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Rooij TV, Roederer M, Wareham T, Rooij IV, McLeod HL, Marsh S. Fast and frugal trees: translating population-based pharmacogenomics to medication prioritization. Per Med 2015; 12:117-128. [DOI: 10.2217/pme.14.66] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Aim: Fast and frugal decision trees (FFTs) can simplify clinical decision making by providing a heuristic approach to contextual guidance. We wanted to use FFTs for pharmacogenomic knowledge translation at point-of-care. Materials & Methods: The Pharmacogenomics for Every Nation Initiative (PGENI), an international nonprofit organization, collects data on regional polymorphisms as a predictor of metabolism for individual drugs and dosages. We advanced FFTs to work with PGENI pharmacogenomic data to produce medication recommendations that are accurate, transparent and straightforward to automate. Results: By streamlining medication selection processes in the PGENI workflow, information technology applications can now be deployed. Conclusion: We developed a decision tree approach that can translate pharmacogenomic data to provide up-to-date recommended care for populations based on their medication-specific markers.
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Affiliation(s)
- Tibor van Rooij
- Faculty of Pharmacy & Pharmaceutical Sciences, Katz Group Centre for Pharmacy & Health Research, University of Alberta, Edmonton, Alberta T6G 2E1, Canada
| | - Mary Roederer
- Eshelman School of Pharmacy, Department of Pharmacy Practice, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Todd Wareham
- Department of Computer Science, Memorial University of Newfoundland, St. John's, Newfoundland & Labrador, Canada
| | - Iris van Rooij
- Donders Institute for Brain, Cognition & Behaviour, Radboud University Nijmegen, Nijmegen, The Netherlands
| | | | - Sharon Marsh
- Faculty of Pharmacy & Pharmaceutical Sciences, Katz Group Centre for Pharmacy & Health Research, University of Alberta, Edmonton, Alberta T6G 2E1, Canada
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