Evidence map›Paper›PMID 30724853›Full record

Trial reportPharmacogenetics and genomics2019

International survey of patients undergoing percutaneous coronary intervention and their attitudes toward pharmacogenetic testing.

Naveen L Pereira, Derek So, Jang-Ho Bae, Ivan Chavez, Myung Ho Jeong, Sang Wook Kim, Mina Madan, John Graham, Fearghas O'Cochlain, Nicole Pauley and 10 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pharmacogenetics and genomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Genetic-Guided Oral P2YJACC. Cardiovascular interventions · 2023
    Trial
  4. Article
  5. Circulation · 2024
    Review
  6. Article
  7. Pharmacogenetics of Antiplatelet Therapy.Annual review of pharmacology and toxicology · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors at 13 institutions in 4 countries.

Naveen L PereiraDepartment of Cardiovascular Medicine.
Derek SoDepartment of Medicine, University of Ottawa Heart Institute, Ottawa.
Jang-Ho BaeDepartment of Interventional Cardiology, Internal Medicine, Division of Cardiology, Konyang University, Nonsan.
Ivan ChavezDepartment of Cardiology, Minneapolis Heart Institute Foundation, Minneapolis, Minnesota.
Myung Ho JeongDepartment of Cardiology, Heart Research Center, Chonnam National University, Gwangju.
Sang Wook KimDepartment of Cardiology, Chung-Ang University Hospital, Seoul, South Korea.
Mina MadanDepartment of Medicine, Sunnybrook Health Sciences Centre.
John GrahamDepartment of Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Fearghas O'CochlainDepartment of Medicine, Mayo Clinic Health System, Eau Claire Hospital Inc., Eau Claire, Wisconsin.
Nicole PauleyDepartment of Cardiovascular Medicine.
Ryan J LennonDepartment of Health Sciences Research.
Kent BaileyDepartment of Health Sciences Research.
Ahmed HasanAtherothrombosis and Coronary Artrey Disease Department, National Heart, Lung, and Blood Institute, Bethesda, Maryland.
Linnea M BaudhuinDepartment of Laboratory Medicine and Pathology, Mayo Clinic, Rochester.
Malcolm R BellDepartment of Cardiovascular Medicine.
Amir LermanDepartment of Cardiovascular Medicine.
Shaun GoodmanDepartment of Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Verghese MathewDepartment of Medicine, Loyola University, Mayowood, Illinois, USA.
Michael FarkouhDepartment of Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
Charanjit S RihalDepartment of Cardiovascular Medicine.
University of Toronto · CADepartment of Medical Sciences · BYChonnam National University · KRChung-Ang University Hospital · KRGTx (United States) · USHealth Sciences Centre · CAKonyang University · KRLoyola University Chicago · USMayo Clinic · USMayo Clinic Health System · USMinneapolis Heart Institute Foundation · USNational Heart Lung and Blood Institute · USUniversity of Ottawa · CA

Funding

TAILOR PCI: Transitioning a Genotype Based Randomized Clinical Trial to a Registry Using Digital SolutionsU01HL128606 · NHLBI · MAYO CLINIC ROCHESTER · PI FARKOUH, MICHAEL E, PEREIRA, NAVEEN LUKE · 2016 to 2019
$7.0M
NHLBI NIH HHS U01 HL128606
6 · The paper itself

Abstract

objectiveTo evaluate perceptions toward pharmacogenetic testing of patients undergoing percutaneous coronary intervention (PCI) who are prescribed dual antiplatelet therapy (DAPT) and whether geographical differences in these perceptions exist. PARTICIPANTS AND

methodsTAILOR-PCI is the largest genotype-based cardiovascular clinical trial randomizing participants to conventional DAPT or prospective genotyping-guided DAPT. Enrolled patients completed surveys before and 6 months after randomization.

resultsA total of 1327 patients completed baseline surveys of whom 28, 29, and 43% were from Korea, Canada and the USA, respectively. Most patients (77%) valued identifying pharmacogenetic variants; however, fewer Koreans (44%) as compared with Canadians (91%) and USA (89%) patients identified pharmacogenetics as being important (P<0.001). After adjusting for age, sex, and country, those who were confident in their ability to understand genetic information were significantly more likely to value identifying pharmacogenetic variants (odds ratio: 30.0; 95% confidence interval: 20.5-43.8). Only 21% of Koreans, as opposed to 86 and 77% of patients in Canada and USA, respectively, were confident in their ability to understand genetic information (P<0.001).

conclusionAlthough genetically mediated clopidogrel resistance is more prevalent amongst Asians, Koreans undergoing PCI identified pharmacogenetic variants as less important to their healthcare, likely related to their lack of confidence in their ability to understand genetic information. To enable successful implementation of pharmacogenetic testing on a global scale, the possibility of international population differences in perceptions should be considered.

Indexed as

Pharmacogenomic TestingAdultAgedCanadaClopidogrelDual Anti-Platelet TherapyFemaleHumansMaleMiddle AgedPercutaneous Coronary InterventionPharmacogenomic VariantsPlatelet Aggregation InhibitorsPrasugrel HydrochlorideRepublic of KoreaTreatment OutcomeClopidogrelPlatelet Aggregation InhibitorsPrasugrel Hydrochloride

Identifiers

PMID30724853
PMCPMC6476684
OpenAlexW2913270590

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.