Evidence map›Paper›PMID 39665424›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2025

Clinical implementation of preemptive pharmacogenomics testing for personalized medicine at an academic medical center.

Bani Tamraz, Jaekyu Shin, Raman Khanna, Jessica Van Ziffle, Susan Knowles, Susan Stregowski, Eunice Wan, Rajesh Kamath, Christopher Collins, Choeying Phunsur and 12 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
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  3. Review
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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

22 authors.

Bani TamrazUniversity of California, San Francisco, San Francisco, CA 94143, United States.ORCID 0000-0002-7341-455X
Jaekyu ShinUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Raman KhannaUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Jessica Van ZiffleUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Susan KnowlesUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Susan StregowskiUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Eunice WanUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Rajesh KamathUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Christopher CollinsUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Choeying PhunsurUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Benjamin TsaiUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Patsy KongUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Clari CalanocUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Aleta PollardUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Rajeev SawhneyUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Jennifer PleimanEpic Systems Corporation, Verona, WI 53593, United States.
Walter Patrick DevineUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Rhiannon CrociUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Aparna SashikanthUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Lisa KroonUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Russell CucinaUniversity of California, San Francisco, San Francisco, CA 94143, United States.
Aleks RajkovicUniversity of California, San Francisco, San Francisco, CA 94143, United States.ORCID 0000-0001-8390-0263

Funding

University of California San Francisco Health
6 · The paper itself

Abstract

objectiveThis article describes the implementation of preemptive clinical pharmacogenomics (PGx) testing linked to an automated clinical decision support (CDS) system delivering actionable PGx information to clinicians at the point of care at UCSF Health, a large Academic Medical Center.

methodsA multidisciplinary team developed the strategic vision for the PGx program. Drug-gene interactions of interest were compiled, and actionable alleles identified. A genotyping platform was selected and validated in-house. Following HIPAA protocols, genotype results were electronically transferred and stored in electronic health records (EHRs). CDS was developed and integrated with electronic prescribing.

resultsWe developed a customized PGx program for 56 medications and 15 genes. Two hundred thirty-three pharmacogenomic prescribing alerts and 15 pharmacogenomic testing prompts, approved by clinicians, were built into EHR to deliver actionable clinical PGx information to clinicians.

conclusionsOur multidisciplinary team successfully implemented preemptive PGx testing linked to point-of-care CDS to guide clinicians with precise medication decision-making.

Indexed as

Decision Support Systems, ClinicalPharmacogeneticsPharmacogenomic TestingPrecision MedicineAcademic Medical CentersElectronic Health RecordsHumansclinical decision supportelectronic health recordpersonalized medicinepharmacogeneticspharmacogenomics

Identifiers

PMID39665424
PMCPMC11833476

What OpenQuestion holds

Textmetadata
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.