Table 4.
Ability of the Pharmacogenetic and Clinical Algorithms to Correctly Identify Patients Requiring Low or High Doses of Warfarin.
Actual or Predicted Dose Group | ≤21 mg/wk | ≥49 mg/wk | ||
---|---|---|---|---|
Pharmacogenetic Algorithm | Clinical Algorithm | Pharmacogenetic Algorithm | Clinical Algorithm | |
Validation cohort | ||||
No. of patients predicted to require extreme dose | 232 | 162 | 48 | 15 |
No. of patients actually requiring extreme dose | 324 | 324 | 125 | 125 |
No. of patients correctly predicted to require extreme dose | 160* | 108 | 31* | 9 |
Percent of patients correctly predicted to require extreme dose† | 49.4 | 33.3 | 24.8 | 7.2 |
Derivation-plus-validation cohort | ||||
No. of patients predicted to require extreme dose | 1250 | 829 | 243 | 98 |
No. of patients actually requiring extreme dose | 1711 | 1711 | 625 | 625 |
No. of patients correctly predicted to require extreme dose | 929* | 571 | 165 | 57 |
Percent of patients correctly predicted to require extreme dose† | 54.3 | 33.4 | 26.4 | 9.1 |
P<0.001 for the comparison of the pharmacogenetic algorithm with the clinical algorithm, with the use of a two-tailed sign test.
This value represents the number of patients correctly predicted to require the extreme dose divided by the number of patients who actually required the extreme dose.