Evidence map›Paper›PMID 32224869›Full record

ArticleLife (Basel, Switzerland)2020

Implementation of a Renal Precision Medicine Program: Clinician Attitudes and Acceptance.

Katherine M Spiech, Purnima R Tripathy, Alex M Woodcock, Nehal A Sheth, Kimberly S Collins, Karthik Kannegolla, Arjun D Sinha, Asif A Sharfuddin, Victoria M Pratt, Myda Khalid and 5 more

Open access · goldAbstract read
In one paragraph

Article in Life (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
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  7. Review
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  9. Article
  10. Genotype-Guided Hydralazine Therapy.American journal of nephrology · 2020
    Review
  11. 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 at 1 institution in 1 country.

Katherine M SpiechDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Purnima R TripathyDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Alex M WoodcockDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Nehal A ShethDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Kimberly S CollinsDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Karthik KannegollaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Arjun D SinhaDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Asif A SharfuddinDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Victoria M PrattDepartment of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Myda KhalidDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
David S HainsDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Sharon M MoeDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Todd C SkaarDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Ranjani N MoorthiDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Michael T EadonDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Indiana University School of Medicine

Funding

Resource CoreP30AR072581 · NIAMS · INDIANA UNIVERSITY INDIANAPOLIS · PI Sharon M Moe · 2017 to 2026
$8.3M
MIRA-Regulation of drug metabolizing enzymesR35GM131812 · NIGMS · INDIANA UNIVERSITY INDIANAPOLIS · PI SKAAR, TODD C. · 2019 to 2023
$2.5M
Longitudinal Assessment of Skeletal Muscle Physiology in Dialysis PatientsK23DK102824 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI MOORTHI, RANJANI N. · 2015 to 2019
$892k
Acute inhibition of renal gene expression to prevent nephrotoxicity.K08DK107864 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI EADON, MICHAEL THOMAS · 2016 to 2020
$772k
Indiana University Grand Challenge Fund 1705413046NIDDK NIH HHS K08 DK107864NIDDK NIH HHS K08DK107864NIDDK NIH HHS K23DK102824NIDDK NIH HHS P30AR072581NIDDK NIH HHS R01DK11087103NIGMS NIH HHS R35 GM131812NIGMS NIH HHS R35GM131812
6 · The paper itself

Abstract

A precision health initiative was implemented across a multi-hospital health system, wherein a panel of genetic variants was tested and utilized in the clinical care of chronic kidney disease (CKD) patients. Pharmacogenomic predictors of antihypertensive response and genomic predictors of CKD were provided to clinicians caring for nephrology patients. To assess clinician knowledge, attitudes, and willingness to act on genetic testing results, a Likert-scale survey was sent to and self-administered by these nephrology providers (N = 76). Most respondents agreed that utilizing pharmacogenomic-guided antihypertensive prescribing is valuable (4.0 ± 0.7 on a scale of 1 to 5, where 5 indicates strong agreement). However, the respondents also expressed reluctance to use genetic testing for CKD risk stratification due to a perceived lack of supporting evidence (3.2 ± 0.9). Exploratory sub-group analyses associated this reluctance with negative responses to both knowledge and attitude discipline questions, thus suggesting reduced exposure to and comfort with genetic information. Given the evolving nature of genomic implementation in clinical care, further education is warranted to help overcome these perception barriers.

Indexed as

APOL1chronic kidney disease (CKD), hypertension (HTN), genetic testingpharmacogenomics

Identifiers

PMID32224869
PMCPMC7235993
OpenAlexW3013256706

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.