PHARMACOGENETICS IN A TERTIARY CARE CENTER; KNOWLEDGE, ATTITUDE AND PRACTICE AMONG PHYSICIAN AND CLINICAL PHARMACIST

  • Emi Rose Abraham Department of Clinical Pharmacology, Rajagiri Hospital, Aluva, India.
    emiabraham7@gmail.com
  • Tresa Jose Department of Neonatology, Rajagiri Hospital, Aluva, India.
  • Dinu Varghese Departments of Clinical Pharmacology, Rajagiri Hospital, Aluva, India.
  • Susan John Department of Epidemiology, Rajagiri Hospital, Aluva, India.
  • Gayathri Raju Department of Epidemiology, Rajagiri Hospital, Aluva, India.

Abstract

Background: Pharmacogenetics is “the study of how genetics influence an individual’s response to medicines”. Use of Pharmacogenetics in routine health-care remains limited, mainly due to the barriers like lack of knowledge, guidelines and skilled personals. Therefore, assessing the current knowledge level and attitude reveals the significant gap that hinders the effective integration of pharmacogenetics into clinical practice.


Materials and Methods: A cross-sectional survey was conducted among physicians and clinical pharmacists practicing in a tertiary care center, using a self-administered questionnaire. The data were analyzed using SPSS version 25.


Results: A total of 80 individuals participated in the study. The overall knowledge score calculated showed that 36 (66.7%) doctors and 20 (76.9%) CPs had good knowledge regarding pharmacogenetics. 39 (72.2%) doctors and 25 (96.2%) CPs had a positive attitude towards pharmacogenetics. A significant number of participants among them 12 (22.2%) physicians and 20 (76.9%) CPs expressed that all the factors like the time & cost, lack of clinical guidelines & knowledge, lack of personnel were the major impediments in practicing pharmacogenetics.


Conclusion: The participants had good knowledge regarding pharmacogenetics, with CPs expressing a positive attitude than physicians. Both groups were ready to practice pharmacogenetics, but a significant number of participants expressed their concern regarding the potentials barriers involved in it.

Keywords: Pharmacogenetics, Precision medicine, Physician, Clinical Pharmacist, Tertiary care center

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References

1. MedlinePlus Genetics. What is pharmacogenetics? Bethesda (MD): National Library of Medicine (US); 2025 [cited 2025 May 20]. Available from: https://ghr.nlm.nih.gov/primer/genomicresearch/pharmacogenetics
2. Haga SB. Pharmacogenomic testing in pediatrics: navigating the ethical, social, and legal challenges. Pharmacogenomics Pers Med. 2019;12:273–285.
3. Coenen MJH, de Jong DJ, van Marrewijk CJ, Derijks LJJ, Vermeulen SH, Wong DR, et al. Identification of patients with variants in TPMT and dose reduction reduces hematologic events during thiopurine treatment of inflammatory bowel disease. Gastroenterology. 2015;149(4):907–917.e7.
4. Pirmohamed M, Burnside G, Eriksson N, Jorgensen AL, Toh CH, Nicholson T, et al. A randomized trial of genotype-guided dosing of warfarin. N Engl J Med. 2013;369(24):2294–2303.
5. Swen JJ, van der Wouden CH, Manson LE, Abdullah-Koolmees H, Blagec K, Blagus T, et al. A 12-gene pharmacogenetic panel to prevent adverse drug reactions: an open-label, multicentre, controlled, cluster-randomised crossover implementation study. Lancet. 2023;401(10374):347–356.
6. TPA. Pharmacogenomics: the right drug to the right person. J Clin Med Res. 2009;1(4):191–197.
7. Muller-Gass A, Mukerjee G, Dorfman R, Jetly R. Implementation of pharmacogenomics testing in daily clinical practice: perspectives of prescribers from two Canadian Armed Forces medical clinics. J Pers Med. 2025;15(3):101.
8. Lopez D. Pharmacogenetics: an important part of drug development with a focus on its application. Int J Biomed Investig. 2018;1(2):1–16.
9. Peruzzi E, Roncato R, De Mattia E, Bignucolo A, Swen JJ, Guchelaar HJ, et al. Implementation of pre-emptive testing of a pharmacogenomic panel in clinical practice: where do we stand? Br J Clin Pharmacol. 2023.
10. Salas-Hernández A, Galleguillos M, Carrasco M, López-Cortés A, Redal MA, Fonseca-Mendoza D, et al. An updated examination of the perception of barriers for pharmacogenomics implementation and the usefulness of drug/gene pairs in Latin America and the Caribbean. Front Pharmacol. 2023;14:1185674.
11. Abanmy NO, Alghamdi SA, Aljudaie RK, Almohammed OA. Clinical pharmacists’ knowledge, attitude, perception, and beliefs about the role of pharmacogenetic testing for gene polymorphisms when prescribing mercaptopurine. Saudi Pharm J. 2024;32(4):102022.
12. Taylor K, Umbreit A, Lea C, Holm E, Tarpenning KK. Implementing a pharmacist-led primary care pharmacogenomics medication management service. Innov Pharm. 2024;15(2):9.
13. Albassam A, Alshammari S, Ouda G, Koshy S, Awad A. Knowledge, perceptions and confidence of physicians and pharmacists towards pharmacogenetics practice in Kuwait. PLoS One. 2018;13(9):e0203033.
14. Elewa H, Alkhiyami D, Alsahan D, Abdel-Aziz A. A survey on the awareness and attitude of pharmacists and doctors towards the application of pharmacogenomics and its challenges in Qatar. J Eval Clin Pract. 2015;21(4):703–709.
15. ZB, SB, MZS, LKT. Pharmacogenomics-based practice in Malaysia: the attitude, knowledge and adoption by healthcare professionals. IIUM Med J Malays. 2020;13(1).
16. McCullough KB, Formea CM, Berg KD, Burzynski JA, Cunningham JL, Ou NN, et al. Assessment of the pharmacogenomics educational needs of pharmacists. Am J Pharm Educ. 2011;75(3):51.
17. Caraballo PJ, Hodge LS, Bielinski SJ, Stewart AK, Farrugia G, Schultz CG, et al. Multidisciplinary model to implement pharmacogenomics at the point of care. Genet Med. 2017;19(4):421–429.
18. Frigon MP, Blackburn MÈ, Dubois-Bouchard C, Gagnon AL, Tardif S, Tremblay K. Pharmacogenetic testing in primary care practice: opinions of physicians, pharmacists and patients. Pharmacogenomics. 2019;20(8):589–598.
19. Owusu-Obeng A, Weitzel KW, Hatton RC, Staley BJ, Ashton J, Cooper-DeHoff RM, et al. Emerging roles for pharmacists in clinical implementation of pharmacogenomics. Pharmacotherapy. 2014;34(10):1102–1112.
20. Quinn B. Personalized diagnostics: the struggle for position. Pers Med. 2010;7(3):263–273.
21. Alhaddad ZA, AlMousa HA, Younis NS. Pharmacists’ knowledge and insights in implementing pharmacogenomics in Saudi Arabia. Int J Environ Res Public Health. 2022;19(16):10073.
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How to Cite
Abraham, E. R., Jose, T., Varghese, D., John, S., & Raju, G. (2025). PHARMACOGENETICS IN A TERTIARY CARE CENTER; KNOWLEDGE, ATTITUDE AND PRACTICE AMONG PHYSICIAN AND CLINICAL PHARMACIST. Asian Journal of Hospital Pharmacy, 5(4), 33-41. https://doi.org/10.38022/ajhp.v5i4.117
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Research Articles