Evidence map›Paper›PMID 36002448›Full record

ArticleNature communications2022

Investigating disparity in access to Australian clinical genetic health services for Aboriginal and Torres Strait Islander people.

Joanne Luke, Philippa Dalach, Lindsay Tuer, Ravi Savarirayan, Angeline Ferdinand, Julie McGaughran, Emma Kowal, Libby Massey, Gail Garvey, Hugh Dawkins and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  12. Consumer Experience of an Australian Multidisciplinary Long COVID Clinic That Incorporates Personalised Exercise Prescription: A Qualitative Analysis.Health expectations : an international journal of public participation in health care and health policy · 2025
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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

16 authors at 9 institutions in 1 country.

Joanne LukeCentre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia. jnluke@unimelb.edu.au.
Philippa DalachCentre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia.
Lindsay TuerVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Ravi SavarirayanVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia.ORCID 0000-0002-5105-8427
Angeline FerdinandCentre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia.
Julie McGaughranGenetic Health Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Emma KowalAlfred Deakin Institute for Citizenship and Globalisation, Deakin University, Geelong, VIC, Australia.ORCID 0000-0003-3866-3224
Libby MasseyMachado Joseph Disease Foundation, Alyangula, NT, Australia.
Gail GarveyWellbeing and Preventable Chronic Disease Division, Menzies School of Health Research, Charles Darwin University, Casuarina, NT, Australia.ORCID 0000-0001-5065-5716
Hugh DawkinsSchool of Medicine, The University of Notre Dame Australia, Sydney, NSW, Australia.
Misty JenkinsImmunology, Walter Eliza Hall Institute, Parkville, VIC, Australia.ORCID 0000-0001-6564-2715
Yin ParadiesSchool of Humanities and Social Science, Deakin University, Burwood, VIC, Australia.
Glenn PearsonTelethon Kids Institute and Division of Paediatrics, Faculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia.
Chloe A StutterdVictorian Clinical Genetics Services, Murdoch Children's Research Institute, Parkville, VIC, Australia.
Gareth BaynamTelethon Kids Institute and Division of Paediatrics, Faculty of Health and Medical Sciences, University of Western Australia, Perth, WA, Australia.ORCID 0000-0003-4920-9553
Margaret KelaherCentre for Health Policy, The University of Melbourne, Melbourne, VIC, Australia.
The University of Melbourne · AUDeakin University · AUThe Kids Research Institute Australia · AUVictorian Clinical Genetics Services · AUCharles Darwin University · AUJames Cook University · AUThe University of Notre Dame Australia · AUThe University of Queensland · AUWalter and Eliza Hall Institute of Medical Research · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Globally, there is a recognised need that all populations should be able to access the benefits of genomics and precision medicine. However, achieving this remains constrained by a paucity of data that quantifies access to clinical genomics, particularly amongst Indigenous populations. Using administrative data from clinical genetic health services across three Australian jurisdictions (states/territories), we investigate disparities in the scheduling and attendance of appointments among Aboriginal and/or Torres Strait Islander people, compared to non-Indigenous people. For 14,870 appointments scheduled between 2014-2018, adjusted Multivariate Poisson Regression models revealed that Aboriginal and/or Torres Strait Islander people were scheduled fewer appointments (IRR 0.73 [0.68-0.80], <0.001) and attended at lower rates (IRR 0.85 [0.78-0.93], <0.001). Within this population, adults, females, remote residents, and those presenting in relation to cancer or prenatal indications experienced the greatest disparity in access. These results provide important baseline data related to disparities in access to clinical genomics in Australia.

Indexed as

Australian Aboriginal and Torres Strait Islander PeoplesHealthcare DisparitiesHealth Services AccessibilityPrecision MedicineAdultAge FactorsAppointments and SchedulesAustraliaFemaleHealth ServicesHumansMalePregnancySex Factors

Identifiers

PMID36002448
PMCPMC9400572
OpenAlexW4292953681

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.