老年人中药物遗传学建议的药物的现实世界利用:一个范围审查
Bella D Ianni1,2,3, Chin Hang Yiu1,2, Edwin C K Tan1,2
1The University of Sydney, School of Pharmacy, Sydney, New South Wales, Australia.
Clinical and translational science
|February 19, 2025
概括
药物遗传测试指导药物选择,但保险覆盖范围各不相同. 这次审查确定了经常使用的药物和基因,以优先考虑更好的药物遗传学实施和保险覆盖.
科学领域:
- 药物基因组学 药物基因组学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物遗传测试提供个性化药物管理,但面临不一致的保险覆盖.
- 了解以药物遗传学为指导的药物利用对于资源分配和政策决策至关重要.
研究的目的:
- 进行对评估药物利用率受药物遗传学测试影响的研究进行范围审查.
- 在老年人中识别常见的药物遗传学药物和相关基因,以告知覆盖和报销策略.
主要方法:
- 搜索了31项针对65岁及以上成年人的研究中的电子健康记录和索赔数据.
- 将已识别的药物遗传学药物按治疗类分类,并使用临床药物遗传学实施联盟指南评估可操作性.
- 分析了涉及基因的频率 (例如,CYP2D6,CYP2C19,CYP2C9) 和特定药物处方.
主要成果:
- 止痛药,精神药和心血管药物是最常被调查的.
- 在215种独特的药物遗传学药物中,有82种具有可行的建议.
- CYP2D6,CYP2C19和CYP2C9是最相关的基因;潘托普拉,西姆瓦斯塔丁和丹塞经常被处方.
结论:
- 经常处方的药物和确定的关键基因可以指导临床实施药物遗传学测试.
- 结果可以为医疗保健提供者和保险公司提供信息,以优先考虑药物遗传检测,以获得最佳的患者护理和资源利用.
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