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Pharmacogenomic testing for mental health (Part II): qualitative analysis of early adopter prescriber perceptions.
Manzor Mitrzyk, Beatriz; Plegue, Melissa A; Kadri, Reema; Danak, Shivang U; Hubbard, Joseph D; Kaip, Emily A; Roberson, Dana N; Roy, Souvik; Guetterman, Timothy C; Ellingrod, Vicki L; Farris, Karen B; Ruffin Iv, Mack T; Klinkman, Michael S; Buis, Lorraine R.
Affiliation
  • Manzor Mitrzyk B; College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA.
  • Plegue MA; Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA.
  • Kadri R; Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA.
  • Danak SU; Department of Family & Community Medicine, Penn State Health, Milton S Hershey Medical Center, Hershey, PA 17033, USA.
  • Hubbard JD; College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA.
  • Kaip EA; College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA.
  • Roberson DN; College of Medicine, University of Florida, Gainesville, FL 32610, USA.
  • Roy S; School of Medicine, University of Pittsburgh, Pittsburgh, PA 15261, USA.
  • Guetterman TC; Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA.
  • Ellingrod VL; College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA.
  • Farris KB; College of Pharmacy, University of Michigan, Ann Arbor, MI 48109, USA.
  • Ruffin Iv MT; Department of Family & Community Medicine, Penn State Health, Milton S Hershey Medical Center, Hershey, PA 17033, USA.
  • Klinkman MS; Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA.
  • Buis LR; Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA.
Per Med ; 18(3): 233-240, 2021 05.
Article in En | MEDLINE | ID: mdl-33728996
ABSTRACT

Aim:

We sought to explore how early adopters use pharmacogenomic (PGx) testing for treating depression and attention-deficit/hyperactivity disorder. Patients &

methods:

Prescribers of the Informed PGx (Progenity, Inc., Ann Arbor, MI 48108, USA) test completed a phone survey assessing use of PGx testing for different scenarios. We conducted a qualitative thematic text analysis of transcribed audio recordings of open-ended responses (n = 62).

Results:

PGx testing was used when treating multiple comorbidities or resistant disease, and to ease patients' concerns with future therapy. Use of PGx testing is influenced by insurance coverage, interpretability of results and results turnaround time.

Conclusion:

Prescribers used PGx tests to modify medications for complex patients with depression, attention-deficit/hyperactivity disorder and other disorders to alleviate concerns related to adverse effects and lack of effectiveness.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / Attitude of Health Personnel / Cytochrome P-450 Enzyme System / Depression / Pharmacogenomic Testing Type of study: Prognostic_studies / Qualitative_research Limits: Adult / Female / Humans / Male / Middle aged Language: En Journal: Per Med Year: 2021 Document type: Article Affiliation country: Estados Unidos

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Attention Deficit Disorder with Hyperactivity / Attitude of Health Personnel / Cytochrome P-450 Enzyme System / Depression / Pharmacogenomic Testing Type of study: Prognostic_studies / Qualitative_research Limits: Adult / Female / Humans / Male / Middle aged Language: En Journal: Per Med Year: 2021 Document type: Article Affiliation country: Estados Unidos