Evidence map›Paper›PMID 32734160›Full record

ArticleJAMIA open2020

The anatomy of a distributed predictive modeling framework: online learning, blockchain network, and consensus algorithm.

Tsung-Ting Kuo

Open access · goldAbstract read
In one paragraph

Article in JAMIA open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Detecting model misconducts in decentralized healthcare federated learning.International journal of medical informatics · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Is blockchain ready for orthopaedics? A systematic review.Journal of clinical orthopaedics and trauma · 2021
    Review
  12. Article
  13. 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

1 author at 1 institution in 1 country.

Tsung-Ting KuoUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-8728-4477
University of California San Diego · US

Funding

Protecting Privacy and Facilitating Shared Access of Clinical and Genetic Data of Special PopulationsR01HL136835 · NHLBI · YALE UNIVERSITY · PI OHNO-MACHADO, LUCILA · 2018 to 2022
$6.5M
Decentralized differentially-private methods for dynamic data release and analysisR01GM118609 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI JIANG, XIAOQIAN, OHNO-MACHADO, LUCILA · 2017 to 2020
$2.3M
Encryption methods and software for privacy-preserving analysis of biomedical dataU01EB023685 · NIBIB · TRUSTEES OF INDIANA UNIVERSITY · PI TANG, HAIXU, WANG, XIAOFENG · 2016 to 2018
$1.4M
CALIFORNIA: Cloud-agnostic Architecture to Locate Indexed FAIR Objects and safely Reuse them in New Integrated AnalysesOT3OD025462 · OD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FARCAS, CLAUDIU C, JIANG, XIAOQIAN · 2017 to 2018
$996k
BECKON - Block Estimate Chain: creating Knowledge ON demand & protecting privacyR00HG009680 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KUO, TSUNG-TING · 2019 to 2021
$849k
NHGRI NIH HHS R00 HG009680NHLBI NIH HHS R01 HL136835NIBIB NIH HHS U01 EB023685NIGMS NIH HHS R01 GM118609NIH HHS OT3 OD025462
6 · The paper itself

Abstract

objectiveCross-institutional distributed healthcare/genomic predictive modeling is an emerging technology that fulfills both the need of building a more generalizable model and of protecting patient data by only exchanging the models but not the patient data. In this article, the implementation details are presented for one specific blockchain-based approach, ExplorerChain, from a software development perspective. The healthcare/genomic use cases of myocardial infarction, cancer biomarker, and length of hospitalization after surgery are also described. MATERIALS AND

methodsExplorerChain's 3 main technical components, including online machine learning, metadata of transaction, and the Proof-of-Information-Timed (PoINT) algorithm, are introduced in this study. Specifically, the 3 algorithms (ie, core, new network, and new site/data) are described in detail.

resultsExplorerChain was implemented and the design details of it were illustrated, especially the development configurations in a practical setting. Also, the system architecture and programming languages are introduced. The code was also released in an open source repository available at https://github.com/tsungtingkuo/explorerchain. DISCUSSION: The designing considerations of semi-trust assumption, data format normalization, and non-determinism was discussed. The limitations of the implementation include fixed-number participating sites, limited join-or-leave capability during initialization, advanced privacy technology yet to be included, and further investigation in ethical, legal, and social implications.

conclusionThis study can serve as a reference for the researchers who would like to implement and even deploy blockchain technology. Furthermore, the off-the-shelf software can also serve as a cornerstone to accelerate the development and investigation of future healthcare/genomic blockchain studies.

Indexed as

blockchain distributed ledger technologyclinical information systemsdecision support systemsonline machine learningprivacy-preserving predictive modeling

Identifiers

PMID32734160
PMCPMC7382618
OpenAlexW3039368628

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.