Evidence map›Paper›PMID 28471436›Full record

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

A novel approach in pediatric telegenetic services: geneticist, pediatrician and genetic counselor team.

Shobana Kubendran, Siddharthan Sivamurthy, Gerald Bradley Schaefer

Registry-linked trialOpen access · bronzeAbstract 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. It is linked to trial NCT04738708 (Telegenetics or In-Person Genetic Counselling), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% 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.

NCT04738708 recruitingnot on this mapstarted 2021, after this paper: background citation

Telegenetics or In-Person Genetic Counselling: A Comparison of Clinical Outcomes and Cost

TypeobservationalSponsorNational Cancer Centre, SingaporeRan2021 to 2026Enrolled150ConditionsGenetic CounsellingArmsPatients referred to CGS at NCCS for HBOC or Lynch syndrome pre-test genetic counselling.
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Delivering genomic medicine in the United Kingdom National Health Service: a systematic review and narrative synthesis.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Service provision of genetics health care in Portugal.Journal of community genetics · 2023
    Article
  12. Article
  13. Article
  14. Asynchronous telemedicine for clinical genetics consultations in the NICU: a single center's solution.Journal of perinatology : official journal of the California Perinatal Association · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. An international telemedicine program for diagnosis of genetic disorders: Partnership of pediatrician and geneticist.American journal of medical genetics. Part C, Seminars in medical genetics · 2020
    Article
  19. The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  20. COVID-19's Impact on Genetics at One Medical Center in New York.Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    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

3 authors at 2 institutions in 1 country.

Shobana KubendranDepartment of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA.
Siddharthan SivamurthyDepartment of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA.
Gerald Bradley SchaeferDepartment of Pediatrics, University of Kansas School of Medicine-Wichita, Wichita, Kansas, USA.
Wichita State University · USUniversity of Kansas · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

PurposeOur aim was to improve access to genetic services in an underserved region by developing a collaborative telegenetic service delivery model with a pediatrician, medical geneticist, and genetics counselor (GC).MethodsProtocols for the evaluation of common genetic indications were developed. Patients referred with indications suggestive of a syndromic etiology were scheduled to see the geneticist directly via telegenetics. Other patients were scheduled to see the pediatrician and GC in person before follow-up with the geneticist if indicated. Patients seen by the geneticist and/or pediatrician/GC were enumerated and the next available appointment was tracked. Patient satisfaction surveys were conducted.ResultsOf the 265 patients evaluated during the study period, 116 (44%) were evaluated by a pediatrician and GC in person first, after which 82 (71% of those evaluated) required further follow-up with the geneticist. The next available appointment with a pediatrician and GC never exceeded 6 weeks, while new appointments with a geneticist ranged from 3 to 9 months. All patients reported high satisfaction with this genetic service model.ConclusionThe pediatrician/GC clinic provides a model of collaborative care that is a medical home neighbor and exemplifies the integration of genetics into primary care. The telegenetics clinic offers a viable solution to providing competent and convenient access to a geneticist for patients in chronically underserved regions.

Indexed as

Genetic CounselingGenetic ServicesPatient Care TeamPediatriciansTelemedicineClinical ProtocolsDelivery of Health Care, IntegratedHealth Services AccessibilityModels, OrganizationalPatient SatisfactionPhysician's Role

Identifiers

PMID28471436
PMCPMC5682570
OpenAlexW2611876325

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.