Evidence map›Paper›PMID 41330822›Full record

ReviewThe Lancet. Digital health2025

Synthetic data, synthetic trust: navigating data challenges in the digital revolution.

Arman Koul, Deborah Duran, Tina Hernandez-Boussard

Abstract readReview
In one paragraph

Review in The Lancet. Digital health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

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

9 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
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

3 authors.

Arman KoulSchool of Medicine, Stanford University, Stanford, CA, USA.
Deborah DuranNational Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH), Bethesda, MD, USA.
Tina Hernandez-BoussardDepartment of Medicine, Stanford University, Stanford, CA, USA. Electronic address: boussard@stanford.edu.

Funding

Stanford Center for Clinical & Translational Education and Research (Spectrum)UL1TR003142 · NCATS · STANFORD UNIVERSITY · PI O'HARA, RUTH M · 2019 to 2023
$45.0M
Advancing Knowledge Discovery for Postoperative Pain ManagementR01LM013362 · NLM · STANFORD UNIVERSITY · PI HERNANDEZ-BOUSSARD, TINA · 2019 to 2023
$3.2M
NCATS NIH HHS UL1 TR003142NLM NIH HHS R01 LM013362
6 · The paper itself

Abstract

In the evolving landscape of artificial intelligence (AI), the assumption that more data lead to better models has driven unchecked reliance on synthetic data to augment training datasets. Although synthetic data address crucial shortages of real-world training data, their overuse might propagate biases, accelerate model degradation, and compromise generalisability across populations. A concerning consequence of the rapid adoption of synthetic data in medical AI is the emergence of synthetic trust-an unwarranted confidence in models trained on artificially generated datasets that fail to preserve clinical validity or demographic realities. In this Viewpoint, we advocate for caution in using synthetic data to train clinical algorithms. We propose actionable safeguards for synthetic medical AI, including standards for training data, fragility testing during development, and deployment disclosures for synthetic origins to ensure end-to-end accountability. These safeguards uphold data integrity and fairness in clinical applications using synthetic data, offering new standards for responsible and equitable use of synthetic data in health care.

Indexed as

Artificial IntelligenceTrustAlgorithmsHumans

Identifiers

PMID41330822
PMCPMC12778113

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.