Evidence map›Paper›PMID 30209973›Full record

ArticlePersonalized medicine2018

Enhancing diversity to reduce health information disparities and build an evidence base for genomic medicine.

Lucia A Hindorff, Vence L Bonham, Lucila Ohno-Machado

Abstract readEditorial
In one paragraph

Article in Personalized medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

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

  1. Underrepresented Populations in Parkinson's Genetics Research: Current Landscape and Future Directions.Movement disorders : official journal of the Movement Disorder Society · 2022
    Pooled it
  2. Review
  3. Review
  4. Article
  5. The rise of diversity terminology in biomedical research.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. The Need for a Human Pangenome Reference Sequence.Annual review of genomics and human genetics · 2021
    Review
  16. Increasing access to individualized medicine: a matched-cohort study examining Latino participant experiences of genomic screening.Genetics in medicine : official journal of the American College of Medical Genetics · 2021
    Article
  17. Article
  18. Article
  19. Hashtag who's missing? Lessons for genomic databases.Disability and health journal · 2021
    Article
  20. 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.

Lucia A HindorffDivision of Genomic Medicine, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 20892, USA.
Vence L BonhamDivision of Intramural Research, Social & Behavioral Research Branch & Office of the Director, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, 20892, USA.
Lucila Ohno-MachadoUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, CA, 92093, USA.

Funding

California Precision Medicine Research Program ConsortiumOT2OD026552 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANTON-CULVER, HODA A, OHNO-MACHADO, LUCILA · 2018 to 2023
$73.4M
Protecting Privacy and Facilitating Shared Access of Clinical and Genetic Data of Special PopulationsR01HL136835 · NHLBI · YALE UNIVERSITY · PI OHNO-MACHADO, LUCILA · 2018 to 2022
$6.5M
Decentralized differentially-private methods for dynamic data release and analysisR01GM118609 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JIANG, XIAOQIAN, OHNO-MACHADO, LUCILA · 2017 to 2020
$2.3M
iCONCUR: informed CONsent for Clinical data and biosample Use for ResearchR01HG008802 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JIANG, XIAOQIAN, KIM, HYEON-EUI · 2015 to 2017
$1.3M
HSRD VA I01 HX000982Intramural NIH HHS Z99 HG999999NHGRI NIH HHS R01 HG008802NHLBI NIH HHS R01 HL136835NIGMS NIH HHS R01 GM118609NIH HHS OT2 OD026552
6 · The paper itself

Abstract

Advances in genomic medicine are arising from efforts to build a national learning healthcare system (LHS) and large-scale precision medicine studies. However, the underlying evidence base lacks sufficient data from populations historically underrepresented in biomedical research. Although the literature on health and healthcare disparities is extensive, disparities in the availability and quality of health information about diverse and underrepresented populations are less well characterized. This Perspective describes scientific and ethical benefits to incorporating health information from diverse and underrepresented populations in the LHS, resulting in a more robust and generalizable LHS. Near-term recommendations for incorporating diversity into the evidence base for genomic medicine are proposed, even as the groundwork for national and international efforts is underway.

Indexed as

Cultural DiversityEthnicityGenomicsHealthcare DisparitiesHumansMinority GroupsPatient Education as TopicPrecision Medicinediversityethnicityevidence basehealthcare disparitieshealth disparitieshealth information disparitiesknowledge baselearning healthcare systemLHSrace

Identifiers

PMID30209973
PMCPMC6287493

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.