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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Radcliffe Medical Media
2020
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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) |
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Diseases of the circulatory (Cardiovascular) system RC666-701 |
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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 |
_version_ |
1718372720053321728 |