Evidence map›Paper›PMID 31099337›Full record

ArticleJournal of medical Internet research2019

Secure and Scalable mHealth Data Management Using Blockchain Combined With Client Hashchain: System Design and Validation.

Tomomitsu Motohashi, Tomonobu Hirano, Kosuke Okumura, Makiko Kashiyama, Daisuke Ichikawa, Taro Ueno

Abstract read
In one paragraph

Article 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 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Applications of Blockchain in the Medical Field: Narrative Review.Journal of medical Internet research · 2021
    Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
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  8. Review
  9. Digital health, digital medicine, and digital therapeutics in cardiology: current evidence and future perspective in Japan.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Review
  10. Is blockchain ready for orthopaedics? A systematic review.Journal of clinical orthopaedics and trauma · 2021
    Review
  11. Article
  12. Review
  13. Article
  14. Blockchain in Health Care: Hope or Hype?Journal of medical Internet research · 2020
    Article
  15. 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

6 authors.

Tomomitsu MotohashiSUSMED, Inc, Tokyo, Japan.ORCID 0000-0002-5197-4927
Tomonobu HiranoSUSMED, Inc, Tokyo, Japan.ORCID 0000-0002-6702-0925
Kosuke OkumuraSUSMED, Inc, Tokyo, Japan.ORCID 0000-0002-9473-9257
Makiko KashiyamaSUSMED, Inc, Tokyo, Japan.ORCID 0000-0002-8795-6392
Daisuke IchikawaSUSMED, Inc, Tokyo, Japan.ORCID 0000-0002-1467-5119
Taro UenoSUSMED, Inc, Tokyo, Japan.ORCID 0000-0003-3697-4301

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlockchain is emerging as an innovative technology for secure data management in many areas, including medical practice. A distributed blockchain network is tolerant against network fault, and the registered data are resistant to tampering and revision. The technology has a high affinity with digital medicine like mobile health (mHealth) and provides reliability to the medical data without labor-intensive third-party contributions. On the other hand, the reliability of the medical data is not insured before registration to the blockchain network. Furthermore, there are issues with regard to how the clients' mobile devices should be dealt with and authenticated in the blockchain network in order to avoid impersonation.

objectiveThe aim of the study was to design and validate an mHealth system that enables the compatibility of the security and scalability of the medical data using blockchain technology.

methodsWe designed an mHealth system that sends medical data to the blockchain network via relay servers. The architecture provides scalability and convenience of operation of the system. In order to ensure the reliability of the data from clients' mobile devices, hash values with chain structure (client hashchain) were calculated in the clients' devices and the results were registered on the blockchain network.

resultsThe system was applied and deployed in mHealth for insomnia treatment. Clinical trials for mHealth were conducted with insomnia patients. Medical data of the recruited patients were successfully registered with the blockchain network via relay servers along with the hashchain calculated on the clients' mobile devices. The correctness of the data was validated by identifying illegal data, which were made by simulating fraudulent access.

conclusionsOur proposed mHealth system, blockchain combined with client hashchain, ensures compatibility of security and scalability in the data management of mHealth medical practice.

trial registrationUMIN Clinical Trials Registry UMIN000032951; https://upload.umin.ac.jp/cgi-open- bin/ctr_e/ctr_view.cgi?recptno=R000037564 (Archived by WebCite at http://www.webcitation.org/78HP5iFIw).

Indexed as

BlockchainData ManagementHumansReproducibility of ResultsResearch DesignTelemedicineValidation Studies as Topicblockchainclient hashchainclinical trialelectronic health recordsmobile health

Identifiers

PMID31099337
PMCPMC6542324

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.