Evidence map›Paper›PMID 24321254›Full record

ArticleUrologic oncology2014

Essential elements of personalized medicine.

Wylie Burke, Susan Brown Trinidad, Nancy A Press

Abstract read
In one paragraph

Article in Urologic oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Person Centered Care and Personalized Medicine: Irreconcilable Opposites or Potential Companions?Health care analysis : HCA : journal of health philosophy and policy · 2019
    Article
  8. Article
  9. Article
  10. Article
  11. Toward precision medicine of breast cancer.Theoretical biology & medical modelling · 2016
    Review
  12. Genetics and the placebo effect: the placebome.Trends in molecular medicine · 2015
    Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Wylie BurkeDepartment of Bioethics and Humanities, University of Washington, Seattle, WA. Electronic address: wburke@uw.edu.
Susan Brown TrinidadDepartment of Bioethics and Humanities, University of Washington, Seattle, WA.
Nancy A PressDepartment of Public Health & Preventive Medicine, Oregon Health & Science University School of Medicine, Portland, OR; School of Nursing, Oregon Health & Science University, Portland, OR.

Funding

Genomic Health Care and the Medically UnderservedP50HG003374 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G. · 2004 to 2014
$9.8M
NHGRI NIH HHS P50 HG003374NHGRI NIH HHS P50HG003374
6 · The paper itself

Abstract

objectivesGenomic information has been promoted as the basis for "personalized" health care. We considered the benefits provided by genomic testing in context of the concept of personalized medicine. MATERIALS AND

methodsWe evaluated current and potential uses of genomic testing in health care, using prostate cancer as an example, and considered their implications for individualizing or otherwise improving health care. RESULTS AND

conclusionsPersonalized medicine is most accurately seen as a comprehensive effort to tailor health care to the individual, spanning multiple dimensions. While genomic tests will offer many potential opportunities to improve the delivery of care, including the potential for genomic research to offer opportunities to improve prostate cancer screening and treatment, such advances do not in themselves constitute a paradigm shift in the delivery of health care. Rather, personalized medicine is based on a partnership between clinician and patient that utilizes shared decision making to determine the best health care options among the available choices, weighing the patient's personal values and preferences together with clinical findings. This approach is particularly important for difficult clinical decisions involving uncertainty and trade-offs, such as those involved in prostate cancer screening and management. The delivery of personalized medicine also requires adequate health care access and assurance that basic health needs have been met. Substantial research investment will be needed to identify how genomic tests can contribute to this effort.

Indexed as

Decision MakingDelivery of Health CareGenetic TestingGenomicsHealth Services AccessibilityHumansMalePhysician-Patient RelationsPrecision MedicineProstatic NeoplasmsGeneticsGenomicsHealth technology assessmentPersonalized medicinePharmacogenomicsProstate cancer

Identifiers

PMID24321254
PMCPMC3909672

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.