Evidence map›Paper›PMID 36916740›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2023

Blockchain-enabled immutable, distributed, and highly available clinical research activity logging system for federated COVID-19 data analysis from multiple institutions.

Tsung-Ting Kuo, Anh Pham, Maxim E Edelson, Jihoon Kim, Jason Chan, Yash Gupta, Lucila Ohno-Machado, R2D2 Consortium

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Biomedical blockchain with practical implementations and quantitative evaluations: a systematic review.Journal of the American Medical Informatics Association : JAMIA · 2024
    Pooled it
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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

8 authors.

Tsung-Ting KuoUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-8728-4477
Anh PhamUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.
Maxim E EdelsonDepartment of Computer Science and Engineering, University of California San Diego, La Jolla, California, USA.
Jihoon KimUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.ORCID 0000-0002-5351-238X
Jason ChanPoway High School, Poway, California, USA.ORCID 0000-0003-1618-5516
Yash GuptaCanyon Crest Academy, San Diego, California, USA.
Lucila Ohno-MachadoUCSD Health Department of Biomedical Informatics, University of California San Diego, La Jolla, California, USA.
R2D2 Consortium

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
RADx-Rad Discoveries & Data: Consortium Coordination Center Program OrganizationU24LM013755 · NLM · YALE UNIVERSITY · PI ARONOFF-SPENCER, ELIAH S, OHNO-MACHADO, LUCILA · 2021 to 2023
$23.3M
Ethics Core (FABRIC)U54HG012510 · NHGRI · YALE UNIVERSITY · PI MALIN, BRADLEY A. · 2022 to 2025
$11.2M
San Diego Biomedical Informatics Education & Research (SABER)T15LM011271 · NLM · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHAMIM NEMATI · 2012 to 2026
$9.7M
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
iAGREE: A Multi-Center, Networked Patient Consent StudyR01HG011066 · NHGRI · YALE UNIVERSITY · PI OHNO-MACHADO, LUCILA · 2020 to 2024
$4.2M
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
SOCAL: Privacy-protecting Sharing Of Clinical Data Across LaboratoriesR01EB031030 · NIBIB · YALE UNIVERSITY · PI KUO, TSUNG-TING · 2022 to 2025
$1.3M
BECKON - Block Estimate Chain: creating Knowledge ON demand & protecting privacyR00HG009680 · NHGRI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI KUO, TSUNG-TING · 2019 to 2021
$849k
NCATS NIH HHS UL1 TR001881NHGRI NIH HHS R00 HG009680NHGRI NIH HHS R01 HG011066NHGRI NIH HHS U54 HG012510NHLBI NIH HHS R01 HL136835NIBIB NIH HHS R01 EB031030NIGMS NIH HHS R01 GM118609NIH HHS R01HG011066NLM NIH HHS T15 LM011271NLM NIH HHS T15LM011271NLM NIH HHS U24 LM013755
6 · The paper itself

Abstract

objectiveWe aimed to develop a distributed, immutable, and highly available cross-cloud blockchain system to facilitate federated data analysis activities among multiple institutions. MATERIALS AND

methodsWe preprocessed 9166 COVID-19 Structured Query Language (SQL) code, summary statistics, and user activity logs, from the GitHub repository of the Reliable Response Data Discovery for COVID-19 (R2D2) Consortium. The repository collected local summary statistics from participating institutions and aggregated the global result to a COVID-19-related clinical query, previously posted by clinicians on a website. We developed both on-chain and off-chain components to store/query these activity logs and their associated queries/results on a blockchain for immutability, transparency, and high availability of research communication. We measured run-time efficiency of contract deployment, network transactions, and confirmed the accuracy of recorded logs compared to a centralized baseline solution.

resultsThe smart contract deployment took 4.5 s on an average. The time to record an activity log on blockchain was slightly over 2 s, versus 5-9 s for baseline. For querying, each query took on an average less than 0.4 s on blockchain, versus around 2.1 s for baseline. DISCUSSION: The low deployment, recording, and querying times confirm the feasibility of our cross-cloud, blockchain-based federated data analysis system. We have yet to evaluate the system on a larger network with multiple nodes per cloud, to consider how to accommodate a surge in activities, and to investigate methods to lower querying time as the blockchain grows.

conclusionBlockchain technology can be used to support federated data analysis among multiple institutions.

Indexed as

BlockchainCOVID-19HumansResearchblockchain distributed ledger technologyclinical information systemsCOVID-19decision support systemselectronic health record

Identifiers

PMID36916740
PMCPMC10198529

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.