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. 2018 Dec;24(12):10.18553/jmcp.2018.24.12.1250. doi: 10.18553/jmcp.2018.24.12.1250

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.