Evidence map›Paper›PMID 24616408›Full record

ArticleAmerican journal of medical genetics. Part C, Seminars in medical genetics2014

Implementation of pharmacogenetics: the University of Maryland Personalized Anti-platelet Pharmacogenetics Program.

Alan R Shuldiner, Kathleen Palmer, Ruth E Pakyz, Tameka D Alestock, Kristin A Maloney, Courtney O'Neill, Shaun Bhatty, Jamie Schub, Casey Lynnette Overby, Richard B Horenstein and 11 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of medical genetics. Part C, Seminars in medical genetics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
9.7field-weighted citation impact, top 1% of its field
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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 97 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Genetic Determinants of Response to P2YInterventional cardiology clinics · 2024
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Advancing Pharmacogenomics from Single-Gene to Preemptive Testing.Annual review of genomics and human genetics · 2022
    Review
  13. Drug-Drug-Gene Interactions in Cardiovascular Medicine.Pharmacogenomics and personalized medicine · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Pharmacogenomics in pregnancy.Seminars in perinatology · 2020
    Review
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

21 authors at 2 institutions in 1 country.

Alan R Shuldiner
Kathleen Palmer
Ruth E Pakyz
Tameka D Alestock
Kristin A Maloney
Courtney O'Neill
Shaun Bhatty
Jamie Schub
Casey Lynnette Overby
Richard B Horenstein
Toni I Pollin
Mark D Kelemen
Amber L Beitelshees
Shawn W Robinson
Miriam G Blitzer
Patrick F McArdle
Lawrence Brown
Linda Jo Bone Jeng
Richard Y Zhao
Nicholas Ambulos
Mark R Vesely
University of Maryland, Baltimore · USUnited States Department of Veterans Affairs · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
Pharmacogenomics of Anti-platlet Intervention-2 (PAPI-2) StudyU01HL105198 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2010 to 2014
$13.6M
Integrated Hamilton Storage System to Support the UMBioBankS10OD012357 · OD · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2013 to 2013
$1.6M
NHLBI NIH HHS U01 HL105198NHLBI NIH HHS U01HL105198NIDDK NIH HHS P30 DK072488NIH HHS S10 OD012357NIH HHS S10OD012357
6 · The paper itself

Abstract

Despite a substantial evidence base, implementation of pharmacogenetics into routine patient care has been slow due to a number of non-trivial practical barriers. We implemented a Personalized Anti-platelet Pharmacogenetics Program (PAP3) for cardiac catheterization patients at the University of Maryland Medical Center and the Baltimore Veterans Administration Medical Center Patients' are offered CYP2C19 genetic testing, which is performed in our Clinical Laboratory Improvement Amendment (CLIA)-certified Translational Genomics Laboratory. Results are returned within 5 hr along with clinical decision support that includes interpretation of results and prescribing recommendations for anti-platelet therapy based on the Clinical Pharmacogenetics Implementation Consortium guidelines. Now with a working template for PAP3, implementation of other drug-gene pairs is in process. Lessons learned as described in this article may prove useful to other medical centers as they implement pharmacogenetics into patient care, a critical step in the pathway to personalized and genomic medicine.

Indexed as

Academic Medical CentersAryl Hydrocarbon HydroxylasesCardiac CatheterizationCytochrome P-450 CYP2C19Genetic TestingHumansMarylandPharmacogeneticsPlatelet Aggregation InhibitorsPrecision MedicineProgram DevelopmentAryl Hydrocarbon HydroxylasesCYP2C19 protein, humanCytochrome P-450 CYP2C19Platelet Aggregation Inhibitorsanti-platelet pharmacogeneticsclopidogrelCYP2C19implementation scienceindividualized medicinepersonalized medicinepharmacogenomicstranslational research

Identifiers

PMID24616408
PMCPMC4066997
OpenAlexW1856659705

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.