Evidence map›Paper›PMID 29926440›Full record

ArticleJournal of racial and ethnic health disparities2019

Physician Knowledge of Human Genetic Variation, Beliefs About Race and Genetics, and Use of Race in Clinical Decision-making.

Sherrill L Sellers, Brooke A Cunningham, Vence L Bonham

Erratum issuedAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Educational considerations based on medical student use of polygenic risk information and apparent race in a simulated consultation.Genetics in medicine : official journal of the American College of Medical Genetics · 2022
    Trial
  3. Article
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  8. International journal of general medicine · 2022
    Article
  9. Article
  10. Intersectionality and Clinical Decision Making: The Role of Race.The American journal of bioethics : AJOB · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Sherrill L SellersCollege of Education, Health & Society, Miami University, 210 E. Spring Street, Oxford, OH, 45056, USA. slsellers@miamioh.edu.ORCID http://orcid.org/0000-0002-7355-7497
Brooke A CunninghamDepartment of Family Medicine and Community Health, University of Minnesota Medical School, 717 Delaware Street Se, Rm 420, MMC 381, Minneapolis, MN, 55414, USA.
Vence L BonhamSocial and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, 31 Center Drive Room B1B37-G, Bethesda, MD, 20892, USA.

Funding

Understanding the Relationships between Race, Ethnicity, Ancestry and GenomicsZIAHG200324 · NHGRI · NATIONAL HUMAN GENOME RESEARCH INSTITUTE · PI BONHAM, VENCE L · 2009 to 2025
$3.5M
Intramural NIH HHS ZIA HG200324
6 · The paper itself

Abstract

backgroundRace in the USA has an enduring connection to health and well-being. It is often used as a proxy for ancestry and genetic variation, although self-identified race does not establish genetic risk of disease for an individual patient. How physicians reconcile these seemingly paradoxical facts as they make clinical decisions is unknown.

objectiveTo examine physicians' genetic knowledge and beliefs about race with their use of race in clinical decision-making

designCross-sectional survey of a national sample of clinically active general internists

resultsSeven hundred eighty-seven physicians completed the survey. Regression models indicate that genetic knowledge was not significantly associated with use of race. However, physicians who agreed with notions of race as a biological phenomenon and those who agreed that race has clinical importance were more likely to report using race in their decision-making.

conclusionsGenomic and precision medicine holds considerable promise for narrowing the gap in health among racial groups in the USA. For this promise to be realized, our findings suggest that future research and education efforts related to race, genomics, and health must go beyond educating health care providers about common genetic conditions to delving into assumptions about race and genetics.

Indexed as

Clinical Decision-MakingGenetic VariationHealth Knowledge, Attitudes, PracticeAdultAgedAged, 80 and overCross-Sectional StudiesFemaleHealth Care SurveysHumansMaleMiddle AgedPhysiciansPractice Patterns, Physicians'Racial GroupsUnited StatesClinical decision-makingGeneticsPhysiciansRace

Identifiers

PMID29926440
PMCPMC6309376

What OpenQuestion holds

Textmetadata
LicenceTDM
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.