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Pharmacogenetics in Psychiatry: Perceived Value and Opinions in a Chilean Sample of Practitioners
Indexado
WoS WOS:000645277500001
Scopus SCOPUS_ID:85104958889
DOI 10.3389/FPHAR.2021.657985
Año 2021
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



Use of pharmacogenetics (PGx) testing to guide clinical decisions is growing in developed countries. Published guidelines for gene-drug pair analysis are available for prescriptions in psychiatry, but information on their utilization, barriers, and health outcomes in Latin America is limited. As a result, this work aimed at exploring current use, opinions, and perceived obstacles on PGx testing among psychiatrists in Chile, via an online, anonymous survey. Among 123 respondents (5.9% of registered psychiatrists in the country), 16.3% reported ever requesting a PGx test. The vast majority (95%) of tests were ordered by clinicians practicing in the Metropolitan Region of Santiago. Having more than 20 years in practice was positively associated with prior use of PGx (p 0.02, OR 3.74 (1.19-11.80)), while working in the public health system was negatively associated (OR 0.30 (0.10-0.83)). Perceived barriers to local implementation included insufficient evidence of clinical utility, limited clinicians' knowledge on PGx and on test availability, and health systems' issues, such as costs and reimbursement. Despite the recognition of these barriers, 80% of respondents asserted that it is likely that they will incorporate PGx tests in their practice in the next five years. Given these results, we propose next steps to facilitate implementation such as further research in health outcomes and clinical utility of known and novel clinically actionable variants, growth in local sequencing capabilities, education of clinicians, incorporation of clinical decision support tools, and economic evaluations, all in local context.

Revista



Revista ISSN
Frontiers In Pharmacology 1663-9812

Métricas Externas



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Disciplinas de Investigación



WOS
Pharmacology & Pharmacy
Scopus
Sin Disciplinas
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 UNDURRAGA-FOURCADE, JUAN PABLO Hombre Universidad del Desarrollo - Chile
Inst Psiquiatr Dr J Horwitz Barak - Chile
Clínica Alemana - Chile
Instituto Psiquiátrico Dr. José Horwitz Barak - Chile
2 Borquez-Infante, Ignacio Hombre Pontificia Universidad Católica de Chile - Chile
3 Crossley, Nicolas Hombre Pontificia Universidad Católica de Chile - Chile
Kings Coll London - Reino Unido
King's College London - Reino Unido
4 PRIETO-CANCINO, MIGUEL LUIS Hombre Universidad de Los Andes, Chile - Chile
Clin Univ Andes - Chile
Mayo Clin - Estados Unidos
Mayo Medical School - Estados Unidos
Mayo Clinic College of Medicine and Science - Estados Unidos
5 REPETTO-LISBOA, MARIA GABRIELA Mujer Universidad del Desarrollo - Chile
Clínica Alemana - Chile

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Financiamiento



Fuente
FONDECYT
Fondef
Fondo Nacional de Desarrollo Científico y Tecnológico
Fondo de Fomento al Desarrollo Científico y Tecnológico
Clinica Alemana de Santiago

Muestra la fuente de financiamiento declarada en la publicación.

Agradecimientos



Agradecimiento
Supported in part by ANID-PIA-ACT192064 (JU, NC, GMR), FONDECYT 1180358 (JU), 1200601 (NAC), 1171014 (GMR), 1181365 (MLP), FONDEF ID19I10116 (MLP) and Clinica Alemana de Santiago ID 863 (JU). Funding for researchers' time. and publication fees The agencies had no role in study design, analysis, interpretation of results, or manuscript writing.
Supported in part by ANID-PIA-ACT192064 (JU, NC, GMR), FONDECYT 1180358 (JU), 1200601 (NAC), 1171014 (GMR), 1181365 (MLP), FONDEF ID19I10116 (MLP) and Clínica Alemana de Santiago ID 863 (JU). Funding for researchers’ time. and publication fees The agencies had no role in study design, analysis, interpretation of results, or manuscript writing.

Muestra la fuente de financiamiento declarada en la publicación.