Evidence map›Paper›PMID 25411643›Full record

ArticleJournal of personalized medicine2013

The need for clinical decision support integrated with the electronic health record for the clinical application of whole genome sequencing information.

Brandon M Welch, Kensaku Kawamoto

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Implementing the VMC Specification to Reduce Ambiguity in Genomic Variant Representation.AMIA ... Annual Symposium proceedings. AMIA Symposium · 2019
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Design Recommendations for Pharmacogenomics Clinical Decision Support Systems.AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science · 2017
    Article
  9. The genomic CDS sandbox: An assessment among domain experts.Journal of biomedical informatics · 2016
    Article
  10. Genomics in CKD: Is This the Path Forward?Advances in chronic kidney disease · 2016
    Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. 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

2 authors.

Brandon M WelchProgram in Personalized Health Care, University of Utah, 15 North 2030 East, EIHG Room 2110, Salt Lake City, UT 84112, USA ; Department of Biomedical Informatics, University of Utah, 26 South 2000 East, Room 5775 HSEB, Salt Lake City, UT 84112, USA.
Kensaku KawamotoDepartment of Biomedical Informatics, University of Utah, 26 South 2000 East, Room 5775 HSEB, Salt Lake City, UT 84112, USA.

Funding

Enabling Personalized Medicine through Clincal Decision SupportK01HG004645 · NHGRI · DUKE UNIVERSITY · PI KAWAMOTO, KENSAKU · 2008 to 2010
$559k
NHGRI NIH HHS K01 HG004645
6 · The paper itself

Abstract

Whole genome sequencing (WGS) is rapidly approaching widespread clinical application. Technology advancements over the past decade, since the first human genome was decoded, have made it feasible to use WGS for clinical care. Future advancements will likely drive down the price to the point wherein WGS is routinely available for care. However, were this to happen today, most of the genetic information available to guide clinical care would go unused due to the complexity of genetics, limited physician proficiency in genetics, and lack of genetics professionals in the clinical workforce. Furthermore, these limitations are unlikely to change in the future. As such, the use of clinical decision support (CDS) to guide genome-guided clinical decision-making is imperative. In this manuscript, we describe the barriers to widespread clinical application of WGS information, describe how CDS can be an important tool for overcoming these barriers, and provide clinical examples of how genome-enabled CDS can be used in the clinical setting.

Indexed as

clinical decision support systemselectronic health recordsgenetic testinggenomicshealth information technologymedical geneticspersonalized medicine

Identifiers

PMID25411643
PMCPMC4234059

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.