Evidence map›Paper›PMID 34532994›Full record

ArticleMolecular genetics & genomic medicine2021

Far and wide: Exploring provider utilization of remote service provision for genome-wide sequencing in Canada.

Emily A Enns, Tasha Wainstein, Nick Dragojlovic, Nicola Kopac, GenCOUNSEL Study, Larry D Lynd, Alison M Elliott

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. 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 at 2 institutions in 1 country.

Emily A EnnsDepartment of Human Genetics, McGill University, Montreal, Quebec, Canada.ORCID 0000-0002-8036-1863
Tasha WainsteinDepartment of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-4890-9657
Nick DragojlovicCollaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0001-8600-371X
Nicola KopacCollaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-3637-1538
GenCOUNSEL Study
Larry D LyndCollaboration for Outcomes Research and Evaluation, Faculty of Pharmaceutical Sciences, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-7622-3919
Alison M ElliottDepartment of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-9896-1314
University of British Columbia · CAMcGill University · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundIn Canada, funding for genome-wide sequencing (GWS; exome and whole genome) is provincially regulated. We characterized the uptake of GWS by genetics health professionals (GHPs) across Canada and describe how they use remote technologies for patient access to GWS and genomic counseling.

methodsWe distributed a survey to 574 Canadian GHPs addressing: GWS use, remote technologies (e.g., telephone, videoconferencing) for GWS and provider opinions regarding these technologies. Data were summarized using descriptive statistics. Associations between variables were evaluated using Chi-square and Fisher's Exact tests for categorical data, and t-tests or Mann-Whitney U tests for continuous data.

resultsOf 116 GHPs, 50% reported using GWS in the last year and 57% of GWS users reported using remote technologies. Clinical geneticists who did not use GWS reported lack of provincial funding as the principal reason. Remote technologies were most commonly used for informed consent and results, and rarely used for initial consultations. Average wait times for a GWS appointment were shorter for remote appointments (mean 44.2 (SD 40.2) weeks) than for in-person (mean 58.2 (SD 42.9), p = 0.036).

conclusionThe use of GWS varied across Canada, professional designation, and discipline. Funding remains a barrier to GWS access. Remote technologies increase patient access with reduced wait times.

Indexed as

Exome SequencingHealth PersonnelPatient Acceptance of Health CareRemote ConsultationAppointments and SchedulesCanadaGenetic CounselingGenetic TestingGenome-Wide Association StudyHealth Care SurveysHumansPublic Health Surveillanceaccessgenetic counselinggenome-wide sequencingremote service provisiontelehealthtelemedicine

Identifiers

PMID34532994
PMCPMC8580085
OpenAlexW3201202195

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.