Evidence map›Paper›PMID 36107166›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

Impact of integrating genomic data into the electronic health record on genetics care delivery.

Kelsey S Lau-Min, Danielle McKenna, Stephanie Byers Asher, Tanya Bardakjian, Colin Wollack, Joseph Bleznuck, Daniel Biros, Arravinth Anantharajah, Dana F Clark, Courtney Condit and 14 more

Open access · greenAbstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
6.9field-weighted citation impact, top 3% 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, 38 citations in OpenAlex.

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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

24 authors at 3 institutions in 1 country.

Kelsey S Lau-MinDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Danielle McKennaDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Stephanie Byers AsherDivision of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Tanya BardakjianDepartment of Neurology, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Colin WollackInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Joseph BleznuckInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Daniel BirosInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Arravinth AnantharajahDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Dana F ClarkDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Courtney ConditDivision of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Jessica E EbrahimzadehDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Jessica M LongDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Jacquelyn PowersDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Anna RaperDivision of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Anna SchoenbaumInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Michael FeldmanDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Lauren SteinfeldCarey Law School, University of Pennsylvania, Philadelphia, PA.
Sony TutejaDivision of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Christine VanZandbergenInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Susan M DomchekDivision of Hematology and Oncology, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA; Abramson Cancer Center, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Marylyn D RitchieDepartment of Genetics, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Jeffrey LandgrafInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Jessica ChenInformation Services, Penn Medicine, University of Pennsylvania, Philadelphia, PA.
Katherine L NathansonDivision of Translational Medicine and Human Genetics, Department of Medicine, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA; Abramson Cancer Center, Perelman School of Medicine, Penn Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: knathans@upenn.edu.
University of Pennsylvania Health System · USPenn Center for AIDS Research · USWilliam Carey University · US

Funding

Randomized trial of universal vs. guideline-directed germline testing among young adults with cancerU01CA232836 · NCI · UNIVERSITY OF PENNSYLVANIA · PI JOFFE, STEVEN, NATHANSON, KATHERINE L. · 2019 to 2022
$5.0M
Postdoctoral Training Program in Genomic MedicineT32HG009495 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI Katherine L. Nathanson, Bogdan Pasaniuc · 2017 to 2026
$4.2M
Pharmacogenomics Clinical Annotation Tool (PharmCAT)U24HG010862 · NHGRI · UNIVERSITY OF PENNSYLVANIA · PI KLEIN, TERI ELLEN, RITCHIE, MARYLYN D · 2020 to 2022
$1.7M
Impact of the gut microbiome on response to lipid lowering therapyK23HL143161 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI TUTEJA, SONY · 2019 to 2022
$695k
NCI NIH HHS U01 CA232836NHGRI NIH HHS T32 HG009495NHGRI NIH HHS U24 HG010862NHLBI NIH HHS K23 HL143161
6 · The paper itself

Abstract

purposeIntegrating genomic data into the electronic health record (EHR) is key for optimally delivering genomic medicine.

methodsThe PennChart Genomics Initiative (PGI) at the University of Pennsylvania is a multidisciplinary collaborative that has successfully linked orders and results from genetic testing laboratories with discrete genetic data in the EHR. We quantified the use of the genomic data within the EHR, performed a time study with genetic counselors, and conducted key informant interviews with PGI members to evaluate the effect of the PGI's efforts on genetics care delivery.

resultsThe PGI has interfaced with 4 genetic testing laboratories, resulting in the creation of 420 unique computerized genetic testing orders that have been used 4073 times to date. In a time study of 96 genetic testing activities, EHR use was associated with significant reductions in time spent ordering (2 vs 8 minutes, P < .001) and managing (1 vs 5 minutes, P < .001) genetic results compared with the use of online laboratory-specific portals. In key informant interviews, multidisciplinary collaboration and institutional buy-in were identified as key ingredients for the PGI's success.

conclusionThe PGI's efforts to integrate genomic medicine into the EHR have substantially streamlined the delivery of genomic medicine.

Indexed as

Delivery of Health CareElectronic Health RecordsGenomicsHumansLaboratoriesSoftwareElectronic health recordGenomicsIntegration

Identifiers

PMID36107166
PMCPMC10176082
OpenAlexW4295906000

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.