Pharmacogenomic Testing In Pediatrics: Navigating The Ethical, Social, And Legal Challenges
- PMID: 31686893
- PMCID: PMC6800463
- DOI: 10.2147/PGPM.S179172
Pharmacogenomic Testing In Pediatrics: Navigating The Ethical, Social, And Legal Challenges
Abstract
For the past several years, the implementation of pharmacogenetic (PGx) testing has become widespread in several centers and clinical practice settings. PGx testing may be ordered at the point-of-care when treatment is needed or in advance of treatment for future use. The potential benefits of PGx testing are not limited to adult patients, as children are increasingly using medications more often and at earlier ages. This review provides some background on the use of PGx testing in children as well as mothers (prenatally and post-natally) and discusses the challenges, benefits, and the ethical, legal, and social implications of providing PGx testing to children.
Keywords: benefit; children; consent; education; maternal health; pharmacogenetic testing; risk.
© 2019 Haga.
Conflict of interest statement
Dr Susanne B Haga reports grants from US National Institutes of Health, during the conduct of the study. The author reports no other conflicts of interest in this work.
Similar articles
-
Providers' perspectives on the clinical utility of pharmacogenomic testing in pediatric patients.Pharmacogenomics. 2021 Apr;22(5):263-274. doi: 10.2217/pgs-2020-0112. Epub 2021 Mar 4. Pharmacogenomics. 2021. PMID: 33657875 Free PMC article.
-
Assessment of the Implementation of Pharmacogenomic Testing in a Pediatric Tertiary Care Setting.JAMA Netw Open. 2021 May 3;4(5):e2110446. doi: 10.1001/jamanetworkopen.2021.10446. JAMA Netw Open. 2021. PMID: 34037732 Free PMC article.
-
Perspectives on the Clinical Use of Pharmacogenetic Testing in Late-Life Mental Healthcare: A Survey of the American Association of Geriatric Psychiatry Membership.Am J Geriatr Psychiatry. 2022 May;30(5):560-571. doi: 10.1016/j.jagp.2021.09.013. Epub 2021 Oct 6. Am J Geriatr Psychiatry. 2022. PMID: 34740522
-
Pharmacogenomic and pharmacogenetic-guided therapy as a tool in precision medicine: current state and factors impacting acceptance by stakeholders.Genet Res (Camb). 2015 Jun 1;97:e13. doi: 10.1017/S0016672315000099. Genet Res (Camb). 2015. PMID: 26030725 Free PMC article. Review.
-
Challenges of development and implementation of point of care pharmacogenetic testing.Expert Rev Mol Diagn. 2016 Sep;16(9):949-60. doi: 10.1080/14737159.2016.1211934. Epub 2016 Jul 22. Expert Rev Mol Diagn. 2016. PMID: 27402403 Free PMC article. Review.
Cited by
-
Providers' perspectives on the clinical utility of pharmacogenomic testing in pediatric patients.Pharmacogenomics. 2021 Apr;22(5):263-274. doi: 10.2217/pgs-2020-0112. Epub 2021 Mar 4. Pharmacogenomics. 2021. PMID: 33657875 Free PMC article.
-
Analyzing pharmacogenetics cost effectiveness and savings across common health conditions in the United States.Pharmacogenomics J. 2025 Jul 8;25(4):18. doi: 10.1038/s41397-025-00376-z. Pharmacogenomics J. 2025. PMID: 40628702 Review.
-
Implementing Pharmacogenomics Testing: Single Center Experience at Arkansas Children's Hospital.J Pers Med. 2021 May 11;11(5):394. doi: 10.3390/jpm11050394. J Pers Med. 2021. PMID: 34064668 Free PMC article.
-
A blockchain-based framework to support pharmacogenetic data sharing.Pharmacogenomics J. 2022 Dec;22(5-6):264-275. doi: 10.1038/s41397-022-00285-5. Epub 2022 Jul 22. Pharmacogenomics J. 2022. PMID: 35869255 Free PMC article.
References
LinkOut - more resources
Full Text Sources
Miscellaneous
