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Prescription medications with actionable pharmacogenomic recommendations in Veterans Health Administration patients.
Maghari, Saba; Gallo, Tyler; Rivas, Salvador; German, Alexander; Nguyen Le, Minh Q; Abbaszadegan, Hamed; Zubriski, Mark A; Heise, Craig W; Landas, Noel D.
Afiliación
  • Maghari S; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • Gallo T; University of Arizona, College of Medicine-Phoenix, Phoenix, AZ 85004, USA.
  • Rivas S; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • German A; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • Nguyen Le MQ; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • Abbaszadegan H; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • Zubriski MA; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
  • Heise CW; University of Arizona, College of Medicine-Phoenix, Phoenix, AZ 85004, USA.
  • Landas ND; Phoenix VA Health Care System, Phoenix, AZ 85012, USA.
Pharmacogenomics ; 24(9): 501-508, 2023 06.
Article en En | MEDLINE | ID: mdl-37435738
Aim: To evaluate the prevalence of medications with actionable pharmacogenomic (PGx) safety and efficacy recommendations in patients receiving care from the Veterans Health Administration. Materials & methods: Outpatient prescription data from 2011 to 2021 and any documented adverse drug reactions (ADRs) were reviewed for those who received PGx testing at one Veterans Administration location between November 2019 and October 2021. Results: Among the reviewed prescriptions, 381 (32.8%) were associated with an actionable recommendation based on the Clinical Pharmacogenetics Implementation Consortium (CPIC) prescribing guidelines, with 205 (17.7%) for efficacy concerns and 176 (15.2%) for safety concerns. Among those with a documented ADR for a PGx-impacted medication, 39.1% had PGx results that aligned with CPIC recommendations. Conclusion: Medications with actionable PGx recommendations for safety and efficacy concerns are received with similar frequency, and most patients who have undergone PGx testing at the Phoenix Veterans Administration have received medications that may be impacted by PGx testing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos / Medicamentos bajo Prescripción Tipo de estudio: Guideline / Risk_factors_studies Límite: Humans Idioma: En Revista: Pharmacogenomics Asunto de la revista: FARMACOLOGIA / GENETICA MEDICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos / Medicamentos bajo Prescripción Tipo de estudio: Guideline / Risk_factors_studies Límite: Humans Idioma: En Revista: Pharmacogenomics Asunto de la revista: FARMACOLOGIA / GENETICA MEDICA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido