Pharmacogenomic testing implementation: Tertiary care center experience and results of a pilot of 512 patients

This is the authors' abstract. We don't add key points for this paper.

Purpose: Pharmacogenomic (PGx) testing has proven significant clinical utility in minimizing adverse drug reactions and maximizing therapeutic effects. This report is a proof of concept of the clinical implementation of PGx testing at a tertiary care hospital in Riyadh, Saudi Arabia. Methods: In collaboration with different departments, we implemented the PGx testing clinical service into our electronic health record cerner for heart and neurology centers patients. We used the PharmacoScan microarray-based test to perform genotyping. Results: = 402 (78.5%) had 3 or more genes with altered function (3 genes = 197, 38.5%, 4 genes = 134, 26.2%, 5 genes = 58, 11.3%, and 6 genes = 13, 2.5%). Conclusion: Our work describes the successful implementation of PGx testing in clinical practice and encourages further research on improving patient outcomes. Moreover, we describe the major challenges at each step of our approach, which provides our institute and others with lessons and insights on implementing PGx testing into clinical practice.