February 2007
Sidebar: CYP450 Testing: Key Questions
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What is the analytic (sensitivity, specificity, reproducibility, reliability) and clinical validity of tests that identify key CYP450 polymorphisms?
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How well does CYP450 testing predict drug efficacy?
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How well does CYP450 testing predict adverse drug reactions?
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Do other factors, such as race/ethnicity, diet, other medications, affect test accuracy?
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What are the harms associated with testing for CYP450 polymorphisms?
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What are the management options for patients based on CYP450 test results?
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Does the identification of the CYP450 genotypes lead to improved patient outcomes in terms of decreased symptoms/improved function, mortality/morbidity (avoiding adverse drug responses), or management decisions by patients and providers?
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What are the harms associated with subsequent management options?
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