Evidence map›Paper›PMID 27657685›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2017

Multidisciplinary model to implement pharmacogenomics at the point of care.

Pedro J Caraballo, Lucy S Hodge, Suzette J Bielinski, A Keith Stewart, Gianrico Farrugia, Cloann G Schultz, Carolyn R Rohrer-Vitek, Janet E Olson, Jennifer L St Sauver, Veronique L Roger and 6 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 6 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

54 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of real-world evidence on the clinical relevance, characterization, and utility ofJournal of pharmacy & pharmaceutical sciences : a publication of the Canadian Society for Pharmaceutical Sciences, Societe canadienne des sciences pharmaceutiques · 2025
    Pooled it
  3. Pooled it
  4. Genetically guided precision medicine clinical decision support tools: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
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  9. Pharmacogenomics knowledge, attitudes, and perceptions among pharmacists in the Asir Region, Saudi Arabia: a cross-sectional analysis.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2026
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  18. Circulation · 2024
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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

16 authors.

Pedro J CaraballoDivision of General Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA.ORCID 0000-0001-9050-7080
Lucy S HodgeCenter for Individualized Medicine, Rochester, Minnesota, USA.
Suzette J BielinskiDepartment of Health Sciences Research, Rochester, Minnesota, USA.ORCID 0000-0002-2905-5430
A Keith StewartCenter for Individualized Medicine, Rochester, Minnesota, USA.
Gianrico FarrugiaCenter for Individualized Medicine, Rochester, Minnesota, USA.
Cloann G SchultzCenter for Individualized Medicine, Rochester, Minnesota, USA.ORCID 0000-0002-0701-9375
Carolyn R Rohrer-VitekCenter for Individualized Medicine, Rochester, Minnesota, USA.ORCID 0000-0003-2371-3022
Janet E OlsonDepartment of Health Sciences Research, Rochester, Minnesota, USA.ORCID 0000-0003-4944-7789
Jennifer L St SauverKern Center for the Science of Health Care Delivery, Rochester, Minnesota, USA.ORCID 0000-0002-9789-8544
Veronique L RogerKern Center for the Science of Health Care Delivery, Rochester, Minnesota, USA.
Mark A ParkuloOffice of Information and Knowledge Management, Rochester, Minnesota, USA.ORCID 0000-0002-4792-7327
Iftikhar J KulloDivision of Cardiovascular Diseases, Rochester, Minnesota, USA.
Wayne T NicholsonDepartment of Anesthesiology, Rochester, Minnesota, USA.ORCID 0000-0002-3418-4253
Michelle A ElliottDivision of Hematology, Rochester, Minnesota, USA.ORCID 0000-0002-7366-9886
John L BlackDepartment of Laboratory Medicine and Pathology, Rochester, Minnesota, USA.
Richard M WeinshilboumDepartment of Molecular Pharmacology and Experimental Therapeutics, Rochester, Minnesota, USA.

Funding

Project 4: Targeting Resistance to T-Cell Directed Therapy in Multiple MyelomaP50CA186781 · NCI · MAYO CLINIC ARIZONA · PI Rafael Fonseca · 2015 to 2026
$25.5M
Genomic Basis of Susceptibility to COVID-19 Infection and its ComplicationsU01HG006379 · NHGRI · MAYO CLINIC ROCHESTER · PI Richard R. Sharp · 2011 to 2026
$16.5M
Pharmacogenetics of Phase II Drug Metabolizing EnzymesU19GM061388 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 2010 to 2014
$15.8M
INHERITED VARIATIONS IN DRUG-METABOLIZING ENZYMESR01GM028157 · NIGMS · MAYO CLINIC ROCHESTER · PI WEINSHILBOUM, RICHARD M. · 1985 to 2019
$6.9M
NCI NIH HHS P50 CA186781NHGRI NIH HHS U01 HG006379NIGMS NIH HHS R01 GM028157NIGMS NIH HHS U19 GM061388
6 · The paper itself

Abstract

purposeDespite potential clinical benefits, implementation of pharmacogenomics (PGx) faces many technical and clinical challenges. These challenges can be overcome with a comprehensive and systematic implementation model.

methodsThe development and implementation of PGx were organized into eight interdependent components addressing resources, governance, clinical practice, education, testing, knowledge translation, clinical decision support (CDS), and maintenance. Several aspects of implementation were assessed, including adherence to the model, production of PGx-CDS interventions, and access to educational resources.

resultsBetween August 2012 and June 2015, 21 specific drug-gene interactions were reviewed and 18 of them were implemented in the electronic medical record as PGx-CDS interventions. There was complete adherence to the model with variable production time (98-392 days) and delay time (0-148 days). The implementation impacted approximately 1,247 unique providers and 3,788 unique patients. A total of 11 educational resources complementary to the drug-gene interactions and 5 modules specific for pharmacists were developed and implemented.

conclusionA comprehensive operational model can support PGx implementation in routine prescribing. Institutions can use this model as a roadmap to support similar efforts. However, we also identified challenges that will require major multidisciplinary and multi-institutional efforts to make PGx a universal reality.Genet Med 19 4, 421-429.

Indexed as

Point-of-Care SystemsDecision Support Systems, ClinicalDelivery of Health Care, IntegratedElectronic Health RecordsHumansModels, TheoreticalPharmacogeneticsPrecision Medicine

Identifiers

PMID27657685
PMCPMC5362352

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.