在爱尔兰初级保健中估计潜在和可操作的药物基因相互作用的患病率:一个横截面研究
L Johnson1, E Youssef2, J O'Shea1
1School of Pharmacy and Pharmaceutical Sciences, Trinity College Dublin, Dublin, Ireland.
药物遗传学 (PGx) 显著影响爱尔兰的初级保健,五分之一的药物显示潜在的药物基因相互作用 (DGI). 许多可行的DGI,特别是抗抑郁药,阿片类药物和他类药物,突出了个性化医学的机会.
科学领域:
- 药物遗传学和精准医学 药物遗传学和精准医学
- 药物与基因相互作用 (DGI)
- 主要护理治疗方法 治疗方法
背景情况:
- 药物遗传学 (PGx) 对于优化药物治疗和预防药物不良反应至关重要.
- 临床药物遗传学实施联盟 (CPIC) 和荷兰药物遗传学工作组 (DPWG) 的指导方针强调了药物基因相互作用 (DGI).
- 大多数DGI药物都在初级保健机构处方.
研究的目的:
- 估计潜在和可操作的药物基因相互作用 (DGI) 的流行率.
- 分析所有在爱尔兰初级保健中发行的药物.
- 在初级保健中确定药物遗传学 (PGx) 实施的机会.
主要方法:
- 对爱尔兰46名通用医疗服务 (GMS) 患者的药物分发进行分析 (2021年1月至2021年12月).
- 估计全国的总和首次药物开放的流行率与潜在的DGI.
- 利用英国生物银行和CPIC的表型频率数据来确定可起诉的DGI.
主要成果:
- 19.8%的总发行量 (12,443,637/62,754,498) 涉及潜在的DGI的药物.
- 18.9%的潜在DGI (2,349,055) 需要采取行动,包括剂量调整或药物改变.
- 抗抑郁药,弱阿片类药物和他类药物最常与可采取行动的DGI有关.
结论:
- 药物基因相互作用 (DGI) 在爱尔兰初级保健中存在很高的患病率.
- 通过药物遗传学 (PGx) 测试确定了优化药物治疗的重大机会.
- 这些发现强调了PGx实施的必要性,以改善患者的治疗结果.
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