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Pharmacogenomics ; 22(9): 573-586, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-34013775

RESUMEN

Aim: To perform a systematic review to determine the efficacy/safety of PGx-guided opioid therapy for chronic/postoperative pain. Materials & methods: We searched PubMed and other specialized databases. Articles were considered if they compared the efficacy/safety of PGx-guided opioid therapy versus usual care. The risk of bias assessment was performed using Cochrane tools. Results: A total of 3794 records were retrieved. Only five were included for data extraction. A lower requirement of analgesics during postoperative in the PGx-guided intervention arm was reported in two studies. Also, two studies reported significant pain improvement in favor of the PGx-guided therapy when analyzing the subgroup of patients with a high-risk CYP2D6 phenotype. Conclusion: Despite the findings described, information on the efficacy/safety of this intervention is scarce.


Asunto(s)
Analgésicos Opioides/uso terapéutico , Manejo del Dolor/métodos , Pruebas de Farmacogenómica , Dolor Crónico/tratamiento farmacológico , Humanos , Dolor Postoperatorio/tratamiento farmacológico , Pruebas de Farmacogenómica/métodos , Resultado del Tratamiento
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