Evidence map›Paper›PMID 27725664›Full record

ArticleNature communications2016

Challenges and disparities in the application of personalized genomic medicine to populations with African ancestry.

Michael D Kessler, Laura Yerges-Armstrong, Margaret A Taub, Amol C Shetty, Kristin Maloney, Linda Jo Bone Jeng, Ingo Ruczinski, Albert M Levin, L Keoki Williams, Terri H Beaty and 4 more

Abstract read
In one paragraph

Article in Nature communications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing 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

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

  1. Pooled it
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  3. Low-frequency variants at thePharmacogenomics · 2019
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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

14 authors.

Michael D KesslerInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Laura Yerges-ArmstrongDepartment of Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Margaret A TaubDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21287, USA.
Amol C ShettyInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Kristin MaloneyProgram in Personalized and Genomic Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Linda Jo Bone JengProgram in Personalized and Genomic Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.
Ingo RuczinskiDepartment of Biostatistics, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21287, USA.
Albert M LevinDepartment of Public Health Sciences, Henry Ford Health System, Detroit, Michigan 48202, USA.
L Keoki WilliamsCenter for Health Policy &Health Services Research, Henry Ford Health System, Detroit, Michigan 48202, USA.
Terri H BeatyDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Rasika A MathiasDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Kathleen C BarnesDepartment of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland 21205, USA.
Consortium on Asthma among African-ancestry Populations in the Americas (CAAPA)
Timothy D O'ConnorInstitute for Genome Sciences, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA.

Funding

Genetic Epidemiology of COPDU01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2007 to 2021
$56.9M
VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
Viral and Host Determinants of Infant and Childhood Allergy and AsthmaU19AI095227 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Tina V Hartert · 2011 to 2026
$34.9M
INSTITUTIONAL TRAINING GRANT IN GENOME SCIENCET32HG000044 · NHGRI · STANFORD UNIVERSITY · PI MICHAEL P. SNYDER · 1995 to 2026
$32.2M
Metabolomic signatures of empysema and COPD progression in the COPDGene cohortR01HL089897 · NHLBI · NATIONAL JEWISH HEALTH · PI CRAPO, JAMES D · 2012 to 2016
$31.1M
Research Desogn and Biostatistics CoreU54MD007588 · NIMHD · MOREHOUSE SCHOOL OF MEDICINE · PI KLEMENT, BRENDA · 2012 to 2018
$24.8M
New Approaches for Empowering Studies of Asthma in Populations of African DescentR01HL104608 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI BARNES, KATHLEEN C, KENNY, EIMEAR ELIZABETH · 2011 to 2022
$23.1M
Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI MANAMI HARA · 2013 to 2026
$20.9M
Genetic Epidemiology of COPDU01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2007 to 2021
$20.7M
STRUCTURAL/FUNCTIONAL CHARACTERIZATION OF AMINOGLYCOSIDEG12RR003048 · NCRR · HOWARD UNIVERSITY · PI SOUTHERLAND, WILLIAM M. · 1985 to 2011
$19.0M
(2 of 2) Genetic Epidemiology of COPDR01HL089856 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SILVERMAN, EDWIN K · 2012 to 2016
$18.9M
NCATS NIH HHS UL1 TR000445NCI NIH HHS P50 CA125183NCI NIH HHS R21 CA178706NCI NIH HHS T32 CA154274NCI NIH HHS U01 CA161032NCRR NIH HHS G12 RR003048NCRR NIH HHS UL1 RR024975NHGRI NIH HHS R01 HG007644NHGRI NIH HHS R21 HG004751NHGRI NIH HHS R21 HG007233NHGRI NIH HHS T32 HG000044NHLBI NIH HHS HHSN268201300046CNHLBI NIH HHS HHSN268201300047CNHLBI NIH HHS HHSN268201300048CNHLBI NIH HHS HHSN268201300049CNHLBI NIH HHS HHSN268201300050CNHLBI NIH HHS K01 HL092601NHLBI NIH HHS K23 HL004464NHLBI NIH HHS R01 HL069167NHLBI NIH HHS R01 HL072414NHLBI NIH HHS R01 HL087699NHLBI NIH HHS R01 HL088133NHLBI NIH HHS R01 HL089856NHLBI NIH HHS R01 HL089897NHLBI NIH HHS R01 HL104608NHLBI NIH HHS R01 HL117004NHLBI NIH HHS R01 HL118267NHLBI NIH HHS R21 HL112656NHLBI NIH HHS R37 HL068546NHLBI NIH HHS RC2 HL101543NHLBI NIH HHS RC2 HL101651NHLBI NIH HHS U01 HL049596NHLBI NIH HHS U01 HL081332NHLBI NIH HHS U01 HL089856NHLBI NIH HHS U01 HL089897NHLBI NIH HHS U10 HL109164NIAID NIH HHS K24 AI077930NIAID NIH HHS R01 AI079139NIAID NIH HHS U19 AI095227NIAID NIH HHS U19 AI095230NIDDK NIH HHS P30 DK020595NIEHS NIH HHS R01 ES015794NIGMS NIH HHS R01 GM116065NIGMS NIH HHS S06 GM008016NIGMS NIH HHS T32 GM007175NIMHD NIH HHS P60 MD006902NIMHD NIH HHS U54 MD007588
6 · The paper itself

Abstract

To characterize the extent and impact of ancestry-related biases in precision genomic medicine, we use 642 whole-genome sequences from the Consortium on Asthma among African-ancestry Populations in the Americas (CAAPA) project to evaluate typical filters and databases. We find significant correlations between estimated African ancestry proportions and the number of variants per individual in all variant classification sets but one. The source of these correlations is highlighted in more detail by looking at the interaction between filtering criteria and the ClinVar and Human Gene Mutation databases. ClinVar's correlation, representing African ancestry-related bias, has changed over time amidst monthly updates, with the most extreme switch happening between March and April of 2014 (r=0.733 to r=-0.683). We identify 68 SNPs as the major drivers of this change in correlation. As long as ancestry-related bias when using these clinical databases is minimally recognized, the genetics community will face challenges with implementation, interpretation and cost-effectiveness when treating minority populations.

Indexed as

GenomicsHealthcare DisparitiesPrecision MedicineBiasBlack PeopleGenetic VariationHumansMolecular Sequence AnnotationTime Factors

Identifiers

PMID27725664
PMCPMC5062569

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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.