TABLE 2.
Seriousness of DTPs as a Surrogate for a Utility in a Prescriber’s Decision
Status Knowna | Accept (%) | Reject (%) | OR (95% CI) | P Value | Cohen’s Kappa Coefficientb | |
---|---|---|---|---|---|---|
All | ||||||
Serious DTPs | 41 | 15 (36.6) | 26 (63.4) | 1.95 (1.00-3.84) | 0.05 | 0.08 |
Less serious DTPs | 448 | 102 (22.8) | 346 (77.2) | |||
PGxMTM group only | ||||||
Serious DTP | 13 | 6 (46.2) | 7 (53.8) | 2.39 (0.71-8.01) | 0.15 | 0.14 |
Less serious DTPs | 72 | 19 (26.4) | 53 (73.6) |
aAcceptance of 489 DTPs (of 1,054 total) was known. Analysis included the 489 DTPs.
bKappa: inter-rater reliability, agreement between serious DTPs (i.e., grade 3 or above) flagged by pharmacists and acceptance of DTPs in a prescription.
CDST = clinical decision support tool; CI = confidence interval; DTPs = drug therapy problems; MTM = medical therapy management; OR = odds ratio; PGx = pharmacogenetics;
PGxMTM = MTM supported by PGx information and CDST.