Kusic Dara, Heil Jessica, Zajic Stefan, Brangan Andrew, Dairo Oluseun, Smith Gretchen, Morales-Scheihing Diego, Buono Russell J, Ferraro Thomas N, Haroz Rachel, Salzman Matthew, Baston Kaitlan, Bodofsky Elliot, Sabia Michael, Resch Alissa, Scheinfeldt Laura B
Coriell Institute for Medical Research, Camden, NJ 08103, USA.
Cooper University Health Care, Camden, NJ 08103, USA.
Pharmaceutics. 2022 Sep 3;14(9):1863. doi: 10.3390/pharmaceutics14091863.
Pharmacogenetics (PGx) has the potential to improve opioid medication management. Here, we present patient perception data, pharmacogenetic data and medication management trends in patients with chronic pain (arm 1) and opioid use disorder (arm 2) treated at Cooper University Health Care in Camden City, NJ. Our results demonstrate that the majority of patients in both arms of the study (55% and 65%, respectively) are open to pharmacogenetic testing, and most (66% and 69%, respectively) believe that genetic testing has the potential to improve their medical care. Our results further support the potential for PGx testing to inform chronic pain medication management for poor metabolizers (PMs) and ultrarapid metabolizers (UMs). Future efforts to implement PGx testing in chronic pain management, however, must address patient concerns about genetic test result access and genetic discrimination.
药物遗传学(PGx)有改善阿片类药物管理的潜力。在此,我们展示了在新泽西州卡姆登市库珀大学医疗中心接受治疗的慢性疼痛患者(第1组)和阿片类药物使用障碍患者(第2组)的患者认知数据、药物遗传学数据及药物管理趋势。我们的结果表明,研究两组中的大多数患者(分别为55%和65%)都愿意接受药物遗传学检测,并且大多数患者(分别为66%和69%)认为基因检测有改善其医疗护理的潜力。我们的结果进一步支持了PGx检测为慢代谢者(PMs)和超快代谢者(UMs)的慢性疼痛药物管理提供信息的潜力。然而,未来在慢性疼痛管理中实施PGx检测的努力必须解决患者对基因检测结果获取和基因歧视的担忧。