ArticleThe Lancet. Digital health2024
Generative artificial intelligence and ethical considerations in health care: a scoping review and ethics checklist.
Article in The Lancet. Digital health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT06926348 (Usability, Acceptability, and Preliminary Effectiveness of a Digital Health Technology for Patient Monitoring of Chronic Insomnia Symptoms and the Promotion of Functional Sleep Behaviors), which is not on this map. Cited by 92 papers, 4 of them syntheses that pooled 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.
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.
Usability, Acceptability, and Preliminary Effectiveness of a Digital Health Technology for Patient Monitoring of Chronic Insomnia Symptoms and the Promotion of Functional Sleep Behaviors: A Randomized Clinical Trial
Who cites it
92 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The potential of large language models in the field of infertility: a systematic review.Journal of assisted reproduction and genetics · 2025Pooled it
- Operationalization of Artificial Intelligence Applications in the Intensive Care Unit: A Systematic Review.JAMA network open · 2025Pooled it
- AI for IMPACTS Framework for Evaluating the Long-Term Real-World Impacts of AI-Powered Clinician Tools: Systematic Review and Narrative Synthesis.Journal of medical Internet research · 2025Pooled it
- Systematic review of generative adversarial networks (GANs) in cell microscopy: Trends, practices, and impact on image augmentation.PloS one · 2025Pooled it
- Rethinking Pediatric Asthma Education Through Large Language Model Generation and Simplification: Randomized Double-Blind Study.Journal of medical Internet research · 2026Trial
- TREM2 in glioma: Reprogramming the immune microenvironment from mechanistic understanding to clinical translation (Review).Molecular medicine reports · 2026Review
- Ethical Considerations on Artificial Intelligence, Health and Health Care. All That Glisters Is Not Gold.European journal of clinical investigation · 2026Review
- Mechanobiology and Molecular Regulation of Periodontal Tissue Remodeling During Orthodontic Tooth Movement: From Periodontal Phenotype to Precision Orthodontics-A Narrative Review.International journal of molecular sciences · 2026Review
- Development of a hybrid artificial intelligence framework for pharmacotherapy optimization.International journal of clinical pharmacy · 2026Article
- Building a Global Research Network for Fair, Accountable, Interpretable, and Responsible AI in Emergency Care: Protocol for a FAIR-EC Study.JMIR research protocols · 2026Article
- Psychological Risk Assessment in Plastic Surgery via a DeepSeek Large Language Model: A Retrospective Cohort Study.Aesthetic plastic surgery · 2026Article
- Evaluation Frameworks for Clinical AI Incorporating Validation Strategies, Real-World Applicability, and Ethical Principles: Scoping Review.Journal of medical Internet research · 2026Article
- A Locally Executable AI System for Improving Preoperative Patient Communication: Multidomain Clinical Evaluation.JMIR medical informatics · 2026Article
- Mapping ICU nursing intervention notes to clinical care classification using a large language model: an evaluation study.BMC nursing · 2026Article
- Proactive adoption of generative artificial intelligence (AI) in the operations of Japan's Pharmaceuticals and Medical Devices Agency (PMDA): Current initiatives, governance, and future perspectives.Global health & medicine · 2026Review
- A Futures Framework for Clinical AI Governance: Anticipating Emerging Risks, Shifting Roles, and Regulatory Challenges.Journal of medical Internet research · 2026Article
- Review
- Development of research ethics guidelines for healthcare generative artificial intelligence: deriving expert consensus through a Delphi study.BMC medical ethics · 2026Article
- "ChatGPT knows my Parkinson's": Perspectives of people with Parkinson's disease on use of generative AI.Journal of Parkinson's disease · 2026Article
- Artificial Intelligence in Peripheral Artery Disease: A Science Advisory From the American Heart Association.Circulation. Population health and outcomes · 2026Review
32 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
17 authors.
Funding
Abstract
The widespread use of Chat Generative Pre-trained Transformer (known as ChatGPT) and other emerging technology that is powered by generative artificial intelligence (GenAI) has drawn attention to the potential ethical issues they can cause, especially in high-stakes applications such as health care, but ethical discussions have not yet been translated into operationalisable solutions. Furthermore, ongoing ethical discussions often neglect other types of GenAI that have been used to synthesise data (eg, images) for research and practical purposes, which resolve some ethical issues and expose others. We did a scoping review of the ethical discussions on GenAI in health care to comprehensively analyse gaps in the research. To reduce the gaps, we have developed a checklist for comprehensive assessment and evaluation of ethical discussions in GenAI research. The checklist can be integrated into peer review and publication systems to enhance GenAI research and might be useful for ethics-related disclosures for GenAI-powered products and health-care applications of such products and beyond.
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Registered trials
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.