Attitudes toward pharmacogenetics in patients undergoing CYP2C19 testing following percutaneous coronary intervention

Author:

Lee Grace1,Varughese Lisa A2ORCID,Conway Laura12ORCID,Stojinski Carol3,Ashokkumar Sandhya3,Monono Karen2,Matthai William4,Kolansky Daniel M4,Giri Jay45,Tuteja Sony2ORCID

Affiliation:

1. Department of Genetic Counseling, Arcadia University, Glenside, PA, USA

2. Division of Translational Medicine & Human Genetics, Department of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

3. Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA

4. Cardiovascular Medicine Division, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

5. Penn Cardiovascular Outcomes, Quality, & Evaluative Research Center & the Leonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

Abstract

Aim: Patient knowledge and attitudes toward pharmacogenetic (PGx) testing may impact adoption of clinical testing. Methods: Questionnaires regarding knowledge, attitudes and ethics of PGx testing were distributed to 504 patients enrolled in the ADAPT study conducted at two urban hospitals in Philadelphia, Pennsylvania, USA. Responses were assessed using multivariable logistic regression. Results: 311 completed the survey (62% response rate). 74% were unaware of PGx testing, but 79% indicated using PGx results to predict medication efficacy was important. In a multivariable model, higher education level (p = 0.031) and greater genetics knowledge (p < 0.001) were associated with more positive attitudes toward PGx testing. Conclusion: Greater patient knowledge of genetics was associated with a more positive attitude toward PGx testing, indicating that educational strategies aimed at increasing genetics knowledge may enhance adoption of PGx testing in the clinic.

Funder

National Heart, Lung, and Blood Institute

National Center for Advancing Translational Sciences

Penn Center for Precision Medicine

Publisher

Future Medicine Ltd

Subject

Pharmacology,Molecular Medicine,General Medicine

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