Evidence map›Paper›PMID 34458686›Full record

ArticleJAMIA open2021

Creation of a pharmacogenomics patient portal complementary to an existing institutional provider-facing clinical decision support system.

Elizabeth Lipschultz, Keith Danahey, Tien M Truong, Emily Schierer, Samuel L Volchenboum, Mark J Ratain, Peter H O'Donnell

Abstract read
In one paragraph

Article in JAMIA open, 2021. 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
–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

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

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Advancing Pharmacogenomics from Single-Gene to Preemptive Testing.Annual review of genomics and human genetics · 2022
    Review
  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

7 authors.

Elizabeth LipschultzCenter for Research Informatics, University of Chicago, Chicago, Illinois, USA.
Keith DanaheyCenter for Research Informatics, University of Chicago, Chicago, Illinois, USA.
Tien M TruongCenter for Personalized Therapeutics, University of Chicago, Chicago, Illinois, USA.
Emily SchiererCenter for Personalized Therapeutics, University of Chicago, Chicago, Illinois, USA.
Samuel L VolchenboumDepartment of Pediatrics, University of Chicago, Chicago, Illinois, USA.
Mark J RatainCenter for Personalized Therapeutics, University of Chicago, Chicago, Illinois, USA.
Peter H O'DonnellCenter for Personalized Therapeutics, University of Chicago, Chicago, Illinois, USA.

Funding

Implementation of Point-of-Care Pharmacogenomic Decision Support in Perioperative Care - Resubmission 01R01HG009938 · NHGRI · UNIVERSITY OF CHICAGO · PI O'DONNELL, PETER HUGH · 2018 to 2022
$4.0M
NHGRI NIH HHS R01 HG009938
6 · The paper itself

Abstract

backgroundApplied pharmacogenomics presents opportunities for improving patient care through precision medicine, particularly when paired with appropriate clinical decision support (CDS). However, a lack of patient resources for understanding pharmacogenomic test results may hinder shared decision-making and patient confidence in treatment. We sought to create a patient pharmacogenomics education and results delivery platform complementary to a CDS system to facilitate further research on the relevance of patient education to pharmacogenomics.

methodsWe conceptualized a model that extended the data access layer of an existing institutional CDS tool to allow for the pairing of decision supports offered to providers with patient-oriented summaries at the same level of phenotypic specificity. We built a two-part system consisting of a secure portal for patient use and an administrative dashboard for patient summary creation. The system was built in an ASP.NET and AngularJS architecture, and all data was housed in a HIPAA-compliant data center, with PHI secure in transit and at rest.

resultsThe YourPGx Patient Portal was deployed on the institutional network in June 2019. Fifty-eight unique patient portal summaries have been written so far, which can provide over 4500 results modules to the pilot population of 544 patients. Patient behavior on the portal is being logged for further research.

conclusionsTo our knowledge, this is the first automated system designed and deployed to provide detailed, personalized patient pharmacogenomics education complementary to a clinical decision support system. Future work will expand upon this system to allow for telemedicine and patient notification of new or updated results.

Indexed as

education of patientsinternet-based interventionpatient portalspharmacogeneticsprecision medicine

Identifiers

PMID34458686
PMCPMC8390782

What OpenQuestion holds

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LicenceCC BY
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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.