Dataset Information

Attitudes and Practices of Australian Nephrologists Toward Implementation of Clinical Genomics.

ABSTRACT:

Introduction

Genomic testing is becoming widely available as a diagnostic tool, although widespread implementation is not yet established in nephrology.

Methods

An anonymous electronic survey was administered to investigate experience and confidence with genomic tests, perceived clinical utility of genomic services, preferences for service delivery models, and readiness for implementation among nephrologists. Questions were guided by a comprehensive literature review and published tools, including a validated theoretical framework for implementation of genomic medicine: Consolidated Framework for Implementation Research (CFIR).

Results

Responses were received from 224 clinicians, of which 172 were eligible for analysis. Most clinicians (132 [76%]) had referred at least one patient to a genetics clinic. Despite most clinicians (136 [85%]) indicating that they believed genetic testing would be useful, only 39 (23%) indicated they felt confident to use results of genomic testing, with pediatric clinicians feeling more confident compared with adult clinicians (12 of 20 [60%] vs. 27 of 149 [18%]), P < 0.01, Fisher exact). A multidisciplinary renal genetics clinic was the preferred model among clinicians surveyed (98 of 172 [57%]). A key implementation barrier highlighted related to the hospital or organizational culture and/or environment. Specific barriers noted in quantitative and qualitative responses included inadequate staffing, learning resources, and funding.

Conclusions

Our findings suggest support for genomic testing among nephrologists, with a strong preference for a multidisciplinary model (involving a nephrologist, clinical geneticist, and genetic counselor). Broad-ranging interventions are urgently required to shift the current culture and ensure successful implementation of genomics in nephrology, including reducing knowledge gaps, increased funding and resources, disease-specific guidelines, and streamlining of testing processes.

SUBMITTER: Jayasinghe K

PROVIDER: S-EPMC7879212 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

Attitudes and Practices of Australian Nephrologists Toward Implementation of Clinical Genomics.

Jayasinghe Kushani K Quinlan Catherine C Mallett Andrew J AJ Kerr Peter G PG McClaren Belinda B Nisselle Amy A Mallawaarachchi Amali A Polkinghorne Kevan R KR Patel Chirag C Best Stephanie S Stark Zornitza Z

Kidney international reports 20201110 2

<h4>Introduction</h4>Genomic testing is becoming widely available as a diagnostic tool, although widespread implementation is not yet established in nephrology.<h4>Methods</h4>An anonymous electronic survey was administered to investigate experience and confidence with genomic tests, perceived clinical utility of genomic services, preferences for service delivery models, and readiness for implementation among nephrologists. Questions were guided by a comprehensive literature review and published ...[more]

PMID: 33615052

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Dataset Information

Attitudes and Practices of Australian Nephrologists Toward Implementation of Clinical Genomics.

Introduction

Methods

Results

Conclusions

Publications

Attitudes and Practices of Australian Nephrologists Toward Implementation of Clinical Genomics.

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