Evidence map›Paper›PMID 40359048›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Real-world implementation of a noninvasive, AI-augmented, anemia-screening smartphone app and personalization for hemoglobin level self-monitoring.

Robert G Mannino, Julie Sullivan, Jennifer K Frediani, Paul George, Jeremy Whitson, James Tumlin, L Andrew Lyon, Erika A Tyburski, Wilbur A Lam

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Observational
  2. Review
  3. Article
  4. 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

9 authors.

Robert G ManninoSanguina, Inc., Atlanta, GA 30092.
Julie SullivanSanguina, Inc., Atlanta, GA 30092.
Jennifer K FredianiNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322.
Paul GeorgeDepartment of Pediatrics, Aflac Cancer Center and Blood Disorders Center of Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA 30322.ORCID 0000-0002-7209-2827
Jeremy WhitsonNephroNet, Buford, GA 30518.
James TumlinNephroNet, Buford, GA 30518.
L Andrew LyonSchmid College of Science and Technology and Fowler School of Engineering, Chapman University, Orange, CA 92866.ORCID 0000-0001-7828-7345
Erika A TyburskiSanguina, Inc., Atlanta, GA 30092.
Wilbur A LamDepartment of Pediatrics, Aflac Cancer Center and Blood Disorders Center of Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA 30322.ORCID 0000-0002-0325-7990

Funding

Translation of a personalized, non-invasive smartphone app for hemoglobin monitoring for chronic anemia patientsR44HL139250 · NHLBI · SANGUINA, LLC · PI Erika Amy Tyburski · 2021 to 2026
$4.4M
AstraZeneca (AstraZeneca PLC) N/AHHS | NIH | National Heart, Lung, and Blood Institute (NHLBI) 2R44HL139250-02A1NHLBI NIH HHS R44 HL139250
6 · The paper itself

Abstract

Anemia, characterized by low blood hemoglobin (Hgb) levels, afflicts >2 billion individuals worldwide. Here, we report real-world data generated by a smartphone app that noninvasively screens for anemia using only "fingernail selfies." App data for anemia screening were obtained from >1.4 million uses across the United States enabling geographic mapping of Hgb levels. Of those, 9,061 users also self-reported complete blood count Hgb levels for comparison, resulting in accuracy and performance that match gold standard laboratory testing and a sensitivity and specificity of 89% and 93%, respectively, when using an anemia cutoff of 12.5 g/dL. Geotagged data enabled construction of an "anemia map" of the United States, which demonstrated that Hgb levels correlate with socioeconomic status, and that the app is more likely to be used in counties with higher median income counties, more Black residents, and more primary care physicians. In addition, "personalization" of the app's AI-augmented algorithm empowers self-monitoring of Hgb levels for those already diagnosed with anemia, such as chronic kidney disease (CKD) patients. After personalization, the app's mean absolute error improved from 1.36 to 0.74 g/dL (

Indexed as

AnemiaHemoglobinsMass ScreeningMobile ApplicationsSmartphoneAdultFemaleHumansMaleUnited StatesHemoglobinsanemiapublic healthsmartphone

Identifiers

PMID40359048
PMCPMC12107174

What OpenQuestion holds

Textmetadata
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.