RE: PROGRESS - big picture29 May 2025 08:33
Thx busicat .
More context , excellent article about the possibilities and beyond .
Pharmacogenetics enters the GP's office
One might think that the implementation of pharmacogenetics in clinical practice should be reserved for a few specialized centers with expert personnel, excluding for example general practitioners (GPs). In fact, a GP cannot wait for months for a result before prescribing a therapy and cannot even become an expert in pharmacogenetics to be able to interpret a test performed on a patient.
In fact, this approach can also become part of the daily work of GPs. The results of the PROGRESS study, presented at the congress, suggest that the implementation of pharmacogenomics in GP surgeries is not only possible, but is also highly appreciated by doctors and patients. "By talking to GPs, we understood that the implementation program had to have two main characteristics: it had to be fast and simple," explained John McDermott , from the University of Manchester, presenting the data during a session dedicated to the topic.
The PROGRESS programme was built on this premise, involving patients from 20 sites across England and focusing in particular on the prescribing of common medicines – statins, opioids, antidepressants and proton pump inhibitors.
The patient goes to their GP and, if they are considering prescribing one of the drugs being studied, the doctor suggests the possibility of taking the test and waiting for the results before starting treatment. If the patient accepts, they are given a kit to take home containing all the instructions for filling out the informed consent form online and collecting a saliva sample. The sample is then sent to the laboratory for analysis, using any post box in the United Kingdom. "Most doctors and patients said they were willing to wait for the result - also because the program envisaged a wait of no more than 10 days," McDermott told Univadis Italia . The genomic data obtained are not forwarded as is to the GP, who instead receives only specific "alerts", inserted into the electronic medical record.
https://www.univadis.it/viewarticle/eshg-2025-futuro-prossimo-test-genetico-prima-prescrivere-2025a1000djk?uuid=f6aaf61a-81b1-4f31-b1c3-337d1b25164c