Evidence map›Paper›PMID 34140647›Full record

ArticleThe pharmacogenomics journal2021

The impact of pharmacogenetic testing in patients exposed to polypharmacy: a scoping review.

Erika L Meaddough, Sara M Sarasua, Tracy K Fasolino, Christopher L Farrell

Abstract readScoping Review
PubMed Publisher
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Polypharmacy and precision medicine.Cambridge prisms. Precision medicine · 2023
    Review
  13. Article
  14. Factors Determining Plasticity of Responses to Drugs.International journal of molecular sciences · 2022
    Review
  15. Drug-Drug-Gene Interactions in Cardiovascular Medicine.Pharmacogenomics and personalized medicine · 2022
    Review
  16. 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

4 authors at 2 institutions in 1 country.

Erika L MeaddoughSchool of Nursing, Healthcare Genetics Program, Clemson University, Clemson, SC, USA. emeaddo@clemson.edu.ORCID http://orcid.org/0000-0003-2376-4524
Sara M SarasuaSchool of Nursing, Healthcare Genetics Program, Clemson University, Clemson, SC, USA.
Tracy K FasolinoSchool of Nursing, Healthcare Genetics Program, Clemson University, Clemson, SC, USA.
Christopher L FarrellSchool of Nursing, Healthcare Genetics Program, Clemson University, Clemson, SC, USA.ORCID http://orcid.org/0000-0002-3672-3492
Clemson University · USPresbyterian College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Polypharmacy poses a significant risk for adverse reactions. While there are clinical decision support tools to assist clinicians in medication management, pharmacogenetic testing to identify potential drug-gene or drug-drug-gene interactions is not widely implemented in the clinical setting. A PRISMA-compliant scoping review was performed to determine if pharmacogenetic testing for absorption, distribution, metabolism, and excretion (ADME)-related genetic variants is associated with improved clinical outcomes in patients with polypharmacy. Six studies were reviewed. Five reported improved clinical outcomes, reduced side effects, reduction in the number of drugs used, or reduced healthcare utilization. The reviewed studies varied in methodological quality, risk of bias, and outcome measures. Age, diet, disease state, and treatment adherence also influence drug response, and may confound the relationship between genetic polymorphisms and treatment outcomes. Further studies using a randomized control design are needed. We conclude that pharmacogenetic testing represents an opportunity to improve health outcomes in patients exposed to polypharmacy, particularly in patients with psychiatric disorders and the elderly.

Indexed as

Drug InteractionsDrug-Related Side Effects and Adverse ReactionsHumansPharmacogenomic TestingPolymorphism, GeneticPolypharmacy

Identifiers

PMID34140647
OpenAlexW3167963077

What OpenQuestion holds

Textmetadata
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.