Test pharmacogénomique : Questions médicales fréquentes
Nom anglais: Pharmacogenomic Testing
Descriptor UI:D000071185
Tree Number:N02.421.726.233.221.500
Termes MeSH sélectionnés :
Predictive Value of Tests
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"name": "Diagnostic",
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"description": "Qu'est-ce qu'un test pharmacogénomique ?\nQuand est-il recommandé de faire un test ?\nQuels types de médicaments sont concernés ?\nComment se déroule un test ?\nLes tests sont-ils fiables ?",
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"description": "Quels symptômes peuvent indiquer un besoin de test ?\nLes tests peuvent-ils prédire des symptômes ?\nPeut-on avoir des symptômes sans test ?\nLes symptômes varient-ils selon les gènes ?\nLes tests peuvent-ils aider à diagnostiquer des maladies ?",
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"description": "Les tests peuvent-ils prévenir des effets secondaires ?\nComment intégrer les tests dans la prévention ?\nLes tests sont-ils recommandés pour tous ?\nPeut-on se préparer à un test ?\nLes tests peuvent-ils réduire les coûts de santé ?",
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"name": "Traitements",
"headline": "Traitements sur Test pharmacogénomique",
"description": "Comment les tests influencent-ils les traitements ?\nPeut-on éviter des traitements grâce aux tests ?\nLes tests sont-ils utilisés pour tous les médicaments ?\nLes résultats des tests sont-ils toujours clairs ?\nLes tests peuvent-ils changer en cours de traitement ?",
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"description": "Quelles complications peuvent survenir sans test ?\nLes tests peuvent-ils prévenir des complications ?\nLes complications sont-elles toujours évitables ?\nComment gérer les complications liées aux médicaments ?\nLes complications peuvent-elles affecter le traitement futur ?",
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"name": "Facteurs de risque",
"headline": "Facteurs de risque sur Test pharmacogénomique",
"description": "Quels facteurs de risque influencent les tests ?\nLes facteurs environnementaux jouent-ils un rôle ?\nLes facteurs de risque sont-ils les mêmes pour tous ?\nComment évaluer les facteurs de risque ?\nLes facteurs de risque peuvent-ils changer ?",
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"@type": "Question",
"name": "Qu'est-ce qu'un test pharmacogénomique ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "C'est un test qui analyse les gènes pour prédire la réponse aux médicaments."
}
},
{
"@type": "Question",
"name": "Quand est-il recommandé de faire un test ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est recommandé avant de commencer un traitement médicamenteux, surtout pour certains médicaments."
}
},
{
"@type": "Question",
"name": "Quels types de médicaments sont concernés ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les médicaments pour le cancer, les antidépresseurs et les anticoagulants sont souvent testés."
}
},
{
"@type": "Question",
"name": "Comment se déroule un test ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Un échantillon de sang ou de salive est prélevé et analysé en laboratoire."
}
},
{
"@type": "Question",
"name": "Les tests sont-ils fiables ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, mais leur précision dépend de la qualité du laboratoire et des gènes analysés."
}
},
{
"@type": "Question",
"name": "Quels symptômes peuvent indiquer un besoin de test ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des effets secondaires graves ou une réponse inefficace au traitement peuvent le justifier."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils prédire des symptômes ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent aider à anticiper des réactions indésirables à certains médicaments."
}
},
{
"@type": "Question",
"name": "Peut-on avoir des symptômes sans test ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, certains symptômes peuvent survenir sans lien avec la génétique ou les médicaments."
}
},
{
"@type": "Question",
"name": "Les symptômes varient-ils selon les gènes ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les variations génétiques peuvent influencer la gravité et la nature des symptômes."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils aider à diagnostiquer des maladies ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Indirectement, en identifiant des prédispositions génétiques à certaines maladies."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils prévenir des effets secondaires ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils aident à choisir des médicaments moins susceptibles de provoquer des effets indésirables."
}
},
{
"@type": "Question",
"name": "Comment intégrer les tests dans la prévention ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "En les utilisant lors de la prescription de médicaments pour anticiper les réactions."
}
},
{
"@type": "Question",
"name": "Les tests sont-ils recommandés pour tous ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, ils sont surtout recommandés pour les personnes avec des antécédents médicaux complexes."
}
},
{
"@type": "Question",
"name": "Peut-on se préparer à un test ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Il est conseillé de discuter de l'historique médical et des médicaments en cours avec le médecin."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils réduire les coûts de santé ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en évitant des traitements inefficaces et des hospitalisations dues à des effets secondaires."
}
},
{
"@type": "Question",
"name": "Comment les tests influencent-ils les traitements ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Ils permettent de personnaliser les traitements en fonction de la réponse génétique."
}
},
{
"@type": "Question",
"name": "Peut-on éviter des traitements grâce aux tests ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en identifiant les médicaments susceptibles de provoquer des effets indésirables."
}
},
{
"@type": "Question",
"name": "Les tests sont-ils utilisés pour tous les médicaments ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, ils sont principalement utilisés pour certains médicaments à haut risque."
}
},
{
"@type": "Question",
"name": "Les résultats des tests sont-ils toujours clairs ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Pas toujours, certains résultats peuvent être ambigus et nécessiter une interprétation."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils changer en cours de traitement ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des tests supplémentaires peuvent être nécessaires si le traitement échoue."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir sans test ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des effets secondaires graves ou des traitements inefficaces peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les tests peuvent-ils prévenir des complications ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, en identifiant les patients à risque de réactions indésirables aux médicaments."
}
},
{
"@type": "Question",
"name": "Les complications sont-elles toujours évitables ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, certaines complications peuvent survenir malgré un test pharmacogénomique."
}
},
{
"@type": "Question",
"name": "Comment gérer les complications liées aux médicaments ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "En ajustant le traitement selon les résultats des tests et en surveillant les effets."
}
},
{
"@type": "Question",
"name": "Les complications peuvent-elles affecter le traitement futur ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles peuvent influencer les choix de médicaments dans le futur."
}
},
{
"@type": "Question",
"name": "Quels facteurs de risque influencent les tests ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "L'hérédité, les antécédents médicaux et les traitements antérieurs sont des facteurs clés."
}
},
{
"@type": "Question",
"name": "Les facteurs environnementaux jouent-ils un rôle ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'environnement peut interagir avec la génétique et influencer la réponse aux médicaments."
}
},
{
"@type": "Question",
"name": "Les facteurs de risque sont-ils les mêmes pour tous ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Non, ils varient selon les individus et leurs antécédents médicaux."
}
},
{
"@type": "Question",
"name": "Comment évaluer les facteurs de risque ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Par une évaluation médicale complète et des tests génétiques appropriés."
}
},
{
"@type": "Question",
"name": "Les facteurs de risque peuvent-ils changer ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, ils peuvent évoluer avec le temps et les traitements reçus."
}
}
]
}
]
}
Thrombosis is a major clinical complication of COVID-19 infection. COVID-19 patients show changes in coagulation factors that indicate an important role for the coagulation system in the pathogenesis ...
Requisite to the application of clinical databases for observational research in hidradenitis suppurativa (HS) is the identification of an accurate case cohort. There is limited information on the val...
The objective of the study was to assess the validity in utilizing diagnosis codes to establish the HS and CA cohorts from an integrated health system clinical database....
In this retrospective study, we evaluated a case-finding algorithm for HS which included the presence of at least one diagnosis code for HS and no diagnosis codes for CA of the axilla, groin, perineum...
Among 100 HS patients, median age (interquartile range) in the HS cohort was 33 (24.75, 43.25) years. HS patients were predominantly female (82%) and white (70%). Median age among 100 CA patients was ...
The case-finding algorithms employing at least one diagnosis code for HS and CA of the axilla, groin, perineum, or buttock, with the exclusion of the other's diagnosis codes, has good to strong PPV an...
Epidemiological studies of primary subarachnoid hemorrhage (pSAH) frequently include population-based death registries for case finding. The positive predictive value of pSAH diagnoses in death regist...
This cross-sectional study identified all people in Ontario, Canada with pSAH listed as a cause of death between 2013 and 2017. pSAH was classified as "very likely" if diagnosis of pSAH was confirmed ...
1,613 deaths attributed to pSAH were identified (mean 322/year). pSAH classification frequencies were as follows: very likely 528 (32.7%); very unlikely 433 (26.8%); and status unknown 652 (40.4%)....
We found that a quarter of pSAH cases in our province's death registry were very unlikely to be true pSAH while 40% had unknown veracity. These data should be considered when using death registries fo...
To determine the negative predictive value (NPV) of the FebriDx point-of-care host response device in patients presenting with symptoms suggestive of COVID-19 infection in a mostly immunised Australia...
Observational diagnostic accuracy study comparing FebriDx point-of-care test to SARS-CoV-2 PCR....
An ED in Melbourne, Australia, with 63 000 annual presentations in 2021....
Patients aged 16 and over who met the Victorian Department of Health case definition for suspected COVID-19 infection PCR testing. Patients meeting any of the following criteria were excluded: <16 yea...
COVID-19 PCR results (detected, not detected) and FebriDx results (bacterial positive, viral negative, viral positive)....
94 participants were enrolled (female: 46; male: 48), 34% of participants (tested positive for COVID-19 according to PCR results, with a background incidence among all adult ED attenders of 2.5%. The ...
In the context of a population with low COVID-19 infection rates, an evolved variant of COVID-19 and a very high community COVID-19 vaccination rate, FebriDx demonstrated reduced sensitivity and NPV r...
ACTRN12620001029987 (Australian Clinical Trials)....
Laryngoscopy corresponding with laryngeal electromyography (LEMG) is essential in diagnosing vocal fold paresis. However, baseline asymmetry or other diseases oftentimes confound the exam, making diag...
We performed a retrospective review of patients with laryngeal asymmetry on laryngoscopy. Patients were divided into two groups: those with consistent paresis triad findings across all pitches and int...
Twelve patients met inclusion criteria (age 50 +/-15, 7F:5M). Nine had the paresis triad. Three had an inconsistent triad. All patients with the paresis triad had LEMG findings consistent with neurolo...
Our findings suggest the proposed laryngoscopic paresis triad may be useful objective criteria to diagnose paresis without the need for LEMG. Further prospective studies should examine a larger series...
4 Laryngoscope, 133:1712-1716, 2023....
The purpose of this study was to validate the humeral fracture diagnoses for adults in the Danish National Patient Registry (DNPR)....
This was a population-based validity study, including adult patients (≥ 18 years) with a humeral fracture referred to the emergency department of hospitals in three Danish regions from March 2017 to F...
In total, 661 patients were sampled between all available diagnosis codes. Overall, the PPV for humeral fracture was 89.3% (95% CI: 86.6-91.4%). PPVs for the subdivision codes were 91.0% (95% CI: 84.0...
The validity of the humeral fracture diagnosis and the classifications of proximal and diaphyseal fractures in the DNPR is high, and the DNPR may therefore be used in registry research. Diagnosis of d...
none....
not relevant....
To analyze the predictive value of hyperglycemia on the extrapancreatic infection (EPI) and infected pancreatic necrosis (IPN) of severe patients with acute pancreatitis (AP). We enrolled 234 patients...
This study was undertaken to assess the most sensitive combination of tests to detect peripersonal unilateral neglect (UN) after stroke....
The present study is a secondary analysis of a previously reported multicentric study of 203 individuals with right hemisphere damage (RHD), mainly subacute stroke, 11 weeks postonset on average, and ...
A combination of four z-scores based on the following three tests provided good discrimination of patients with RHD from matched healthy controls: the starting point and the difference between the num...
The most sensitive and parsimonious combination of tests to detect UN after stroke relies on four scores from three simple tests (bells test, line bisection, and reading). Future study is warranted to...
Stone size and location are key factors in predicting spontaneous stone passage (SSP), but little attention has been paid to the influence of radiological signs of stone impaction (RSSI). This researc...
To calculate the predictive value and thus the clinical usefulness of transvaginal ultrasound (US) imaging for the management of deep endometriosis, knowing that the positive predictive value (PPV) va...
After registration on PROSPERO (CRD42022366323), PubMed was searched for all reports describing the diagnostic accuracy of US imaging for deep endometriosis published between January 1, 2000, and Octo...
The 536 articles on "endometriosis AND US And diagnosis" were hand searched, and 30 reports describing sensitivity and specificity of deep endometriosis were found. Besides sensitivity and specificity...
Prevalences of deep endometriosis were reported only twice as 12% and 32% by ultrasonographers. In women undergoing surgery, prevalences vary between 40% and 100% because of the variable inclusion cri...
The reported sensitivities and specificities of transvaginal US are not only those of imaging but include symptoms and clinical examinations. In referral centers, the reported PPVs are high (94%-100%)...