Evidence map›Paper›PMID 42876758›Full record

ArticleFrontiers in oncology2026

Implementation and feasibility of DPYD-guided fluoropyrimidine use in a gastrointestinal oncology clinic at an academic medical center.

Madeline L Norris, Khoa A Nguyen, Emily J Cicali, Wandyeind Marquez Moyeno, Je-Won J Hong, Katherine Vogel Anderson, Tim Jang, Gahyun Gim, Kathleen Sullivan, Alexandra Kennan and 5 more

Abstract read
In one paragraph

Article in Frontiers in oncology, 2026. 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
0cells of the map it votes in
0citing 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

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

15 authors.

Madeline L NorrisDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Khoa A NguyenDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Emily J CicaliDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Wandyeind Marquez MoyenoDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Je-Won J HongDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Katherine Vogel AndersonDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Tim JangUniversity of Florida Health Cancer Institute, Gainesville, Florida, FL, United States.
Gahyun GimUniversity of Florida Health Cancer Institute, Gainesville, Florida, FL, United States.
Kathleen SullivanUniversity of Florida Health Cancer Institute, Gainesville, Florida, FL, United States.
Alexandra KennanUniversity of Florida Health Cancer Institute, Gainesville, Florida, FL, United States.
Petr StarostikDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL, United States.
Thomas J GeorgeUniversity of Florida Health Cancer Institute, Gainesville, Florida, FL, United States.
David L DeRemerDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Larisa H CavallariDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.
Julio D DuarteDepartment of Pharmacotherapy and Translational Research, College of Pharmacy, University of Florida, Gainesville, FL, United States.

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
University of Florida Health Cancer Center Support GrantP30CA247796 · NCI · UNIVERSITY OF FLORIDA · PI JI-HYUN LEE · 2023 to 2026
$10.9M
Preemptive pharmacogenetic testing in medically underserved populationsR01HG011800 · NHGRI · UNIVERSITY OF FLORIDA · PI Julio David Duarte · 2021 to 2026
$3.9M
Clinical Expansion of Precision Medicine in the Emergency DepartmentR01HG013416 · NHGRI · UNIVERSITY OF FLORIDA · PI Julio David Duarte, Sophia Sheikh · 2024 to 2026
$1.3M
NCATS NIH HHS UL1 TR001427NCI NIH HHS P30 CA247796NHGRI NIH HHS R01 HG011800NHGRI NIH HHS R01 HG013416
6 · The paper itself

Abstract

Introduction: Genetic variation in Patients and methods: Following education on the clinical utility of DPYD testing, a consensus was reached with the University of Florida Health gastrointestinal oncology clinic on an implementation workflow. Novel clinical decision support (CDS) tools were developed including pre- and post-test inline warnings in chemotherapy treatment plans, clickable dose modification buttons, and a pharmacist-facing alert upon medication verification. Primary outcomes were feasibility metrics including rates and timing of test ordering and sample collection, genotype turnaround time, and clinician response to CDS tools (e.g., FP dose modifications). Results: Discussion: DPYD test implementation with customized CDS tools to support test ordering and FP prescribing in an academic oncology clinic is feasible, with the majority of results returning prior to chemotherapy. Integrating new and unique processes into already established workflows helps achieve timely test ordering and sample collection.

Indexed as

DPYDfeasibilityfluoropyrimidinesimplementationpharmacogeneticspharmacogenomics

Identifiers

PMID42876758
PMCPMC13662113

What OpenQuestion holds

Textmetadata
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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.