Evidence map›Paper›PMID 40858882›Full record

ArticleNPJ digital medicine2025

Systematic review of cost effectiveness and budget impact of artificial intelligence in healthcare.

Rabie Adel El Arab, Omayma Abdulaziz Al Moosa

Abstract read
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 5 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

66 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Monitoring and evaluation instruments of individual health in community settings: a scoping review.Archives of public health = Archives belges de sante publique · 2026
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  17. AI for screening in healthcare: promise and challenges.Abdominal radiology (New York) · 2026
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6 more citing papers are in PubMed but not listed here.

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

2 authors.

Rabie Adel El ArabAlmoosa College of Health Sciences, Alhsa, Saudi Arabia. r.adel@almoosacollege.edu.sa.
Omayma Abdulaziz Al MoosaAlmoosa College of Health Sciences, Alhsa, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review examines the cost-effectiveness, utility, and budget impact of clinical artificial intelligence (AI) interventions across diverse healthcare settings. Nineteen studies spanning oncology, cardiology, ophthalmology, and infectious diseases demonstrate that AI improves diagnostic accuracy, enhances quality-adjusted life years, and reduces costs-largely by minimizing unnecessary procedures and optimizing resource use. Several interventions achieved incremental cost-effectiveness ratios well below accepted thresholds. However, many evaluations relied on static models that may overestimate benefits by not capturing the adaptive learning of AI systems over time. Additionally, indirect costs, infrastructure investments, and equity considerations were often underreported, suggesting that reported economic benefits may be overstated. Dynamic modeling indicates sustained long-term value, but further research is needed to incorporate comprehensive cost components and subgroup analyses. These findings underscore the clinical promise and economic complexity of AI in healthcare, emphasizing the need for context-specific, methodologically robust evaluations to guide future policy and practice effectively.

Identifiers

PMID40858882
PMCPMC12381244

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.