Evidence map›Paper›PMID 39333515›Full record

ArticleNature communications2024

Generalizability assessment of AI models across hospitals in a low-middle and high income country.

Jenny Yang, Nguyen Thanh Dung, Pham Ngoc Thach, Nguyen Thanh Phong, Vu Dinh Phu, Khiem Dong Phu, Lam Minh Yen, Doan Bui Xuan Thy, Andrew A S Soltan, Louise Thwaites and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07432061 (Prediction of Infectious Diseases in LMICs Using Electronic Health Record Data), which is not on this map. Cited by 59 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 1 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.

NCT07432061 completednot on this map

Prediction of Infectious Diseases in LMICs Using Electronic Health Record Data

TypeobservationalSponsorMahidol UniversityRan2024 to 2025Enrolled1,000ConditionsDengue Fever, Electronic Health Records, PredictionArmsNo intervention
3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Current research landscape and future prospects of in silico modeling approaches for atopic dermatitis.JID innovations : skin science from molecules to population health · 2026
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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

11 authors.

Jenny YangDepartment Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK. jenny.yang@eng.ox.ac.uk.ORCID 0000-0003-0352-8452
Nguyen Thanh DungHospital for Tropical Diseases, Ho Chi Minh, Vietnam.
Pham Ngoc ThachNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Nguyen Thanh PhongHospital for Tropical Diseases, Ho Chi Minh, Vietnam.
Vu Dinh PhuNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Khiem Dong PhuNational Hospital for Tropical Diseases, Hanoi, Vietnam.
Lam Minh YenOxford University Clinical Research Unit, Ho Chi Minh, Vietnam.
Doan Bui Xuan ThyOxford University Clinical Research Unit, Ho Chi Minh, Vietnam.ORCID 0000-0001-7161-8017
Andrew A S SoltanDepartment Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.ORCID 0000-0003-2391-5361
Louise Thwaites *Oxford University Clinical Research Unit, Ho Chi Minh, Vietnam.
David A Clifton *Department Engineering Science, Institute of Biomedical Engineering, University of Oxford, Oxford, UK.ORCID 0000-0002-9848-8555

Funding

EC | Horizon 2020 Framework Programme (EU Framework Programme for Research and Innovation H2020) 955681Wellcome Trust
6 · The paper itself

Abstract

The integration of artificial intelligence (AI) into healthcare systems within low-middle income countries (LMICs) has emerged as a central focus for various initiatives aiming to improve healthcare access and delivery quality. In contrast to high-income countries (HICs), which often possess the resources and infrastructure to adopt innovative healthcare technologies, LMICs confront resource limitations such as insufficient funding, outdated infrastructure, limited digital data, and a shortage of technical expertise. Consequently, many algorithms initially trained on data from non-LMIC settings are now being employed in LMIC contexts. However, the effectiveness of these systems in LMICs can be compromised when the unique local contexts and requirements are not adequately considered. In this study, we evaluate the feasibility of utilizing models developed in the United Kingdom (a HIC) within hospitals in Vietnam (a LMIC). Consequently, we present and discuss practical methodologies aimed at improving model performance, emphasizing the critical importance of tailoring solutions to the distinct healthcare systems found in LMICs. Our findings emphasize the necessity for collaborative initiatives and solutions that are sensitive to the local context in order to effectively tackle the healthcare challenges that are unique to these regions.

Indexed as

Artificial IntelligenceDeveloping CountriesHospitalsAlgorithmsDelivery of Health CareHumansUnited KingdomVietnam

Identifiers

PMID39333515
PMCPMC11436917

What OpenQuestion holds

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LicenceCC BY
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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.