Developing Pharmacogenomic Reports: Insights from Patients and Clinicians

被引:15
作者
Jones, Laney K. [1 ]
Rahm, Alanna Kulchak [1 ]
Gionfriddo, Michael R. [1 ]
Williams, Janet L. [1 ]
Fan, Audrey L. [1 ,2 ]
Pulk, Rebecca A. [1 ]
Wright, Eric A. [1 ]
Williams, Marc S. [1 ]
机构
[1] Geisinger, Danville, PA 17822 USA
[2] Genome Med, San Francisco, CA USA
来源
CTS-CLINICAL AND TRANSLATIONAL SCIENCE | 2018年 / 11卷 / 03期
关键词
GENOMIC LABORATORY REPORTS; INVITING PATIENTS; DOCTORS NOTES; PHARMACISTS; ATTITUDES; VIEWS; READ;
D O I
10.1111/cts.12534
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Increasingly, for a variety of indications, patients have their genomes sequenced and actionable results returned. A subset of returned results is pharmacogenomic (PGx) variants involved in the metabolism or action of medications. Although the impact of these variants on health is well-documented, little research exists on how to communicate these findings to patients and clinicians. We conducted semistructured interviews with end users to understand how best to communicate PGx results. Overall, patients and clinicians had similar opinions regarding report content, delivery, and application. Unique concerns specific to each stakeholder group were also expressed. Patients wanted an easy-to-understand individualized report that clinicians utilized to guide their care. Clinicians wanted reports that were easy-to-use, actionable, and integrated into their workflow. Implementation of these reports in a clinical setting will allow for broader user feedback and iterative improvement.
引用
收藏
页码:289 / 295
页数:7
相关论文
共 26 条
[1]  
[Anonymous], 1990, Qualitative Evaluation and Research Methods, DOI DOI 10.1002/NUR.4770140111
[2]   The Geisinger MyCode community health initiative: an electronic health record-linked biobank for precision medicine research [J].
Carey, David J. ;
Fetterolf, Samantha N. ;
Davis, Daniel ;
Faucett, William A. ;
Kirchner, H. Lester ;
Mirshahi, Uyenlinh ;
Murray, Michael F. ;
Smelser, Diane T. ;
Gerhard, Glenn S. ;
Ledbetter, David H. .
GENETICS IN MEDICINE, 2016, 18 (09) :906-913
[3]   US Pharmacists' Effect as Team Members on Patient Care Systematic Review and Meta-Analyses [J].
Chisholm-Burns, Marie A. ;
Lee, Jeannie Kim ;
Spivey, Christina A. ;
Slack, Marion ;
Herrier, Richard N. ;
Hall-Lipsy, Elizabeth ;
Zivin, Joshua Graff ;
Abraham, Ivo ;
Palmer, John ;
Martin, Jennifer R. ;
Kramer, Sandra S. ;
Wunz, Timothy .
MEDICAL CARE, 2010, 48 (10) :923-933
[4]  
de Denus S, 2013, PHARMACOGENOMICS, V14, P165, DOI [10.2217/PGS.12.197, 10.2217/pgs.12.197]
[5]   Inviting Patients to Read Their Doctors' Notes: A Quasi-experimental Study and a Look Ahead [J].
Delbanco, Tom ;
Walker, Jan ;
Bell, Sigall K. ;
Darer, Jonathan D. ;
Elmore, Joann G. ;
Farag, Nadine ;
Feldman, Henry J. ;
Mejilla, Roanne ;
Ngo, Long ;
Ralston, James D. ;
Ross, Stephen E. ;
Trivedi, Neha ;
Vodicka, Elisabeth ;
Leveille, Suzanne G. .
ANNALS OF INTERNAL MEDICINE, 2012, 157 (07) :461-U36
[6]   Patients' and healthcare professionals' views on pharmacogenetic testing and its future delivery in the NHS [J].
Fargher, Emily A. ;
Eddy, Charlotte ;
Newman, William ;
Qasim, Faieza ;
Tricker, Karen ;
Elliott, Rachel A. ;
Payne, Katherine .
PHARMACOGENOMICS, 2007, 8 (11) :1511-1519
[7]   Survey of US public attitudes toward pharmacogenetic testing [J].
Haga, S. B. ;
O'Daniel, J. M. ;
Tindall, G. M. ;
Lipkus, I. R. ;
Agans, R. .
PHARMACOGENOMICS JOURNAL, 2012, 12 (03) :197-204
[8]   Pharmacogenetic testing: not as simple as it seems [J].
Haga, Susanne B. ;
Burke, Wylie .
GENETICS IN MEDICINE, 2008, 10 (06) :391-395
[9]   Public Perspectives About Pharmacogenetic Testing and Managing Ancillary Findings [J].
Haga, Susanne B. ;
Tindall, Genevieve ;
O'Daniel, Julianne M. .
GENETIC TESTING AND MOLECULAR BIOMARKERS, 2012, 16 (03) :193-197
[10]   Consideration of patient preferences and challenges in storage and access of pharmacogenetic test results [J].
Haga, Susanne B. ;
Kawamoto, Kensaku ;
Agans, Robert ;
Ginsburg, Geoffrey S. .
GENETICS IN MEDICINE, 2011, 13 (10) :887-890