Evidence map›Paper›PMID 36789889›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2023

The effect of genetic education on the referral of patients to genetic evaluation: Findings from a national survey of nephrologists.

Hila Milo Rasouly, Olivia Balderes, Maddalena Marasa, Hilda Fernandez, Marissa Lipton, Fangming Lin, Ali G Gharavi, Maya Sabatello

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Ethical Perspectives in Renal Genetic Testing and Counseling.Advances in kidney disease and health · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Utility of Genetic Testing in Adults with CKD: A Systematic Review and Meta-Analysis.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  13. Article
  14. Advancing Genetic Testing in Kidney Diseases: Report From a National Kidney Foundation Working Group.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024
    Review
  15. Article
  16. Article
  17. The Role of Genetic Testing in Adult CKD.Journal of the American Society of Nephrology : JASN · 2024
    Article
  18. Article
  19. Article
  20. Review
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

8 authors.

Hila Milo RasoulyDivision of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Center for Precision Medicine and Genomics, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY. Electronic address: hila.milorasouly@columbia.edu.
Olivia BalderesDivision of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Maddalena MarasaDivision of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Center for Precision Medicine and Genomics, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Hilda FernandezDivision of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Division of Pediatric Nephrology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Marissa LiptonDivision of Pediatric Nephrology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Fangming LinDivision of Pediatric Nephrology, Department of Pediatrics, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Ali G GharaviDivision of Nephrology, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Center for Precision Medicine and Genomics, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Institute for Genomic Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY.
Maya SabatelloCenter for Precision Medicine and Genomics, Department of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY; Division of Ethics, Department of Medical Humanities and Ethics, Columbia University, New York, NY. Electronic address: ms4075@cumc.columbia.edu.

Funding

The Columbia PCC for CureGN: the Cure Glomerulonephropathy networkU01DK100876 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Andrew Stephen Bomback, ALI G GHARAVI · 2019 to 2026
$8.5M
Advancing equitable implementation of genomic medicine in nephrologyK01DK132495 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Hila Milo Rasouly · 2022 to 2026
$722k
NIDDK NIH HHS K01 DK132495NIDDK NIH HHS U01 DK100876
6 · The paper itself

Abstract

purposeThe success of genomic medicine hinges on the implementation of genetic knowledge in clinical settings. In novel subspecialties, it requires that clinicians refer patients to genetic evaluation or testing, however referral is likely to be affected by genetic knowledge.

methodsAn online survey was administered to self-identified nephrologists working in the United States. Nephrologists' demographic characteristics, genetic education, confidence in clinical genetics, genetic knowledge, and referral rates of patients to genetic evaluation were collected.

resultsIn total, 201 nephrologists completed the survey. All reported treating patients with genetic forms of kidney disease, and 37% had referred <5 patients to genetic evaluation. A third had limited basic genetic knowledge. Most nephrologists (85%) reported concerns regarding future health insurance eligibility as a barrier to referral to genetic testing. Most adult nephrologists reported insufficient genetic education during residency (65%) and fellowship training (52%). Lower rating of genetic education and lower knowledge in recognizing signs of genetic kidney diseases were significantly associated with lower number of patients referred to the genetic evaluation (P < .001). Most nephrologists reported that improving their genetic knowledge is important for them (>55%).

conclusionsThere is a need to enhance nephrologists' genetic education to increase genetic testing use in nephrology.

Indexed as

Kidney DiseasesNephrologyAdultAttitude of Health PersonnelHumansNephrologistsReferral and ConsultationSurveys and QuestionnairesUnited StatesEducationGenetic knowledgeGenomic medicineNephrologyPatient referral

Identifiers

PMID36789889
PMCPMC10164060

What OpenQuestion holds

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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.