Evidence map›Paper›PMID 33374349›Full record

ArticleJournal of personalized medicine2020

Pharmacogenomics at the Point of Care: A Community Pharmacy Project in British Columbia.

Samantha Breaux, Francis Arthur Derek Desrosiers, Mauricio Neira, Sunita Sinha, Corey Nislow

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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, 2 syntheses or guidelines pooled it.

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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

5 authors.

Samantha BreauxPharmaceutical Sciences, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Francis Arthur Derek DesrosiersBritish Columbia Pharmacy Association, 430-1200 W. 73rd Avenue, Vancouver, BC V6P 6G5, Canada.ORCID 0000-0002-3896-4062
Mauricio NeiraPharmaceutical Sciences, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0001-6522-6578
Sunita SinhaPharmaceutical Sciences, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Corey NislowPharmaceutical Sciences, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0002-4016-8874

Funding

BC Pharmacy Association NAGenome British Columbia UPP-031Green Shield Canada NAPfizer Canada NA
6 · The paper itself

Abstract

In this study 180 patients were consented and enrolled for pharmacogenomic testing based on current antidepressant/antipsychotic usage. Samples from patients were genotyped by PCR, MassArray, and targeted next generation sequencing. We also conducted a quantitative, frequency-based analysis of participants' perceptions using simple surveys. Pharmacogenomic information, including medication changes and altered dosing recommendations were returned to the pharmacists and used to direct patient therapy. Overwhelmingly, patients perceived pharmacists/pharmacies as an appropriate healthcare provider to deliver pharmacogenomic services. In total, 81 medication changes in 33 unique patients, representing 22% of all genotyped participants were recorded. We performed a simple drug cost analysis and found that medication adjustments and dosing changes across the entire cohort added $24.15CAD per patient per year for those that required an adjustment. Comparing different platforms, we uncovered a small number, 1.7%, of genotype discrepancies. We conclude that: (1). Pharmacists are competent providers of pharmacogenomic services. (2). The potential reduction in adverse drug responses and optimization of drug selection and dosing comes at a minimal cost to the health care system. (3). Changes in drug therapy, based on PGx tests, result in inconsequential changes in annual drug therapy cost with small cost increases just as likely as costs savings. (4). Pharmacogenomic services offered by pharmacists are ready for wide commercial implementation.

Indexed as

community pharmacygenetic privacypharmaco-economicspharmacogeneticspharmacogenomic testing

Identifiers

PMID33374349
PMCPMC7823931

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.