Evidence map›Paper›PMID 41749596›Full record

ArticleChildren (Basel, Switzerland)2026

Increasing Genetic Testing Uptake Through Workflow Optimization: A Quality Improvement Study in Pediatric Hearing Loss.

Jennifer Coto, Julia Anne Morris, Valerie Yunis, Chrisanda Marie Sanchez, Xue Zhong Liu, Ivette Cejas

Abstract read
In one paragraph

Article in Children (Basel, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Jennifer CotoDepartment of Pediatrics, University of Miami, Miami, FL 33136, USA.ORCID 0000-0001-9009-0895
Julia Anne MorrisDepartment of Otolaryngology, University of Miami, Miami, FL 33136, USA.ORCID 0009-0007-3766-5611
Valerie YunisDepartment of Otolaryngology, University of Miami, Miami, FL 33136, USA.ORCID 0009-0006-4073-3980
Chrisanda Marie SanchezDepartment of Pediatrics, University of Miami, Miami, FL 33136, USA.ORCID 0000-0002-1584-6813
Xue Zhong LiuDepartment of Pediatrics, University of Miami, Miami, FL 33136, USA.ORCID 0000-0002-4758-6470
Ivette CejasDepartment of Pediatrics, University of Miami, Miami, FL 33136, USA.ORCID 0000-0002-2083-9060

Funding

Miami Otolaryngology Surgeon-Scientist Training Program (MOSSTP)R25DC020726 · NIDCD · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Christine Thuyvan Dinh · 2023 to 2026
$988k
NIDCD NIH HHS R25 DC020726
6 · The paper itself

Abstract

BACKGROUND/

objectivesAlthough genetic testing is recommended for pediatric hearing loss, referral rates within otology and audiology practices remain low. This study evaluated referral rates, referral pathways, and genetics appointment completion before and after implementation of a quality improvement (QI) referral protocol in an ethnically diverse pediatric cohort.

methodsPhase 1 (January-August 2023) included chart reviews of 88 pediatric patients with hearing loss to assess whether genetics referrals were made and completed. Data collected included demographics, referral modality (clinical note documentation, routed note to genetics, or direct referral order), and appointment status. In Phase 2 (September 2023-September 2024), a standardized referral protocol was implemented requiring all newly diagnosed patients to be referred using one of three predefined pathways. Providers received brief training and reminder cards. Chart reviews were then conducted for an additional 114 patients.

resultsA total of 202 patients were included (Phase 1:

conclusionsGenetic referrals for pediatric hearing loss remain underutilized but improved substantially following implementation of a standardized referral protocol. These findings highlight the importance of optimizing referral pathways and providing ongoing provider education. QI initiatives represent a practical strategy to enhance access to genetic evaluation and support precision care.

Indexed as

genetic testinghearing losspediatricsquality improvement

Identifiers

PMID41749596
PMCPMC12939518

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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.