Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds

Genetic polymorphisms significantly affect individual responses to warfarin, contributing to unpredictability and challenges in managing anticoagulation. Although numerous studies have demonstrated that pharmacogenetic testing improves anticoagulation-related outcomes in the Caucasian population, it...

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Autores principales: Grace Shu-wen Chang, Doreen Su-Yin Tan
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Lenguaje:EN
Publicado: Radcliffe Medical Media 2020
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Acceso en línea:https://doaj.org/article/150e491982674f948c727c50f1f0fd03
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spelling oai:doaj.org-article:150e491982674f948c727c50f1f0fd032021-12-04T16:03:15ZUsing Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds10.15420/ecr.2019.121758-37641758-3756https://doaj.org/article/150e491982674f948c727c50f1f0fd032020-06-01T00:00:00Zhttps://www.ecrjournal.com/articleindex/ecr.2019.12https://doaj.org/toc/1758-3756https://doaj.org/toc/1758-3764Genetic polymorphisms significantly affect individual responses to warfarin, contributing to unpredictability and challenges in managing anticoagulation. Although numerous studies have demonstrated that pharmacogenetic testing improves anticoagulation-related outcomes in the Caucasian population, its effect in the Asian population has not been well studied. This article discusses controversies surrounding tailoring warfarin therapy using pharmacogenetic testing and its role in clinical practice, with a focus on the Asian context. Using the Singapore experience as an example, the authors propose how pharmacogenetic testing can be a means to reduce dose titrations in select patient populations, and how it may be positioned as an enabler to reduce healthcare resources needed for anticoagulation management.Grace Shu-wen ChangDoreen Su-Yin TanRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENEuropean Cardiology Review , Vol 15, Iss , Pp - (2020)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle Diseases of the circulatory (Cardiovascular) system
RC666-701
Grace Shu-wen Chang
Doreen Su-Yin Tan
Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
description Genetic polymorphisms significantly affect individual responses to warfarin, contributing to unpredictability and challenges in managing anticoagulation. Although numerous studies have demonstrated that pharmacogenetic testing improves anticoagulation-related outcomes in the Caucasian population, its effect in the Asian population has not been well studied. This article discusses controversies surrounding tailoring warfarin therapy using pharmacogenetic testing and its role in clinical practice, with a focus on the Asian context. Using the Singapore experience as an example, the authors propose how pharmacogenetic testing can be a means to reduce dose titrations in select patient populations, and how it may be positioned as an enabler to reduce healthcare resources needed for anticoagulation management.
format article
author Grace Shu-wen Chang
Doreen Su-Yin Tan
author_facet Grace Shu-wen Chang
Doreen Su-Yin Tan
author_sort Grace Shu-wen Chang
title Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
title_short Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
title_full Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
title_fullStr Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
title_full_unstemmed Using Pharmacogenetic Testing to Tailor Warfarin Therapy: The Singapore Experience and What the Future Holds
title_sort using pharmacogenetic testing to tailor warfarin therapy: the singapore experience and what the future holds
publisher Radcliffe Medical Media
publishDate 2020
url https://doaj.org/article/150e491982674f948c727c50f1f0fd03
work_keys_str_mv AT graceshuwenchang usingpharmacogenetictestingtotailorwarfarintherapythesingaporeexperienceandwhatthefutureholds
AT doreensuyintan usingpharmacogenetictestingtotailorwarfarintherapythesingaporeexperienceandwhatthefutureholds
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