Evidence map›Paper›PMID 34075203›Full record

ArticleThe pharmacogenomics journal2021

Determining the potential clinical value of panel-based pharmacogenetic testing in patients with chronic pain or gastroesophageal reflux disease.

Amanda L Elchynski, Emily J Cicali, Maria C Ferrer Del Busto, Alessandra Hamilton, Ku-Lang Chang, Siegfried O Schmidt, Brian Weiner, Richard Davis, David Estores, D Max Smith and 3 more

Open access · greenAbstract read
In one paragraph

Article in The pharmacogenomics journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Pharmacogenetics: A Precision Medicine Approach to Combatting the Opioid Epidemic.Journal of the American College of Clinical Pharmacy : JACCP · 2022
    Article
  10. 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

13 authors at 3 institutions in 1 country.

Amanda L ElchynskiDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Emily J CicaliDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-3595-9321
Maria C Ferrer Del BustoDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Alessandra HamiltonDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Ku-Lang ChangDepartment of Community Health and Family Medicine, College of Medicine University of Florida, Gainesville, FL, USA.
Siegfried O SchmidtDepartment of Community Health and Family Medicine, College of Medicine University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-5941-6009
Brian WeinerDivision of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL, USA.
Richard DavisDivision of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL, USA.
David EstoresDivision of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, FL, USA.
D Max SmithMedStar Health, Columbia, MD, USA.ORCID http://orcid.org/0000-0003-3667-2936
Kristin WiisanenDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Julie A JohnsonDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA.
Larisa H CavallariDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, USA. lcavallari@cop.ufl.edu.ORCID http://orcid.org/0000-0002-7184-5292
University of Florida · USAmerican Association of Colleges of Pharmacy · USGeorgetown University · US

Funding

Sparking Advancements in Genomic MedicineU01HG007269 · NHGRI · UNIVERSITY OF FLORIDA · PI CAVALLARI, LARISA HUMMA, JOHNSON, JULIE A. · 2013 to 2024
$17.0M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
NCATS NIH HHS UL1 TR000064NHGRI NIH HHS U01 HG007269
6 · The paper itself

Abstract

We aimed to determine the potential value of panel-based pharmacogenetic (PGx) testing in patients with chronic pain or gastroesophageal reflux disease (GERD) who underwent single-gene PGx testing to guide opioid or proton pump inhibitor (PPI) therapy, respectively. Of 448 patients included (chronic pain, n = 337; GERD, n = 111), mean age was 57 years, 68% were female, and 73% were white. Excluding opiates for the pain cohort and PPIs for the GERD cohort, 76.6% of patients with pain and 71.2% with GERD were prescribed at least one additional medication with a high level of PGx evidence, most commonly ondansetron or selective serotonin reuptake inhibitors. The most common genes that could inform PGx drug prescribing were CYP2C19, CYP2D6, CYP2C9, and SLCO1B1. Our findings suggest that patients with chronic pain or GERD are commonly prescribed drugs with a high level of evidence for a PGx-guided approach, supporting panel-based testing in these populations.

Indexed as

Pharmacogenomic TestingPharmacogenomic VariantsPrecision MedicineAdultAgedAnalgesics, OpioidChronic PainClinical Decision-MakingCytochrome P-450 CYP2C19Cytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6FemaleGastroesophageal RefluxHumansLiver-Specific Organic Anion Transporter 1MaleAnalgesics, OpioidCYP2C19 protein, humanCYP2C9 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP2C9Cytochrome P-450 CYP2D6Liver-Specific Organic Anion Transporter 1Proton Pump InhibitorsSLCO1B1 protein, human

Identifiers

PMID34075203
PMCPMC8605985
OpenAlexW3165315781

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.