Evidence map›Paper›PMID 39318699›Full record

ArticleEuropean heart journal. Digital health2024

Standardized assessment of evidence supporting the adoption of mobile health solutions: A Clinical Consensus Statement of the ESC Regulatory Affairs Committee: Developed in collaboration with the European Heart Rhythm Association (EHRA), the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC, the Heart Failure Association (HFA) of the ESC, the ESC Young Community, the ESC Working Group on e-Cardiology, the ESC Council for Cardiology Practice, the ESC Council of Cardio-Oncology, the ESC Council on Hypertension, the ESC Patient Forum, the ESC Digital Health Committee, and the European Association of Preventive Cardiology (EAPC).

Enrico G Caiani, Hareld Kemps, Petra Hoogendoorn, Riccardo Asteggiano, Allan Böhm, Britt Borregaard, Giuseppe Boriani, Hans-Peter Brunner La Rocca, Ruben Casado-Arroyo, Silvia Castelletti and 16 more

Abstract read
In one paragraph

Article in European heart journal. Digital health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Mobile Interventions for Reducing Sedentary Behavior and Promoting Physical Activity Among Office Workers: Bibliometric Study.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. EHRA perspective on the digital data revolution in arrhythmia management: insights from the association's annual summit.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. 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

26 authors.

Enrico G CaianiDepartment of Electronics, Information and Bioengineering, Politecnico di Milano, P.zza L. da Vinci 32, 20133 Milan, Italy.ORCID https://orcid.org/0000-0002-1770-6486
Hareld KempsDepartment of Cardiology, Maxima Medical Centre, Veldhoven, The Netherlands.ORCID https://orcid.org/0000-0003-0272-4355
Petra HoogendoornNational eHealth Living Lab, Leiden University Medical Center, Leiden, The Netherlands.
Riccardo AsteggianoDepartment of Medicine and Surgery, University of Insubria, Varese, Italy.ORCID https://orcid.org/0000-0002-2273-7228
Allan BöhmPremedix Academy NGO, Bratislava, Slovakia.
Britt BorregaardDepartment of Cardiology, Odense University Hospital, Odense, Denmark.ORCID https://orcid.org/0000-0003-2702-0231
Giuseppe BorianiCardiology Division, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy.ORCID https://orcid.org/0000-0002-9820-4815
Hans-Peter Brunner La RoccaDepartment of Cardiology, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-4356-8566
Ruben Casado-ArroyoDepartment of Cardiology, Hopital Erasme, Université Libre de Bruxelles, Brussels, Belgium.ORCID https://orcid.org/0000-0002-3876-6074
Silvia CastellettiIRCCS Istituto Auxiologico Italiano, San Luca Hospital, Piazzale Brescia 20, 20149 Milan, Italy.
Ruxandra Maria ChristodorescuDepartment V-Internal Medicine, University of Medicine and Pharmacy V.Babes Timisoara, Timisoara, Romania.
Martin R CowieLate CVRM, Biopharmaceuticals R&D, Astrazeneca, Boston MA, USA.
Paul DendaleDepartment of Medicine and Life Sciences, Hasselt University, Hasselt, Belgium.ORCID https://orcid.org/0000-0003-0821-4559
Fiona DunnActive Medical Devices, BSI, Milton Keynes, UK.
Alan G FraserSchool of Medicine, Cardiff University, Heath Park, Cardiff, UK.
Deirdre A LaneDepartment of Cardiovascular Medicine and Liverpool Centre for Cardiovascular Sciences, University of Liverpool, Liverpool, UK.ORCID https://orcid.org/0000-0002-5604-9378
Emanuela T LocatiDepartment of Arrhythmology & Electrophysiology, IRCCS Policlinico San Donato, San Donato Milanese, Milano, Italy.
Katarzyna Małaczyńska-RajpoldDepartment of Cardiology, Lister Hospital, East and North Hertfordshire NHS Trust, London, UK.
Caius O MerșaRhea, Research Center for Heritage and Anthropology, West University of Timișoara, Timișoara, Romania.
Lis NeubeckCentre for Cardiovascular Health, Edinburgh Napier University, Edinburgh, UK.ORCID https://orcid.org/0000-0001-5852-1034
Gianfranco ParatiIRCCS Istituto Auxiologico Italiano, San Luca Hospital, Piazzale Brescia 20, 20149 Milan, Italy.ORCID https://orcid.org/0000-0001-9402-7439
Chris PlummerDepartment of Cardiology, The Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0003-4135-3008
Giuseppe RosanoCAG Cardiovascular, St George's University Hospital, London, UK.ORCID https://orcid.org/0000-0003-4023-2263
Martijn ScherrenbergDepartment of Cardiology, Hartcentrum Hasselt, Hasselt, Belgium.ORCID https://orcid.org/0000-0001-9483-3828
Amie SmirthwaiteIntelligence & Innovation, RQM+, Nottingham, UK.
Piotr SzymanskiCenter for Postgraduate Medical Education, Marymoncka, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mobile health (mHealth) solutions have the potential to improve self-management and clinical care. For successful integration into routine clinical practice, healthcare professionals (HCPs) need accepted criteria helping the mHealth solutions' selection, while patients require transparency to trust their use. Information about their evidence, safety and security may be hard to obtain and consensus is lacking on the level of required evidence. The new Medical Device Regulation is more stringent than its predecessor, yet its scope does not span all intended uses and several difficulties remain. The European Society of Cardiology Regulatory Affairs Committee set up a Task Force to explore existing assessment frameworks and clinical and cost-effectiveness evidence. This knowledge was used to propose criteria with which HCPs could evaluate mHealth solutions spanning diagnostic support, therapeutics, remote follow-up and education, specifically for cardiac rhythm management, heart failure and preventive cardiology. While curated national libraries of health apps may be helpful, their requirements and rigour in initial and follow-up assessments may vary significantly. The recently developed CEN-ISO/TS 82304-2 health app quality assessment framework has the potential to address this issue and to become a widely used and efficient tool to help drive decision-making internationally. The Task Force would like to stress the importance of co-development of solutions with relevant stakeholders, and maintenance of health information in apps to ensure these remain evidence-based and consistent with best practice. Several general and domain-specific criteria are advised to assist HCPs in their assessment of clinical evidence to provide informed advice to patients about mHealth utilization.

Indexed as

assessmentclinical evidenceMobile healthrequirementsstandardization

Identifiers

PMID39318699
PMCPMC11417493

What OpenQuestion holds

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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.