Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good

Abstract The field of pharmacogenomics (PGx) is gradually shifting from the reactive testing of single genes toward the proactive testing of multiple genes to improve treatment outcomes, reduce adverse events, and decrease the burden of unnecessary costs for healthcare systems. Despite the progress...

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Main Authors: Kristi Krebs, Lili Milani
Format: Article
Language:English
Published: BMC 2019-08-01
Series:Human Genomics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40246-019-0229-z
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author Kristi Krebs
Lili Milani
author_facet Kristi Krebs
Lili Milani
author_sort Kristi Krebs
collection DOAJ
description Abstract The field of pharmacogenomics (PGx) is gradually shifting from the reactive testing of single genes toward the proactive testing of multiple genes to improve treatment outcomes, reduce adverse events, and decrease the burden of unnecessary costs for healthcare systems. Despite the progress in the field of pharmacogenomics, its implementation into routine care has been slow due to several barriers. However, in recent years, the number of studies on the implementation of PGx has increased, all providing a wealth of knowledge on different solutions for overcoming the obstacles that have been emphasized over the past years. This review focuses on some of the challenges faced by these initiatives, the solutions and different approaches for testing that they suggest, and the evidence that they provide regarding the benefits of preemptive PGx testing.
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spelling doaj.art-77ce88fb813445cb86ba945ab953b6f42022-12-22T02:10:26ZengBMCHuman Genomics1479-73642019-08-0113111310.1186/s40246-019-0229-zTranslating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the goodKristi Krebs0Lili Milani1Estonian Genome Center, Institute of Genomics, University of TartuEstonian Genome Center, Institute of Genomics, University of TartuAbstract The field of pharmacogenomics (PGx) is gradually shifting from the reactive testing of single genes toward the proactive testing of multiple genes to improve treatment outcomes, reduce adverse events, and decrease the burden of unnecessary costs for healthcare systems. Despite the progress in the field of pharmacogenomics, its implementation into routine care has been slow due to several barriers. However, in recent years, the number of studies on the implementation of PGx has increased, all providing a wealth of knowledge on different solutions for overcoming the obstacles that have been emphasized over the past years. This review focuses on some of the challenges faced by these initiatives, the solutions and different approaches for testing that they suggest, and the evidence that they provide regarding the benefits of preemptive PGx testing.http://link.springer.com/article/10.1186/s40246-019-0229-zPharmacogeneticsPharmacogenomicsPGxImplementation of pharmacogeneticsTranslation into the clinicClinical decision support
spellingShingle Kristi Krebs
Lili Milani
Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
Human Genomics
Pharmacogenetics
Pharmacogenomics
PGx
Implementation of pharmacogenetics
Translation into the clinic
Clinical decision support
title Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
title_full Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
title_fullStr Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
title_full_unstemmed Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
title_short Translating pharmacogenomics into clinical decisions: do not let the perfect be the enemy of the good
title_sort translating pharmacogenomics into clinical decisions do not let the perfect be the enemy of the good
topic Pharmacogenetics
Pharmacogenomics
PGx
Implementation of pharmacogenetics
Translation into the clinic
Clinical decision support
url http://link.springer.com/article/10.1186/s40246-019-0229-z
work_keys_str_mv AT kristikrebs translatingpharmacogenomicsintoclinicaldecisionsdonotlettheperfectbetheenemyofthegood
AT lilimilani translatingpharmacogenomicsintoclinicaldecisionsdonotlettheperfectbetheenemyofthegood