Evidence map›Paper›PMID 31588877›Full record

ArticlePharmacogenomics2019

A stepwise approach to implementing pharmacogenetic testing in the primary care setting.

Kristin Wiisanen Weitzel, Benjamin Q Duong, Meghan J Arwood, Aniwaa Owusu-Obeng, Noura S Abul-Husn, Barbara A Bernhardt, Brian Decker, Joshua C Denny, Eric Dietrich, John Gums and 5 more

Abstract read
In one paragraph

Article in Pharmacogenomics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Article
  2. Article
  3. Journal of personalized medicine · 2023
    Article
  4. Article
  5. Review
  6. How to Implement a Pharmacogenetics Service at your Institution.Journal of the American College of Clinical Pharmacy : JACCP · 2022
    Article
  7. CYP2D6 pharmacogenetics and phenoconversion in personalized medicine.Expert opinion on drug metabolism & toxicology · 2022
    Review
  8. Article
  9. Clinical Implementation ofFrontiers in pharmacology · 2022
    Article
  10. Article
  11. A Comprehensive Review ofPharmaceuticals (Basel, Switzerland) · 2021
    Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Genetic testing and results disclosure in diverse populations: what does it take?Genetics in medicine : official journal of the American College of Medical Genetics · 2020
    Article
  17. 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

15 authors.

Kristin Wiisanen WeitzelDepartment of Pharmacotherapy & Translational Research, University of Florida, Gainesville, FL 32608, USA.
Benjamin Q DuongDepartment of Pharmacy, Nemours/Alfred I DuPont Hospital for Children, Wilmington, DE 19803, USA.
Meghan J ArwoodDepartment of Pharmacotherapy & Translational Research, University of Florida, Gainesville, FL 32608, USA.
Aniwaa Owusu-ObengThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Noura S Abul-HusnThe Charles Bronfman Institute for Personalized Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
Barbara A BernhardtDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Brian DeckerDivision of Clinical Pharmacology, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Joshua C DennyDepartment of Medicine & Biomedical Informatics, Vanderbilt University School of Medicine, Nashville, TN 37232, USA.
Eric DietrichDepartment of Pharmacotherapy & Translational Research, University of Florida, Gainesville, FL 32608, USA.
John GumsDepartment of Pharmacotherapy & Translational Research, University of Florida, Gainesville, FL 32608, USA.
Ebony B MaddenNational Human Genome Research Institute, Division of Genomic Medicine, Bethesda, MD 20892, USA.
Toni I PollinDepartment of Medicine & Epidemiology & Public Health, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
Rebekah Ryanne WuCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine, Durham, NC 27708, USA.
Susanne B HagaCenter for Applied Genomics & Precision Medicine, Duke University School of Medicine, Durham, NC 27708, USA.ORCID 0000-0001-8817-7406
Carol R HorowitzDepartment of Health Policy & Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
Pharmacogenomic Evaluation of Antihypertensive ResponsesU01GM074492 · NIGMS · UNIVERSITY OF FLORIDA · PI COOPER-DEHOFF, RHONDA M, JOHNSON, JULIE A. · 2005 to 2014
$20.7M
Sparking Advancements in Genomic MedicineU01HG007269 · NHGRI · UNIVERSITY OF FLORIDA · PI CAVALLARI, LARISA HUMMA, JOHNSON, JULIE A. · 2013 to 2024
$17.0M
Pharmacogenomics of Anti-platlet Intervention-2 (PAPI-2) StudyU01HL105198 · NHLBI · UNIVERSITY OF MARYLAND BALTIMORE · PI SHULDINER, ALAN R. · 2010 to 2014
$13.6M
UF Clinical and Translational Science AwardUL1TR000064 · NCATS · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2012 to 2014
$12.2M
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
Biorepository for Genomic Medicine in diverse CommunitiesU01HG006380 · NHGRI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BOTTINGER, ERWIN P. · 2011 to 2015
$4.5M
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
NCATS NIH HHS UL1 TR000064NCATS NIH HHS UL1 TR001427NHGRI NIH HHS U01 HG006380NHGRI NIH HHS U01 HG007253NHGRI NIH HHS U01 HG007269NHGRI NIH HHS U01 HG007278NHGRI NIH HHS U01 HG007282NHGRI NIH HHS U01 HG007775NHLBI NIH HHS U01 HL105198NIGMS NIH HHS U01 GM074492
6 · The paper itself

Abstract

Pharmacogenetic testing can help identify primary care patients at increased risk for medication toxicity, poor response or treatment failure and inform drug therapy. While testing availability is increasing, providers are unprepared to routinely use pharmacogenetic testing for clinical decision-making. Practice-based resources are needed to overcome implementation barriers for pharmacogenetic testing in primary care.The NHGRI's IGNITE I Network (Implementing GeNomics In pracTicE; www.ignite-genomics.org) explored practice models, challenges and implementation barriers for clinical pharmacogenomics. Based on these experiences, we present a stepwise approach pharmacogenetic testing in primary care: patient identification; pharmacogenetic test ordering; interpretation and application of test results, and patient education. We present clinical factors to consider, test-ordering processes and resources, and provide guidance to apply test results and counsel patients. Practice-based resources such as this stepwise approach to clinical decision-making are important resources to equip primary care providers to use pharmacogenetic testing.

Indexed as

Decision MakingDelivery of Health CareHumansPharmacogeneticsPharmacogenomic TestingPrimary Health Careclinicimplementationpharmacogeneticspharmacogenomicsprecision medicineprimary care

Identifiers

PMID31588877
PMCPMC6854439

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.