Direct-to-consumer genetic tests (DTC-GT) have become a bridge between marketing and traditional healthcare services. After earning FDA endorsement for such facilities, several fast-developing companies started to compete in the related area. Pharmacogenomic (PGx) tests have been introduced as potentially one of the main medical services of such companies. Most of the individuals will be interested in finding out about the phenotypic consequences of their genetic variants and molecular risk factors against diverse medicines they take or will take later. Direct-to-consumer pharmacogenomic tests (DTC-PT) is still in its young age, however it is expected to expand rapidly through the industry in the future. The result of PGx tests could be considered as the main road toward the implementation of personalized and precision medicine in the clinic. This narrative critical review study provides a descriptive overview on DTC-GT, then focuses on DTC-PT, and also introduces and suggests the potential approaches for improving the clinical related outcomes of such tests on healthcare systems.
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Yale Sch Med, New Haven, CT USAYale Sch Med, New Haven, CT USA
Moneer, Osman
Miller, Jennifer E.
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Yale Sch Med, Dept Med, Sect Gen Med, New Haven, CT 06510 USAYale Sch Med, New Haven, CT USA
Miller, Jennifer E.
Shah, Nilay D.
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Mayo Clin, Div Hlth Care Delivery Res, Robert D & Patricia E Kern Ctr Sci Hlth Care Deli, Rochester, MN USAYale Sch Med, New Haven, CT USA
Shah, Nilay D.
Ross, Joseph S.
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Yale Sch Med, Dept Med, Sect Gen Med, New Haven, CT 06510 USA
Yale Sch Med, Yale Natl Clinician Scholars Program, New Haven, CT 06510 USA
Yale New Haven Hosp, Ctr Outcomes Res & Evaluat, 20 York St, New Haven, CT 06504 USA
Yale Sch Publ Hlth, Dept Hlth Policy & Management, New Haven, CT 06510 USAYale Sch Med, New Haven, CT USA
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Univ Copenhagen, Ctr & Res Unit Gen Practice, Dept Publ Hlth, Copenhagen, Denmark
Lisa Schwartz Fdn Truth Med, Norwich, VT USAUniv Copenhagen, Ctr & Res Unit Gen Practice, Dept Publ Hlth, Copenhagen, Denmark
Gram, Emma Grundtvig
Macdonald, Helen
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Lisa Schwartz Fdn Truth Med, Norwich, VT USA
BMJ, London, EnglandUniv Copenhagen, Ctr & Res Unit Gen Practice, Dept Publ Hlth, Copenhagen, Denmark
Macdonald, Helen
Kramer, Barnett
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Lisa Schwartz Fdn Truth Med, Norwich, VT USAUniv Copenhagen, Ctr & Res Unit Gen Practice, Dept Publ Hlth, Copenhagen, Denmark
Kramer, Barnett
Woloshin, Steven
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Lisa Schwartz Fdn Truth Med, Norwich, VT USA
Dartmouth Coll, Dartmouth Inst Hlth Policy & Clin Practice, Ctr Med & Media, Lebanon, NH USAUniv Copenhagen, Ctr & Res Unit Gen Practice, Dept Publ Hlth, Copenhagen, Denmark
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RAND Corp, Arlington, VA 22202 USARAND Corp, Arlington, VA 22202 USA
Price, Rebecca Anhang
Frank, Richard G.
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Harvard Univ, Sch Med, Dept Hlth Care Policy, Boston, MA 02115 USA
US Dept HHS, Off Assistant Secretary Planning & Evaluat, Washington, DC 20201 USARAND Corp, Arlington, VA 22202 USA
Frank, Richard G.
Cleary, Paul D.
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Yale Univ, Sch Publ Hlth, New Haven, CT USARAND Corp, Arlington, VA 22202 USA
Cleary, Paul D.
Goldie, Sue J.
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Harvard Univ, Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA 02115 USARAND Corp, Arlington, VA 22202 USA