Evidence map›Paper›PMID 24634402›Full record

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

Characterizing genetic variants for clinical action.

Erin M Ramos, Corina Din-Lovinescu, Jonathan S Berg, Lisa D Brooks, Audrey Duncanson, Michael Dunn, Peter Good, Tim J P Hubbard, Gail P Jarvik, Christopher O'Donnell and 25 more

Abstract 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 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Genetically guided precision medicine clinical decision support tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Distributional Cost-Effectiveness Analysis in Genomic Medicine: Considerations for Addressing Health Equity.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2025
    Article
  6. Actionability of Genetic Variants in Diabetes: Core Aspects and Applied Examples.Diabetes spectrum : a publication of the American Diabetes Association · 2025
    Article
  7. Article
  8. Review
  9. The Role of Pharmacogenomics in Opioid Prescribing.Current treatment options in oncology · 2022
    Review
  10. PJAMIA open · 2021
    Article
  11. Review
  12. Review
  13. Stakeholders' views on the value of outcomes from clinical genetic and genomic interventions.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  14. Article
  15. Article
  16. The value of genetic testing: beyond clinical utility.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
  17. Estimating Preferences for Complex Health Technologies: Lessons Learned and Implications for Personalized Medicine.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2017
    Article
  18. What are people willing to pay for whole-genome sequencing information, and who decides what they receive?Genetics in medicine : official journal of the American College of Medical Genetics · 2016
    Article
  19. Article
  20. 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

35 authors.

Erin M Ramos
Corina Din-Lovinescu
Jonathan S Berg
Lisa D Brooks
Audrey Duncanson
Michael Dunn
Peter Good
Tim J P Hubbard
Gail P Jarvik
Christopher O'Donnell
Stephen T Sherry
Naomi Aronson
Leslie G Biesecker
Bruce Blumberg
Ned Calonge
Helen M Colhoun
Robert S Epstein
Paul Flicek
Erynn S Gordon
Eric D Green
Robert C Green
Matthew Hurles
Kensaku Kawamoto
William Knaus
David H Ledbetter
Howard P Levy
Elaine Lyon
Donna Maglott
Howard L McLeod
Nazneen Rahman
Gurvaneet Randhawa
Catherine Wicklund
Teri A Manolio
Rex L Chisholm
Marc S Williams

Funding

Genomic Epidemiology of Cardiovascular DiseaseZIAHL006002 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2009 to 2015
$8.0M
Genetic Discovery and Application in a Clinical Setting Continuing a PartnershipU01HG006375 · NHGRI · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI JARVIK, GAIL PAIRITZ, LARSON, ERIC B · 2011 to 2014
$4.1M
Gene Expression for Functional Genomics in Human PopulationsZIAHL006175 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.2M
Functional Genetic Variation Underlying Cardiovascular Genomic EpidemiologyZIAHL006173 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI O'DONNELL, CHRISTOPHER · 2013 to 2015
$2.0M
Intramural NIH HHS Z99 HG999999NHGRI NIH HHS U01 HG006375
6 · The paper itself

Abstract

Genome-wide association studies, DNA sequencing studies, and other genomic studies are finding an increasing number of genetic variants associated with clinical phenotypes that may be useful in developing diagnostic, preventive, and treatment strategies for individual patients. However, few variants have been integrated into routine clinical practice. The reasons for this are several, but two of the most significant are limited evidence about the clinical implications of the variants and a lack of a comprehensive knowledge base that captures genetic variants, their phenotypic associations, and other pertinent phenotypic information that is openly accessible to clinical groups attempting to interpret sequencing data. As the field of medicine begins to incorporate genome-scale analysis into clinical care, approaches need to be developed for collecting and characterizing data on the clinical implications of variants, developing consensus on their actionability, and making this information available for clinical use. The National Human Genome Research Institute (NHGRI) and the Wellcome Trust thus convened a workshop to consider the processes and resources needed to: (1) identify clinically valid genetic variants; (2) decide whether they are actionable and what the action should be; and (3) provide this information for clinical use. This commentary outlines the key discussion points and recommendations from the workshop.

Indexed as

PhenotypeEducationGenetic VariationHumansInformation DisseminationMedical InformaticsNational Human Genome Research Institute (U.S.)Precision MedicineUnited Statesclinical actionabilitydatabaseDNA sequencingelectronic health records (EHR)genomic medicinepharmacogenomics

Identifiers

PMID24634402
PMCPMC4158437

What OpenQuestion holds

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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.