Evidence map›Paper›PMID 40443406›Full record

ArticleJournal of translational internal medicine2025

An automated human-machine interaction system enhances standardization, accuracy and efficiency in cardiovascular autonomic evaluation: A multicenter, open-label, paired design study.

Xiaoying Fu, Qunzhi Liu, Qi Pan, Rong Peng, Zeshan Huang, Xingyuan Guo, Mingkai Tan, Qiang Li, Lijing Jia, Yanbing Li and 4 more

Abstract read
In one paragraph

Article in Journal of translational internal medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

14 authors.

Xiaoying FuDepartment of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Qunzhi LiuDepartment of Cardiology, Shenzhen University General Hospital, Shenzhen, Guangdong Province, China.
Qi PanDepartment of Endocrinology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.
Rong PengDepartment of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Zeshan HuangDepartment of Gastroenterology, The People's Hospital of Xiangzhou, Zhuhai, Guangdong Province, China.
Xingyuan GuoDepartment of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Mingkai TanResearch & Development Department, REEM (Shenzhen) Healthcare Co., Ltd, Shenzhen, Guangdong Province, China.
Qiang LiDepartment of Endocrinology, Shenzhen University General Hospital, Shenzhen, Guangdong Province, China.
Lijing JiaDepartment of General Practice, Shenzhen People's Hospital, Shenzhen, Guangdong Province, China.
Yanbing LiDepartment of Endocrinology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Liehua LiuDepartment of Endocrinology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong Province, China.
Jian KuangDepartment of Endocrinology, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.
Wen WuDepartment of Endocrinology, Guangdong Geriatrics Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, Guangdong Province, China.ORCID https://orcid.org/0000-0002-2144-8491
Lixin GuoDepartment of Endocrinology, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, China.ORCID https://orcid.org/0000-0001-6863-1798

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Objectives: The conventional diagnostic process for cardiovascular autonomic neuropathy (CAN) is often time-consuming and lacks standardization. The Cardiovascular Autonomic Nervous Function Multi-Parameter Evaluation System is the first intelligent device designed for CAN diagnosis, featuring wireless wearable modules and human‒computer interaction. This study aims to evaluate the accuracy and eficiency of the novel device. Methods: A two-part, paired-design multicenter study involving a total of 200 subjects (122 with diabetes) from three centers was conducted. Cardiovascular autonomic reflex tests (CARTs) and 5-min heart rate variability (HRV) analyses were performed via the study device. Concurrent manual measurements with physician diagnoses and nonstandardized conventional methods served as controls in Part I and Part II, respectively. Methods: In Part I, the study device diagnosed 19.3% (29/150) of the subjects with CAN, demonstrating 96.6% sensitivity and 100% specificity. There was excellent agreement with the physician's CAN diagnosis for CARTs (Cohen's kappa of 0.979, Conclusions: The proposed system provides eficient and standardized testing with excellent accuracy and reproducibility for CAN assessment. This novel device will facilitate the evaluation of therapeutic efficacy and promote streamlined clinical workflows.

Indexed as

cardiovascular autonomic neuropathycardiovascular autonomic reflex testsdiabetesheart rate variabilityhuman‒machine interactionwireless

Identifiers

PMID40443406
PMCPMC12116264

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.