板,纳入心血管护理感兴趣.
科学领域:
- 心血管医学 心血管医学
- 药物基因组学 药物基因组学
- 临床遗传学 临床遗传学
背景情况:
- 药物基因组学在药物治疗中提供了潜在的好处,包括提高疗效和减少不良事件.
- 提供者对药物基因组测试的了解和采用在不同的医学专业之间有很大的差异.
- 心血管药物经常受到遗传变异的影响,这突显了心脏病学中需要药物基因组学的洞察力.
研究的目的:
- 评估心脏病提供者对临床药物基因组测试实施的知识,态度和感知障碍.
- 了解心脏病提供者对药物基因组学的熟悉程度以及他们愿意订购和解释药物基因组测试的意愿.
- 探索心脏病学实践中对药物基因组测试格式 (面板与单基因) 的偏好.
主要方法:
- 一项在线调查分发给61名心脏病提供者,包括药剂师,医生,遗传咨询师和护士.
- 该调查评估了参与者的先前遗传学教育,熟悉药物基因组学,订购测试的经验,以及对实施的态度.
- 数据分析的重点是识别知识差距,兴趣水平和在心血管护理中采用药物基因组测试的障碍.
主要成果:
- 虽然大多数提供者有一些遗传学教育,但只有52%的人感到准备好订购药物基因组测试.
- 66%的受访者熟悉药物基因组学,其中遗传咨询师的熟悉度最高.
- 之前只有15%的人订购过测试,但36%的人可能会在未来这样做,89%的人对其纳入心血管遗传测试感兴趣. 84%的人更喜欢面板测试.
结论:
- 心脏病提供者对药物基因组学有适度的熟悉,但在订购测试方面实践经验有限.
- 心脏病提供者对将药物基因组测试,特别是基于小组的方法纳入他们的临床实践有很大的兴趣.
- 需要解决临床实用性的不确定性和后勤挑战等障碍,以促进药物基因组学在心血管医学中的更广泛采用.
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