Pharmacogenetic Research Clinic, Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Toronto, Ontario, Canada.
Pharmacogenetic Research Clinic, Campbell Family Mental Health Research Institute, Center for Addiction and Mental Health, Toronto, Ontario, Canada; Department of Psychiatry and Psychotherapy, Campus Mitte, Charité Universitätsmedizin Berlin, Berlin, Germany.
Psychiatry Res. 2015 Oct 30;229(3):913-8. doi: 10.1016/j.psychres.2015.07.032. Epub 2015 Aug 7.
Pharmacogenetics seeks to improve patient drug response and decrease side effects by personalizing prescriptions using genetic information. Since 2012, by one estimate, the number of patients who have had pharmacogenetic testing has doubled and this number is expected to double again by 2015. Given the increasing evidence for genetic influences on treatment response, we deemed it important to study physicians' opinions of pharmacogenetic testing. Surveys were completed by 168 Canadian physicians who had ordered at least one pharmacogenetic test (in particular for CYP2D6 or CYP2C19) for the prescription of psychiatric medication. Our results indicated that 80% of respondents believe genetic testing would become common standard in psychiatric drug treatment and 76% of respondents reported satisfactory or higher than satisfactory understanding of the pharmacogenetic report provided. Significantly more male physicians believed they had a higher understanding of the pharmacogenetic report compared to female physicians. To our knowledge, this is the only study that has assessed physicians' opinions of pharmacogenetic testing for psychotropic medication after they had received a pharmacogenetic report. Our results demonstrate a positive opinion of physicians on pharmacogenetics and indicate great potential for future clinical application.
药物遗传学旨在通过利用遗传信息为患者量身定制处方来提高药物反应和减少副作用。据估计,自 2012 年以来,接受药物遗传学检测的患者数量增加了一倍,预计到 2015 年还将再增加一倍。鉴于遗传对治疗反应的影响的证据越来越多,我们认为研究医生对药物遗传学检测的看法很重要。这项调查由 168 名加拿大医生完成,他们至少为精神药物的处方开了一次药物遗传学检测(特别是 CYP2D6 或 CYP2C19)。我们的结果表明,80%的受访者认为基因检测将成为精神药物治疗的常见标准,76%的受访者报告对提供的药物遗传学报告有满意或更高的理解。与女性医生相比,更多的男性医生认为他们对药物遗传学报告的理解更高。据我们所知,这是唯一一项在医生收到药物遗传学报告后评估他们对精神药物药物遗传学检测的看法的研究。我们的结果表明医生对药物遗传学持积极态度,并表明未来临床应用的巨大潜力。