Implementation of pharmacogenetic testing in pediatric oncology: barriers and facilitators assessment at eight Canadian academic health centres.

IF 2.9 3区 医学 Q2 GENETICS & HEREDITY
Jeanette Cooper, Joshua Pratt, Jamie Park, Christine Fahim, Jessica M Lovnicki, Gabriella S S Groeneweg, Bruce Carleton, Sharon Straus
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引用次数: 0

Abstract

Pharmacogenetic (PGx) testing can enhance drug safety, improve efficacy, and reduce the risk of toxicity. However, the implementation of PGx testing in Canadian pediatric oncology centers has been limited. To address this gap, the aim of this study was to assess the barriers and facilitators to implementing PGx testing for three oncology drugs in eight Canadian pediatric oncology centers and identify strategies that could be used to support PGx testing implementation. We used semi-structured interviews to identify barriers and facilitators to PGx testing and identified evidence-based strategies for PGx testing implementation through a mapping process that utilized the Theoretical Domains Framework, the Consolidated Framework for Implementation Research and the Behavior Change Wheel. We identified 38 facilitators and 26 barriers to implementation of PGx testing and mapped these to 6 implementation strategies.

在儿科肿瘤学中实施药物基因检测:加拿大八家学术健康中心的障碍和促进因素评估。
药物基因学(PGx)测试可提高药物安全性、改善疗效并降低毒性风险。然而,加拿大儿科肿瘤中心实施 PGx 检测的程度有限。为弥补这一不足,本研究旨在评估在加拿大八家儿科肿瘤中心对三种肿瘤药物实施 PGx 检测的障碍和促进因素,并确定可用于支持 PGx 检测实施的策略。我们采用半结构式访谈来识别 PGx 检测的障碍和促进因素,并通过利用理论领域框架、实施研究综合框架和行为改变轮的映射过程来识别实施 PGx 检测的循证策略。我们确定了实施 PGx 检验的 38 个促进因素和 26 个障碍,并将这些因素与 6 个实施策略进行了映射。
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来源期刊
Pharmacogenomics Journal
Pharmacogenomics Journal 医学-药学
CiteScore
7.20
自引率
0.00%
发文量
35
审稿时长
6-12 weeks
期刊介绍: The Pharmacogenomics Journal is a print and electronic journal, which is dedicated to the rapid publication of original research on pharmacogenomics and its clinical applications. Key areas of coverage include: Personalized medicine Effects of genetic variability on drug toxicity and efficacy Identification and functional characterization of polymorphisms relevant to drug action Pharmacodynamic and pharmacokinetic variations and drug efficacy Integration of new developments in the genome project and proteomics into clinical medicine, pharmacology, and therapeutics Clinical applications of genomic science Identification of novel genomic targets for drug development Potential benefits of pharmacogenomics.
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