Evidence map›Paper›PMID 40819184›Full record

ArticlePediatric research2025

Preferences for implementing pharmacogenomics in pediatric primary care: a discrete choice experiment.

Benjamin Q Duong, Nathan D Seligson, Kelsey J Cook, Lauren Lemke, Pamela Arn, Kathryn Pluta, Vicky L Funanage, Ramzi G Salloum, Kathryn V Blake

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Article in Pediatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Benjamin Q Duong *Nemours Children's Health, Wilmington, DE, USA.
Nathan D Seligson *Nemours Children's Health, Jacksonville, FL, USA.
Kelsey J CookNemours Children's Health, Jacksonville, FL, USA.
Lauren LemkeBrown University Health, Providence, RI, USA.
Pamela ArnNemours Children's Health, Jacksonville, FL, USA.
Kathryn PlutaUniversity of Florida College of Medicine, Gainesville, FL, USA.
Vicky L FunanageNemours Children's Health, Wilmington, DE, USA.
Ramzi G SalloumUniversity of Florida College of Medicine, Gainesville, FL, USA.
Kathryn V BlakeNemours Children's Health, Jacksonville, FL, USA. Kathryn.Blake@nemours.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmacogenomics services are primarily implemented in adult specialty practices, with limited focus on pediatrics, particularly in primary care. This study aimed to assess primary care providers' preferences for implementing pharmacogenomics services in their practice.

methodsA discrete choice experiment using best-worst scaling was designed based on constructs from the Consolidated Framework for Implementation Research (CFIR) domains: Intervention Characteristics, Outer Setting, Inner Setting, Characteristics of Individuals, and Process. Questions and scenarios were developed as a survey to primary care providers at a multistate pediatric health system, to evaluate factors influencing pharmacogenomics service integration.

resultsOf 165 providers sent the survey, complete responses were received from 68 (41%). The most important constructs from the five CFIR domains were: Evidence Strength and Quality, Patient Needs and Resources, Access to Knowledge and Information, Knowledge and Beliefs, and Engaging and Champions. Least important constructs from the five domains were: Adaptability, Peer Pressure, Culture and Tension for Change, Individual Identification with Organization, and Opinion Leaders and External Change Agents.

conclusionPrimary care providers from this pediatric institution identified specific features essential for implementation of a pharmacogenomics service including engaging practitioners/champions, providing education, and establishing access to pharmacogenomic evidence and resources for providers and patients. IMPACT: Understanding pediatric providers' needs in implementing pharmacogenomics services, including education, resources, and organizational culture, is an underexplored area. The findings support informed strategies to integrate pharmacogenomics into pediatric care, enhancing its adoption into pediatric primary care. This study offers new insights into the pediatric primary care perspective on pharmacogenomics service implementation, highlighting essential priorities such as practitioner champions, targeted education, evidence access, and resource adequacy across a multistate pediatric institution.

Indexed as

PediatricsPharmacogeneticsPrimary Health CareAdultAttitude of Health PersonnelChildChoice BehaviorFemaleHumansMaleSurveys and Questionnaires

Identifiers

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.