A systematic review of knowledge, attitude and practice of pharmacogenomics in pediatric oncology patients

Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes,...

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Published inPharmacology research & perspectives Vol. 11; no. 6; pp. e01150 - n/a
Main Authors Moore, Claire, Lazarakis, Smaro, Stenta, Tayla, Alexander, Marliese, Nguyen, Rachel Phan, Elliott, David A., Conyers, Rachel
Format Journal Article
LanguageEnglish
Published United States John Wiley & Sons, Inc 01.12.2023
John Wiley and Sons Inc
Wiley
Subjects
Attitudes
Australia
Cancer
Caregivers
Child
Collaboration
Consortia
consumer
Drug dosages
Education
Health Knowledge, Attitudes, Practice
Health Personnel - education
healthcare professional
Hospitals
Humans
Keywords
Knowledge
Medical Oncology
Medical personnel
Neoplasms - drug therapy
Neoplasms - genetics
Nurses
Oncology
Patients
Pediatrics
Pharmacogenetics
pharmacogenomics
Professionals
Review
Reviews
Software
Stem cells
Subject heading schemes
survey
Systematic review
Toxicity
Working groups
North Carolina
United States > US
survey
pharmacogenomics
healthcare professional
Australia
consumer
oncology
Online AccessGet full text
ISSN2052-1707
2052-1707
DOI10.1002/prp2.1150

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Abstract Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.
AbstractList Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.
Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence-based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence-based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.
Abstract Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This systematic review aims to understand enablers and barriers to pharmacogenomics implementation in pediatric oncology by assessing the knowledge, attitudes, and practice of healthcare professionals and consumers. Medline, Embase, Emcare, and PsycINFO database searches identified 146 relevant studies of which only three met the inclusion criteria. These studies reveal that consumers were concerned with pharmacogenomic test costs, insurance discrimination, data sharing, and privacy. Healthcare professionals possessed mostly positive attitudes toward pharmacogenomic testing yet identified lack of experience and training as barriers to implementation. Education emerged as the key enabler, reported in all three studies and both healthcare professionals and consumer groups. However, despite the need for education, no studies utilizing a pediatric oncology consumer or healthcare professional group have reported on the implementation or analysis of a pharmacogenomic education program in pediatric oncology. Increased access to guidelines, expert collaborations and additional guidance interpreting results were further enablers established by healthcare professionals. The themes identified mirror those reported in broader pediatric genetic testing literature. As only a small number of studies met inclusion criteria for this review, further research is warranted to elicit implementation determinants and advance pediatric pharmacogenomics.
Author Moore, Claire
Stenta, Tayla
Nguyen, Rachel Phan
Alexander, Marliese
Conyers, Rachel
Elliott, David A.
Lazarakis, Smaro
AuthorAffiliation 2 Department of Paediatrics The University of Melbourne Parkville Victoria Australia
7 The Novo Nordisk Foundation Centre for Stem Cell Medicine, ReNEW, Melbourne Node Parkville Victoria Australia
1 Pharmacogenomics Team Murdoch Children's Research Institute Parkville Victoria Australia
3 Health Sciences Library Royal Melbourne Hospital, Melbourne Health Parkville Victoria Australia
5 Pharmacy Department Peter MacCallum Cancer Centre Melbourne Victoria Australia
4 Sir Peter MacCallum Department of Oncology The University of Melbourne Parkville Victoria Australia
6 St Vincent’s Hospital Fitzroy Victoria Australia
8 Children's Cancer Centre, The Royal Children's Hospital Parkville Victoria Australia
AuthorAffiliation_xml – name: 5 Pharmacy Department Peter MacCallum Cancer Centre Melbourne Victoria Australia
– name: 2 Department of Paediatrics The University of Melbourne Parkville Victoria Australia
– name: 8 Children's Cancer Centre, The Royal Children's Hospital Parkville Victoria Australia
– name: 6 St Vincent’s Hospital Fitzroy Victoria Australia
– name: 1 Pharmacogenomics Team Murdoch Children's Research Institute Parkville Victoria Australia
– name: 3 Health Sciences Library Royal Melbourne Hospital, Melbourne Health Parkville Victoria Australia
– name: 7 The Novo Nordisk Foundation Centre for Stem Cell Medicine, ReNEW, Melbourne Node Parkville Victoria Australia
– name: 4 Sir Peter MacCallum Department of Oncology The University of Melbourne Parkville Victoria Australia
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CitedBy_id crossref_primary_10_1093_clinchem_hvae181
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crossref_primary_10_1186_s12913_024_11535_6
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Snippet Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This systematic...
Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence-based guidelines. This systematic...
Abstract Pharmacogenomics remains underutilized in clinical practice, despite the existence of internationally recognized, evidence‐based guidelines. This...
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SubjectTerms Attitudes
Australia
Cancer
Caregivers
Child
Collaboration
Consortia
consumer
Drug dosages
Education
Health Knowledge, Attitudes, Practice
Health Personnel - education
healthcare professional
Hospitals
Humans
Keywords
Knowledge
Medical Oncology
Medical personnel
Neoplasms - drug therapy
Neoplasms - genetics
Nurses
Oncology
Patients
Pediatrics
Pharmacogenetics
pharmacogenomics
Professionals
Review
Reviews
Software
Stem cells
Subject heading schemes
survey
Systematic review
Toxicity
Working groups
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Title A systematic review of knowledge, attitude and practice of pharmacogenomics in pediatric oncology patients
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