Evidence map›Paper›PMID 39669243›Full record

ArticleGenetics in medicine open2023

A pooled electronic consultation program to improve access to genetics specialists.

Emma K Folkerts, Renée C Pelletier, Daniel C Chung, Susan A Goldstein, Douglas S Micalizzi, Kristen M Shannon, David A Sweetser, Eugene K Wong, Heidi L Rehm, Leland E Hull

Abstract read
In one paragraph

Article in Genetics in medicine open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

10 authors.

Emma K FolkertsCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Renée C PelletierCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Daniel C ChungMassachusetts General Hospital Cancer Center, Boston, MA.
Susan A GoldsteinMassachussetts General Physicians Organization, Massachusetts General Hospital, Boston, MA.
Douglas S MicalizziMassachusetts General Hospital Cancer Center, Boston, MA.
Kristen M ShannonMassachusetts General Hospital Cancer Center, Boston, MA.
David A SweetserHarvard Medical School, Boston, MA.
Eugene K WongCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Heidi L RehmCenter for Genomic Medicine, Massachusetts General Hospital, Boston, MA.
Leland E HullHarvard Medical School, Boston, MA.

Funding

Elucidating the barriers and facilitators to widespread implementation of preconception genetic carrier screeningK08HG012221 · NHGRI · MASSACHUSETTS GENERAL HOSPITAL · PI HULL, LELAND · 2022 to 2025
$883k
NHGRI NIH HHS K08 HG012221
6 · The paper itself

Abstract

Purpose: Given limited ambulatory access to genetics specialists, innovative service delivery solutions are needed. Electronic consultation (e-consult) programs are growing to connect clinicians to specialists. We explored the utilization and outcomes of a genetics and genomics e-consult program at Massachusetts General Hospital system in its first year. Methods: A retrospective observational analysis of genetics e-consults ordered between April 2021 and March 2022. Results: In its first year, the e-consult service triaged 153 requests and completed 122 in a median of 2.0 days. Of the 97 e-consults with actionable recommendations, there was documentation that most ordering clinicians followed through (82%). A variety of providers used the service, though the majority (77%) were generalists. Conclusion: e-Consult models should be considered as one way to increase access to genetics expertise.

Indexed as

Access to health servicesGenetic servicesHealthcare deliveryReferral and consultation

Identifiers

PMID39669243
PMCPMC11613712

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.