在 NCI 指定的农村综合癌症中心实施药剂师指导的药物基因组学剂量服务
Jenna K Green1, Laura J Hackett1, Donald C Green1
1Dartmouth Hitchcock Medical Center, Lebanon, NH.
概括
药剂师指导的药物基因组测试通过识别可操作的遗传变异来优化瘤药物治疗. 这种由药剂师领导的模式增强了患者护理,并支持达特斯健康的个性化医疗倡议.
科学领域:
- 药物基因组学 药物基因组学
- 在瘤学瘤学.
- 临床药房 临床药房
背景情况:
- 药物遗传学测试可以识别影响药物的安全性和有效性的遗传变异.
- 药剂师参与对于有效实施药物基因组服务至关重要.
研究的目的:
- 建立一个药剂师指导的模型来解释瘤病人的药物遗传结果.
- 通过个性化遗传洞察来优化药物治疗.
主要方法:
- 实施了一项由药剂师指导的试点药物基因组学剂量服务.
- 对关键药物基因变异 (DPYD,TPMT,NUDT15,UGT1A1) 的下一代测序结果进行了审查.
- 药剂师记录了可操作的药物基因相互作用和剂量指导在癌症专家的EHR中.
主要成果:
- 审查了71名瘤学患者的药物遗传学结果.
- 21名患者在评估的基因中具有可操作的变异.
- 对有积极治疗计划的5名患者进行了剂量改变.
结论:
- 药剂师指导的药物基因组学服务优化了药物治疗.
- 这种模式支持个性化医疗和药物遗传学服务的扩展.
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