Stakeholder perspectives of the clinical utility of pharmacogenomic testing in solid organ transplantation

Pharmacogenomics. 2019 Dec;20(18):1291-1302. doi: 10.2217/pgs-2019-0129. Epub 2019 Nov 22.

Abstract

Aims: To assess stakeholder perspectives regarding the clinical utility of pharmacogenomic (PGx) testing following kidney, liver, and heart transplantation. Methods: We conducted individual semi-structured interviews and focus groups with kidney, liver, and heart transplantation patients and providers. We analyzed the qualitative data to identify salient themes. Results: The study enrolled 36 patients and 24 providers. Patients lacked an understanding about PGx, but expressed interest in PGx testing. Providers expressed willingness to use PGx testing, but reported barriers to implementation, such as lack of knowledge, lack of evidence demonstrating clinical utility, and patient healthcare burden. Conclusion: Patient and provider educational efforts, including foundational knowledge, clinical evidence, and applications to patient care beyond just immunosuppression, may be useful to facilitate the use of PGx testing in transplant medicine.

Keywords: clinical implementation; personalized medicine; pharmacogenetic; pharmacogenomic; qualitative research; transplant.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Health Knowledge, Attitudes, Practice
  • Health Personnel / economics
  • Health Personnel / education*
  • Heart Transplantation / economics
  • Heart Transplantation / education
  • Heart Transplantation / statistics & numerical data
  • Humans
  • Kidney Transplantation / economics
  • Kidney Transplantation / education
  • Kidney Transplantation / statistics & numerical data
  • Liver Transplantation / economics
  • Liver Transplantation / education
  • Liver Transplantation / statistics & numerical data
  • Organ Transplantation / economics
  • Organ Transplantation / education*
  • Organ Transplantation / statistics & numerical data
  • Pharmacogenetics / economics
  • Pharmacogenetics / education*
  • Pharmacogenetics / statistics & numerical data
  • Pharmacogenomic Testing / economics
  • Pharmacogenomic Testing / statistics & numerical data
  • Precision Medicine / economics
  • Precision Medicine / trends*