Pharmacogenomic testing in oncology: a health system's approach to identify oncology provider perspectives

Author:

Bhatt Meghna1,Peshkin Beth N2ORCID,Kazi Sadaf13ORCID,Schwartz Marc D2,Ashai Nadia14,Swain Sandra M15ORCID,Smith D Max12ORCID

Affiliation:

1. MedStar Health, Columbia, MD 21044, USA

2. Cancer Prevention & Control Program, Lombardi Comprehensive Cancer Center, Georgetown University, Washington, DC 20007, USA

3. National Center for Human Factors in Healthcare, MedStar Health Research Institute, Washington, DC 20008, USA

4. Department of Oncology, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC 20007, USA

5. Department of Medicine, Georgetown Lombardi Comprehensive Cancer Center, Washington, DC 20007, USA

Abstract

Aim: Identify oncology healthcare providers' attitudes toward barriers to and use cases for pharmacogenomic (PGx) testing and implications for prescribing anticancer and supportive care medications. Materials & methods: A questionnaire was designed and disseminated to 71 practicing oncology providers across the MedStar Health System. Results: 25 of 70 (36%) eligible oncology providers were included. 88% were aware of PGx testing and 72% believed PGx can improve care. Of providers who had ordered a medication with PGx implications in the past month, interest in PGx for anticancer (90–100%) and supportive care medications (>75%) was high. Providers with previous PGx education were more likely to have ordered a test (odds ratio: 7.9; 95% CI: 1.1–56; p = 0.0394). Conclusion: Oncology provider prescribing practices and interest in PGx suggest opportunities for implementation.

Publisher

Future Medicine Ltd

Subject

Pharmacology,Genetics,Molecular Medicine

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