Evidence map›Paper›PMID 29997387›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2019

Opportunities to implement a sustainable genomic medicine program: lessons learned from the IGNITE Network.

Kenneth D Levy, Kathryn Blake, Colette Fletcher-Hoppe, James Franciosi, Daisuke Goto, James K Hicks, Ann M Holmes, Sri Harsha Kanuri, Ebony B Madden, Michael D Musty and 5 more

Erratum issuedAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 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 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Approaches to assessing the provider experience with clinical pharmacogenomic information: a scoping review.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  13. Article
  14. Article
  15. Thoughtful Clinical Use of Pharmacogenetics in Child and Adolescent Psychopharmacology.Journal of the American Academy of Child and Adolescent Psychiatry · 2021
    Article
  16. Article
  17. Cancers · 2021
    Review
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Kenneth D LevyIndiana University School of Medicine Indianapolis, Indianapolis, Indiana, USA. kdlevy@iu.edu.
Kathryn BlakeNemours Children's Specialty Care Jacksonville, Jacksonville, Florida, USA.
Colette Fletcher-HoppeDepartment of Biological Sciences, Dana and David Dornsife College of Letters, Arts, and Sciences, University of Southern California, Los Angeles, California, USA.
James FranciosiNemours Children's Hospital University of Central Florida College of Medicine Orlando, Orlando, Florida, USA.
Daisuke GotoUniversity of Maryland School of Pharmacy, Baltimore, Maryland, USA.
James K HicksH. Lee Moffitt Cancer Center and Research Institute Tampa, Tampa, Florida, USA.
Ann M HolmesDepartment of Health Policy and Management, IU Fairbanks School of Public Health, IUPUI, Indianapolis, Indiana, USA.
Sri Harsha KanuriIndiana University School of Medicine Indianapolis, Indianapolis, Indiana, USA.
Ebony B MaddenNational Human Genome Research Institute Bethesda, Bethesda, Maryland, USA.
Michael D MustyCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine Durham, Durham, North Carolina, USA.
Lori OrlandoCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine Durham, Durham, North Carolina, USA.
Victoria M PrattIndiana University School of Medicine Indianapolis, Indianapolis, Indiana, USA.
Michelle RamosIcahn School of Medicine at Mount Sinai New York, New York, New York, USA.
Ryanne WuCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine Durham, Durham, North Carolina, USA.
Geoffrey S GinsburgCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine Durham, Durham, North Carolina, USA.

Funding

Sparking Advancements in Genomic MedicineU01HG007269 · NHGRI · UNIVERSITY OF FLORIDA · PI CAVALLARI, LARISA HUMMA, JOHNSON, JULIE A. · 2013 to 2024
$17.0M
Implementation, Adoption, and Utility of Family History in Diverse Care SettingsU01HG007282 · NHGRI · DUKE UNIVERSITY · PI GINSBURG, GEOFFREY S, ORLANDO, LORI ANN · 2013 to 2018
$7.0M
Genomic Medicine Pilot For Hypertension And Kidney Disease In Primary CareU01HG007278 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOROWITZ, CAROL R · 2013 to 2018
$5.7M
Integrated, Individualized, Intelligent Prescribing (I3P)U01HG007253 · NHGRI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI LEVY, MIA A., PETERSON, JOSEPH F. · 2014 to 2018
$4.6M
Embedding Pharmacogenotyping in an Integrated Health System for the UnderservedU01HG007762 · NHGRI · INDIANA UNIVERSITY INDIANAPOLIS · PI DEXTER, PAUL, SKAAR, TODD C. · 2014 to 2018
$4.4M
Genomic Diagnosis and Individualized Therapy of Highly Penetrant Genetic Diabetes (Administrative Supplment)U01HG007775 · NHGRI · UNIVERSITY OF MARYLAND BALTIMORE · PI POLLIN, TONI I. · 2014 to 2018
$4.3M
NHGRI NIH HHS U01 HG007253NHGRI NIH HHS U01 HG007269NHGRI NIH HHS U01 HG007278NHGRI NIH HHS U01 HG007282NHGRI NIH HHS U01 HG007762NHGRI NIH HHS U01 HG007775
6 · The paper itself

Abstract

purposeWhile there is growing scientific evidence for and significant advances in the use of genomic technologies in medicine, there is a significant lag in the clinical adoption and sustainability of genomic medicine. Here we describe the findings from the National Human Genome Research Institute's (NHGRI) Implementing GeNomics In pracTicE (IGNITE) Network in identifying key constructs, opportunities, and challenges associated with driving sustainability of genomic medicine in clinical practice.

methodsNetwork members and affiliates were surveyed to identify key drivers associated with implementing and sustaining a genomic medicine program. Tallied results were used to develop and weigh key constructs/drivers required to support sustainability of genomic medicine programs.

resultsThe top three driver-stakeholder dyads were (1) genomic training for providers, (2) genomic clinical decision support (CDS) tools embedded in the electronic health record (EHR), and (3) third party reimbursement for genomic testing.

conclusionPriorities may differ depending on healthcare systems when comparing the current state of key drivers versus projected needs for supporting genomic medicine sustainability. Thus we provide gap-filling guidance based on IGNITE members' experiences. Although results are limited to findings from the IGNITE network, their implementation, scientific, and clinical experience may be used as a road map by others considering implementing genomic medicine programs.

Indexed as

Decision Support Systems, ClinicalDelivery of Health CareElectronic Health RecordsGenomicsHumansNational Human Genome Research Institute (U.S.)Precision MedicineSurveys and QuestionnairesUnited StatesGenomic educationGenomicsIGNITE NetworkImplementation scienceSustainability

Identifiers

PMID29997387
PMCPMC6330142

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.