Evidence map›Paper›PMID 30634962›Full record

ArticleBMC medical informatics and decision making2019

The state of research on cyberattacks against hospitals and available best practice recommendations: a scoping review.

Salem T Argaw, Nefti-Eboni Bempong, Bruce Eshaya-Chauvin, Antoine Flahault

Abstract readScoping Review
In one paragraph

Article in BMC medical informatics and decision making, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
–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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Cybersecurity as it relates to perfusion.The journal of extra-corporeal technology · 2026
    Article
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  12. The role of messaging services in day-to-day practice in pediatric neurosurgery, advantages of a bubble network, and an international survey.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
  13. Article
  14. Review
  15. Advocacy of cyber public health.Global health & medicine · 2021
    Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. 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

4 authors.

Salem T ArgawInstitute of Global Health, Faculty of Medicine, University of Geneva, Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.
Nefti-Eboni BempongInstitute of Global Health, Faculty of Medicine, University of Geneva, Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.
Bruce Eshaya-ChauvinInstitute of Global Health, Faculty of Medicine, University of Geneva, Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland.
Antoine FlahaultInstitute of Global Health, Faculty of Medicine, University of Geneva, Campus Biotech, Chemin des Mines 9, 1202, Geneva, Switzerland. Antoine.Flahault@unige.ch.ORCID 0000-0002-6957-2977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe health sector has quickly become a target for cyberattacks. Hospitals are especially sensitive to these sorts of attacks as any disruption in operations or even disclosure of patient personal information can have far-reaching consequences. The objective of this study was to map the available literature on cyberattacks on hospitals and to identify the different domains of research, while extracting the recommendations and guidelines put forth in the literature.

methodsFour databases (PubMed, Web of Science, ProQuest, and Scopus) were searched using standardized and adapted search syntax in order to identify relevant manuscripts published between 1997 and 2017. These were screened by two reviewers and included or excluded based on inclusion and exclusion criteria. Data from articles were then extracted and analyzed.

resultsThe search identified 818 records of which 97 were included. Of the 97, 32% were published in 2017 while around 40% of the articles were published prior to the last three years. Six domains of research emerged through the analysis, which are included here: context and trends in cybersecurity (27.8%), connected medical devices and equipment (29.9%), hospital information systems (14.4%), raising awareness and lessons learned (6.2%), information security methodology (15.4%), and specific types of attacks (6.2%).

conclusionThere is a generally growing interest in the research field, but the available literature remains limited in number. There are important aspects of cybersecurity (e.g. cloud storage and access management) as well as specific medical fields that rely on various medical devices that have been neglected. Recommendations are available, but comprehensive guidelines and standardized best practice measures are still necessary.

Indexed as

Computer SecurityEquipment and SuppliesHealth Services ResearchHospitalsOperations ResearchPractice Guidelines as TopicTerrorismHumansCyberattacksCybersecurity recommendationsHospital cybersecurityMedical device security

Identifiers

PMID30634962
PMCPMC6330387

What OpenQuestion holds

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LicenceCC BY
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.