Evidence map›Paper›PMID 30747714›Full record

SynthesisJournal of medical Internet research2019

Implementing Blockchains for Efficient Health Care: Systematic Review.

Anuraag A Vazirani, Odhran O'Donoghue, David Brindley, Edward Meinert

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 4 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

45 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Blockchain Personal Health Records: Systematic Review.Journal of medical Internet research · 2021
    Pooled it
  4. Trends in Clinical Information Systems Research in 2019.Yearbook of medical informatics · 2020
    Pooled it
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Clinical Impact of "Real World Data" and Blockchain on Public Health: A Scoping Review.International journal of environmental research and public health · 2024
    Article
  13. Article
  14. Review
  15. Sharing Health Information Using a Blockchain.Healthcare (Basel, Switzerland) · 2023
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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.

Anuraag A VaziraniHealthcare Translation Research Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-3642-3390
Odhran O'DonoghueHealthcare Translation Research Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.ORCID 0000-0001-6507-8990
David BrindleyHealthcare Translation Research Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.ORCID 0000-0002-5166-8583
Edward MeinertHealthcare Translation Research Group, Department of Paediatrics, University of Oxford, Oxford, United Kingdom.ORCID 0000-0003-2484-3347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe decentralized nature of sensitive health information can bring about situations where timely information is unavailable, worsening health outcomes. Furthermore, as patient involvement in health care increases, there is a growing need for patients to access and control their data. Blockchain is a secure, decentralized online ledger that could be used to manage electronic health records (EHRs) efficiently, therefore with the potential to improve health outcomes by creating a conduit for interoperability.

objectiveThis study aimed to perform a systematic review to assess the feasibility of blockchain as a method of managing health care records efficiently.

methodsReviewers identified studies via systematic searches of databases including PubMed, MEDLINE, Scopus, EMBASE, ProQuest, and Cochrane Library. Suitability for inclusion of each was assessed independently.

resultsOf the 71 included studies, the majority discuss potential benefits and limitations without evaluation of their effectiveness, although some systems were tested on live data.

conclusionsBlockchain could create a mechanism to manage access to EHRs stored on the cloud. Using a blockchain can increase interoperability while maintaining privacy and security of data. It contains inherent integrity and conforms to strict legal regulations. Increased interoperability would be beneficial for health outcomes. Although this technology is currently unfamiliar to most, investments into creating a sufficiently user-friendly interface and educating users on how best to take advantage of it would lead to improved health outcomes. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): RR2-10.2196/10994.

Indexed as

Delivery of Health CareElectronic Health RecordsHumansblockchaincomputersefficiencyelectronic health recordshealthinformation scienceinteroperability

Identifiers

PMID30747714
PMCPMC6390185

What OpenQuestion holds

Textmetadata
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.