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Archive for the ‘Personalized Medicine’ Category

Personalized Medicine: A Look Under the Microscope

In a recent CNBC CEO blog, Medco Health Solution’s Chief Medical Officer, Dr. Robert Epstein, declared that “Personalized medicine has finally arrived and is poised to deliver significant health improvement and healthcare cost savings.” Of course, that is the premise and platform that Medivo was built upon.

We are all familiar with the success that oncology has attained utilizing a personalized medicine approach, but according to Epstein, many more diseases are well suited including cardiovascular (warfarin dose, antiplatelet therapy, hypercholesterolemia) HIV and Hepatitis C. Medivo is working actively in all of those areas as well as diabetes, atrial fibrillation, Hepatitis B, testosterone and many others.

Reaffirming Medivo’s business plan, Epstein concluded that “There is research or personalized medicine approaches for virtually every area of chronic disease today.”

Advances in Personalized Medicine May Help Smokers

Interesting post on the PhRMA blog on a new study from the Proceedings of the National Academy of Sciences talks about the discovery of a genetic variant that may help with smoking cessation.

Click here to read the full post.

Data Analytics to Play Vital Role in the Growth of Healthcare

According to a recent New York Times article, healthcare businesses, in particular, will need to make big investments in data mining and analytics in order to get a piece of the projected $300 billion boost as a result of recent data innovations.

“In health care, the biggest slice of the $300 billion gain is expected to come from more effectively using data to inform treatment decisions. The tools include clinical decision support to assist doctors, and comparative effectiveness research to make more informed decisions on drug therapy.

For example, the Department of Veterans Affairs and Kaiser Permanente save millions of dollars a year in treating many patients with high cholesterol with generic statins instead of branded statins, like Lipitor. But such tailored treatments require electronic health records for tracking results, and most of the nation’s hospitals and physicians still use paper records.”

Click here to read the full article.

Kids Curious About DNA and Genetics Celebrate National DNA Day

April 15 was designated National DNA Day by The National Human Genome Research Institute and the American Society of Human Genetics. Kids from all around the country participated during their school day in an online question and answer session challenging scientists, genetics counselors, and others with some really tough questions.

The American Society of Human Genetics asked high school students to weigh in on the topic of DTC Genetic Testing, covered at recent FDA meetings. Students were asked to write an essay addressing the ‘medical, ethical, legal, or social dimensions of the issue of companies offering genetic testing directly to consumers, bypassing the involvement of physicians and genetic counselors. Discuss whether you think this is a good idea or not.’

The essays are onIine to read, but what’s important here is the effort to engage and educate kids about DNA and genetics. The comments and essays show a curious group who we know are the future of personalized healthcare, genomic medicine and health IT. While we focus on educating physicians to adopt the genetic tests, biomarker panels, and gene expression analyses of today, it’s great to see the healthcare professionals of tomorrow taking an active role in their education.

Personalized Medicine and Diabetes Management

Millions of Americans have been diagnosed with type 2 diabetes. As the treatment of diabetes has become increasingly sophisticated, management requires a multidisciplinary team approach. Ongoing oversight and follow-up is critical to make medication adjustments that can slow or prevent disease progression and reduce the risk of cardiovascular disease and death. Oral medications such as metformin, thiazolidinediones and sulfonylureas are available for some patients. A new class of medications called DPP-4 inhibitors (Januvia, Onglyza) help improve A1C without causing hypoglycemia. As the disease progresses, oral combination medications such as Janumet, Kombiglyze can help. Depending on disease severity, insulin may also be required.

Medivo’s unique ability to monitor millions of daily lab test offers a valuable addition to the multidisciplinary team. By identifying diabetic patients who are not well controlled and alerting them and their physicians to their increased risk, Medivo provides a vital tool for optimum disease management and patient education.

Cystic Fibrosis Clears Drug Hurdle

Vertex says that the drug, VX-770, which is designed to counter one specific genetic mutation, improved lung function in people with cystic fibrosis in a late-stage clinical trial.

Click here to read more.

Growing Interest in the Benefits of Pharmacogenetic Lab Testing

According to The Case for Personalized Medicine, on average, a drug on the market works for only 50 percent of the people who take it creating significant cost and quality consequences. The use of genetic and other forms of molecular screening allows physicians to select the optimal therapy the first time and avoid the frustrating and costly practice of trial-and-error prescriptions. Personalized medicine also introduces the ability to use molecular markers that signal the risk of disease before clinical signs and symptoms appear.

A recent survey of public attitudes toward pharmacogenetic testing (PGx), published in The Pharmacogenomics Journal, concluded that 92% of respondents expressed interest in PGx testing to assist with drug selection. However, 78% of respondents were not likely to have a PGx test if there was a risk that their DNA sample could be shared without their permission.

For a growing number of diseases, personalized medicine can now allow doctors to prescribe the right treatment, to the right person at the right time saving billions in healthcare cost and improving quality. Patients overwhelmingly support this approach so long as confidentiality is maintained.

Consumers Demanding Online Access to Healthcare Services

Consumers are increasingly demanding online access to physicians and other healthcare services.

CARY, N.C. – Mar. 02, 2011 – Every day, Americans use online tools to gather information, pay bills, communicate with friends, and conduct business. Intuit Health’s second annual Health Care Check-Up Survey, shows that they want and expect that same connectivity and convenience from their doctor’s office. Seventy-three percent of Americans surveyed would use a secure online communication solution to make it easier to get lab results, request appointments, pay medical bills, and communicate with their doctor’s office. The convenience of anytime, anywhere access is so important that almost half would consider switching doctors for a practice that offered the ability to communicate and complete important health care tasks online.

Click here to read more.

Developments in Genomics Help Determine Who Will Respond Best to Weight Loss Surgery

According to a recent report presented by Inova Health at the American College of Gastroenterology, patients with a high baseline obestatin, may be more attractive candidates for Roux-en-Y bypass surgery. Researchers collected samples from 35 patients and found that those with high levels of obestatin showed a significant increase in weight loss the first three months following surgery, and maintained a strong rate of weight loss even 24 months after surgery.

Click here to read more.

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