Evidence map›Paper›PMID 32940567›Full record

ArticleAJOB empirical bioethics

Perspectives on Precision Medicine in a Tribally Managed Primary Care Setting.

Julie A Beans, R Brian Woodbury, Kyle A Wark, Vanessa Y Hiratsuka, Paul Spicer

Open access · greenAbstract read
In one paragraph

Article in AJOB empirical bioethics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Values and Practices to Strengthen Genetic Research Partnerships with Indigenous Communities.Progress in community health partnerships : research, education, and action · 2022
    Article
  8. Article
  9. 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

5 authors at 2 institutions in 1 country.

Julie A BeansSouthcentral Foundation, Anchorage, Alaska, USA.ORCID 0000-0003-4363-9763
R Brian WoodburySouthcentral Foundation, Anchorage, Alaska, USA.
Kyle A WarkSouthcentral Foundation, Anchorage, Alaska, USA.
Vanessa Y HiratsukaSouthcentral Foundation, Anchorage, Alaska, USA.
Paul SpicerDepartment of Anthropology, University of Oklahoma, Norman, Oklahoma, USA.
Southcentral Foundation · USUniversity of Oklahoma · US

Funding

Trust and Mistrust in American Indian and Alaska Native CommunitiesRM1HG009042 · NHGRI · UNIVERSITY OF OKLAHOMA · PI SPICER, PAUL G · 2016 to 2024
$8.5M
Community-engaged Research Toward Precision Medicine with AIAN PeopleR01HG009500 · NHGRI · UNIVERSITY OF ALASKA FAIRBANKS · PI BOYER, BERT BRANDON, DILLARD, DENISE A · 2017 to 2019
$2.0M
Population-based Interventions to Improve Behavioral Health in a Tribal Healthcare SystemS06GM123545 · NIGMS · SOUTHCENTRAL FOUNDATION · PI DILLARD, DENISE A · 2017 to 2020
$1.6M
NHGRI NIH HHS R01 HG009500NHGRI NIH HHS RM1 HG009042NIGMS NIH HHS S06 GM123545
6 · The paper itself

Abstract

backgroundPrecision medicine (PM) research and clinical application is moving forward at a rapid pace. To ensure ethical inclusion of all populations in PM, in-depth understanding of diverse communities' views of PM research and PM implementation is necessary.

methodsSemi-structured interviews were conducted to explore perspectives on PM in a tribally managed healthcare organization. Thematic analysis was used to analyze data from 46 interviews.

resultsParticipants described gains in diagnostic efficiency, risk identification for preventable disease, and the advancement of population-specific biomedical research as key benefits of PM. Concerns expressed related to privacy risks associated with data-sharing, overpromising on PM, and managing patient expectations related to PM. Stakeholders encouraged PM implementation to be preceded by health education activities that leverage a range of communication strategies.

conclusionPerspectives described in this study may aid in and should be considered prior to implementation of PM in this and other healthcare systems, especially those serving diverse populations.

Indexed as

AttitudeBioethical IssuesIndians, North AmericanAdultAlaskaBiomedical ResearchCommunicationDelivery of Health CareFemaleHealth Services AccessibilityHealth Services, IndigenousHumansInformation DisseminationMalePrecision MedicinePrimary Health CareAlaska NativeAmerican Indiancommunity viewshealthcare systemPrecision medicine

Identifiers

PMID32940567
PMCPMC7606746
OpenAlexW3086177775

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.