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Cited by 334

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Clinically Actionable Genotypes Among 10,000 Patients With Preemptive Pharmacogenomic Testing

Open access
Van Driest, SL, Shi, Y, Bowton, EA, Schildcrout, JS, Peterson, JF, Pulley, J, Denny, JC, Roden, DM·2014·Clinical Pharmacology & Therapeutics

Abstract

Since September 2010, more than 10,000 patients have undergone preemptive, panel-based pharmacogenomic testing through the Vanderbilt Pharmacogenomic Resource for Enhanced Decisions in Care and Treatment program. Analysis of the genetic data from the first 9,589 individuals reveals that the frequency of genetic variants is concordant with published allele frequencies. Based on five currently implemented drug-gene interactions, the multiplexed test identified one or more actionable variants in 91% of the genotyped patients and in 96% of African American patients. Using medication exposure data from electronic medical records, we compared a theoretical "reactive," prescription-triggered, serial single-gene testing strategy with our preemptive, multiplexed genotyping approach. Reactive genotyping would have generated 14,656 genetic tests. These data highlight three advantages of preemptive genotyping: (i) the vast majority of patients carry at least one pharmacogenetic variant; (ii) data are available at the point of care; and (iii) there is a substantial reduction in testing burden compared with a reactive strategy.

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Metadata

Authors
Van Driest, S., Shi, Y., Bowton, E., Schildcrout, J., Peterson, J., Pulley, J., Denny, J., & Roden, D.
Venue
Clinical Pharmacology & Therapeutics
Publisher
Wiley
Published
2013-11-19
Volume
95
Issue
4
Pages
423-431
ISSN
  • 0009-9236 (ISSN-L)
  • 1532-6535
OpenAlex
W2158864490
Cited by
334
References
33
FWCI
17.34
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Clinically Actionable Genotypes Among 10,000 Patients With Preemptive Pharmacogenomic Testing. https://app.cochat.ai/papers/10.1038/clpt.2013.229
The paper
Van Driest, S., Shi, Y., Bowton, E., Schildcrout, J., Peterson, J., Pulley, J., Denny, J., & Roden, D. (2014). Clinically Actionable Genotypes Among 10,000 Patients With Preemptive Pharmacogenomic Testing. Clinical Pharmacology & Therapeutics. https://doi.org/10.1038/clpt.2013.229

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.