Evidence map›Paper›PMID 40802160›Full record

ArticleHealth care analysis : HCA : journal of health philosophy and policy2025

Navigating Healthcare AI Governance: the Comprehensive Algorithmic Oversight and Stewardship Framework for Risk and Equity.

Rahul Kumar, Kyle Sporn, Ethan Waisberg, Joshua Ong, Phani Paladugu, Amar S Vadhera, Dylan Amiri, Alex Ngo, Ram Jagadeesan, Alireza Tavakkoli and 2 more

Abstract read
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In one paragraph

Article in Health care analysis : HCA : journal of health philosophy and policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

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

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
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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

12 authors.

Rahul KumarDepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, USA. Rahul.Kumar5@umassmed.edu.ORCID http://orcid.org/0000-0001-8574-2895
Kyle SpornSUNY Upstate Medical University, Syracuse, USA. spornk@upstate.edu.ORCID http://orcid.org/0009-0005-5707-9009
Ethan WaisbergUniversity of Cambridge, Cambridge, UK. cambridgemlgroup@gmail.com.ORCID http://orcid.org/0000-0001-8999-0212
Joshua OngDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, USA.ORCID http://orcid.org/0000-0003-4860-827X
Phani PaladuguSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, USA.
Amar S VadheraSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, USA.
Dylan AmiriUniversity of Miami Miller School of Medicine, Miami, USA.ORCID http://orcid.org/0000-0002-2955-7190
Alex NgoDepartment of Biochemistry and Molecular Biology, University of Miami Miller School of Medicine, Miami, USA.ORCID http://orcid.org/0000-0001-7524-6556
Ram JagadeesanDepartment of Computer Science, Johns Hopkins University Whiting School of Engineering, Baltimore, USA.
Alireza TavakkoliDepartment of Computer Science and Engineering, University of Nevada, Reno, USA.ORCID http://orcid.org/0000-0001-9460-1269
Timothy LoftusTL Insight US, Miami, USA.
Andrew G LeeDepartment of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, Houston, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Integrating artificial intelligence (AI) in healthcare has sparked innovation but exposed vulnerabilities in regulatory oversight. Unregulated "shadow" AI systems, operating outside formal frameworks, pose risks such as algorithmic drift, bias, and disparities. The Comprehensive Algorithmic Oversight and Stewardship (CAOS) Framework addresses these challenges, combining risk assessments, data protection, and equity-focused methodologies to ensure responsible AI implementation. This framework offers a solution to bridge oversight gaps while supporting responsible healthcare innovation. CAOS functions as both a normative governance model and a practical system design, offering a scalable framework for ethical oversight, policy development, and operational implementation of AI systems in healthcare.

Identifiers

What OpenQuestion holds

Textmetadata
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.