Evidence map›Paper›PMID 36579594›Full record

ArticleJournal of personalized medicine2022

The Development of an Infrastructure to Facilitate the Use of Whole Genome Sequencing for Population Health.

Nephi A Walton, Brent Hafen, Sara Graceffo, Nykole Sutherland, Melanie Emmerson, Rachel Palmquist, Christine M Formea, Maricel Purcell, Bret Heale, Matthew A Brown and 33 more

Abstract read
In one paragraph

Article in Journal of personalized medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. A comparative evaluation of ChatGPT 3.5 and ChatGPT 4 in responses to selected genetics questions.Journal of the American Medical Informatics Association : JAMIA · 2024
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

43 authors.

Nephi A WaltonIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Brent HafenIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Sara GraceffoIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Nykole SutherlandIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Melanie EmmersonIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Rachel PalmquistDepartment of Pediatrics, University of Utah, Salt Lake City, UT 84108, USA.
Christine M FormeaDepartment of Pharmacy, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0001-7920-7087
Maricel PurcellIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0001-8793-8699
Bret HealeHumanized Health Consulting, Salt Lake City, UT 84102, USA.
Matthew A BrownBrainspin, Salt Lake City, UT 84123, USA.ORCID 0000-0001-8941-1380
Christopher J DanfordTransplant Services, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Sumathi I RachamaduguDepartment of Bioinformatics and Genomics, Pennsylvania State University, University Park, PA 16802, USA.
Thomas N PersonJohn Hopkins Genomics-DNA Diagnostics Laboratory, Department of Genetic Medicine, John Hopkins University School of Medicine, Baltimore, MD 21205, USA.
Katherine A ShorttAmbry Genetics, Aliso Viejo, CA 92656, USA.
G Bryce ChristensenIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Jared M EvansIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Sharanya RaghunathIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Christopher P JohnsonIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Stacey KnightDepartment of Cardiology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Viet T LeDepartment of Cardiology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0001-6659-5332
Jeffrey L AndersonDepartment of Cardiology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Margaret Van MeterDepartment of Medical Oncology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Teresa ReadingDepartment of Surgery, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Derrick S HaslemDepartment of Cardiology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Ivy C HansenSchool of Medicine, University of Utah, Salt Lake City, UT 84132, USA.
Betsey BatcherDepartment of Endocrinology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Tyler BarkerIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Travis J SheffieldIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Bhaskara YandavaDigital Technology Services, Intermountain Healthcare, Salt Lake City, UT 84130, USA.
David P TaylorDigital Technology Services, Intermountain Healthcare, Salt Lake City, UT 84130, USA.
Pallavi Ranade-KharkarDigital Technology Services, Intermountain Healthcare, Salt Lake City, UT 84130, USA.
Christopher C GiauqueIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Kenneth R EyringIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Jesse W BreinholtIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0002-3867-2430
Mickey R MillerIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0001-6461-9636
Payton R CarterIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Jason L GillmanIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Andrew W GunnCenter for Personalized Medicine, Primary Children's Hospital, Intermountain Healthcare, Salt Lake City, UT 84113, USA.
Kirk U KnowltonDepartment of Cardiology, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Joshua L BonkowskyDepartment of Pediatrics, University of Utah, Salt Lake City, UT 84108, USA.ORCID 0000-0001-8775-147X
Kari StefanssonDeCode Genetics/AmGen, Inc., IS-101 Reykjavik, Iceland.
Lincoln D NadauldIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.
Howard L McLeodIntermountain Precision Genomics, Intermountain Healthcare, Salt Lake City, UT 84107, USA.ORCID 0000-0002-9004-9232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The clinical use of genomic analysis has expanded rapidly resulting in an increased availability and utility of genomic information in clinical care. We have developed an infrastructure utilizing informatics tools and clinical processes to facilitate the use of whole genome sequencing data for population health management across the healthcare system. Our resulting framework scaled well to multiple clinical domains in both pediatric and adult care, although there were domain specific challenges that arose. Our infrastructure was complementary to existing clinical processes and well-received by care providers and patients. Informatics solutions were critical to the successful deployment and scaling of this program. Implementation of genomics at the scale of population health utilizes complicated technologies and processes that for many health systems are not supported by current information systems or in existing clinical workflows. To scale such a system requires a substantial clinical framework backed by informatics tools to facilitate the flow and management of data. Our work represents an early model that has been successful in scaling to 29 different genes with associated genetic conditions in four clinical domains. Work is ongoing to optimize informatics tools; and to identify best practices for translation to smaller healthcare systems.

Indexed as

genome sequencinggenomic medicinehealthcare infrastructurepopulation health genomicspopulation sequencingprecision medicine

Identifiers

PMID36579594
PMCPMC9693138

What OpenQuestion holds

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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.