As genetic testing becomes more affordable and widespread, we can imagine a setting where everyone identified with elevated cholesterol levels gets screened for a common genetic disorder of cholesterol metabolism and target these patients with more aggressive therapies. These FH patients have then been targeted for more aggressive cholesterol lowering therapies and increased monitoring. This could all happen in a mostly automated manner, with physicians providing supervision and counseling as needed. There are multiple similar conditions that may be picked up by genomic screening, giving primary care providers (PCPs) a head start on treating affected patients before they suffer complications from the disorder.
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Findings from the All of Us Research Program and other related programs will likely lead to a greater ability to individualize therapies for patients in the future. However, there are some tools, like pharmacogenomics, that can be easily applied to help us provide better care and practice precision medicine today.
Jaime Barea, MD, is Director of Medical Genetics with Interpreta, a provider of a real-time analytics engine that continuously updates, interprets and synchronizes clinical and genomics data, creating a personalized roadmap and enabling the orchestration of timely care.