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介入心脏病学家对抗血小板药物基因检测的态度及其对处方决策的影响。

Interventional cardiologists' attitudes towards pharmacogenetic testing and impact on antiplatelet prescribing decisions.

机构信息

Division of Translational Medicine & Human Genetics, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.

出版信息

Per Med. 2022 Jan;19(1):41-49. doi: 10.2217/pme-2021-0088. Epub 2021 Dec 9.

Abstract

To determine if interventional cardiologists' knowledge and attitudes toward pharmacogenetic (PGx) testing influenced their antiplatelet prescribing decisions in response to results. Surveys were administered prior to participating in a randomized trial of testing. Associations between baseline knowledge/attitudes and agreement with the genotype-guided antiplatelet recommendations were determined using multivariable logistic regression. 50% believed that PGx testing would be valuable to predict medication toxicity or efficacy. 64% felt well informed about PGx testing and its therapeutic application. However, PGx experience, knowledge, nor attitudes were significantly associated with agreement to genotype-guided antiplatelet recommendations. Cardiologists' knowledge and attitudes were not associated with guided antiplatelet prescribing, but larger studies should be done to confirm this finding.

摘要

为了确定介入心脏病学家对药物遗传学(PGx)检测的知识和态度是否影响他们根据检测结果开具抗血小板药物的决定。在参与一项关于 PGx 检测的随机试验之前,进行了调查。使用多变量逻辑回归确定了基线知识/态度与对基于基因型的抗血小板建议的一致性之间的关联。50%的人认为 PGx 检测有助于预测药物毒性或疗效。64%的人认为自己对 PGx 检测及其治疗应用有很好的了解。然而,PGx 经验、知识和态度与基于基因型的抗血小板建议的一致性没有显著相关性。心脏病学家的知识和态度与指导抗血小板药物的开具没有关联,但应进行更大规模的研究来证实这一发现。

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