Fast and frugal trees: translating population-based pharmacogenomics to medication prioritization

Author:

Rooij Tibor van1,Roederer Mary2,Wareham Todd3,Rooij Iris van4,McLeod Howard L5,Marsh Sharon1

Affiliation:

1. Faculty of Pharmacy & Pharmaceutical Sciences, Katz Group Centre for Pharmacy & Health Research, University of Alberta, Edmonton, Alberta T6G 2E1, Canada

2. Eshelman School of Pharmacy, Department of Pharmacy Practice, University of North Carolina, Chapel Hill, North Carolina, USA

3. Department of Computer Science, Memorial University of Newfoundland, St. John's, Newfoundland & Labrador, Canada

4. Donders Institute for Brain, Cognition & Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands

5. Moffitt Cancer Center, Tampa, Florida, USA

Abstract

Aim: Fast and frugal decision trees (FFTs) can simplify clinical decision making by providing a heuristic approach to contextual guidance. We wanted to use FFTs for pharmacogenomic knowledge translation at point-of-care. Materials & Methods: The Pharmacogenomics for Every Nation Initiative (PGENI), an international nonprofit organization, collects data on regional polymorphisms as a predictor of metabolism for individual drugs and dosages. We advanced FFTs to work with PGENI pharmacogenomic data to produce medication recommendations that are accurate, transparent and straightforward to automate. Results: By streamlining medication selection processes in the PGENI workflow, information technology applications can now be deployed. Conclusion: We developed a decision tree approach that can translate pharmacogenomic data to provide up-to-date recommended care for populations based on their medication-specific markers.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Molecular Medicine,General Medicine

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