Evidence map›Paper›PMID 41580499›Full record

ArticleNPJ digital medicine2026

The diagnostic accuracy of wearable digital technology in detecting fertility window and menstrual cycles: a systematic review and Bayesian network meta-analysis.

Yue Shi, Chi Chiu Wang, Yongkang Yang, Qin Li, Pui Wah Chung, Yao Wang

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Yue ShiDepartment of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Chi Chiu WangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Yongkang YangSecond Clinical Medical College, Shaanxi University of Traditional Chinese Medicine, Xianyang, China.
Qin LiSecond Clinical Medical College, Shaanxi University of Traditional Chinese Medicine, Xianyang, China.
Pui Wah ChungDepartment of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China.
Yao WangDepartment of Obstetrics and Gynaecology, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong SAR, China. yaowang1@cuhk.edu.hk.

Funding

IdeaBooster Fund 2025/26 of The Chinese University of Hong Kong IDBF25MED09
6 · The paper itself

Abstract

This systematic review and Bayesian network meta-analysis assessed the diagnostic accuracy of wearable digital technology (WDT) in monitoring women's fertility window compared to conventional methods. 8 databases were searched until January 1, 2025. 27 studies were included in the analysis, where 13 studies applied WDT in tracking ovulation. We evaluated the accuracy, sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), and summary receiver operating characteristic (SROC) of WDT, and compared the performance of different designs of WDT by NMA analysis. The revised QUADAS-2 tool was used for quality assessment. Our results demonstrated that WDT presented a pooled accuracy of 0.88 (95% CI: 0.86-0.90), with a sensitivity of 0.79 (95% CI: 0.70-0.87), specificity of 0.80 (95% CI: 0.60-1.00), PLR of 5.87 (95% CI: 2.49-13.88), NLR of 0.25 (95% CI: 0.13-0.51), DOR of 23.39 (95% CI: 3.45-158.71), and SROC of 0.75. Notably, WDT provided best detection for 3 days surrounding ovulation. Ring-type device, the use of multi-physiological parameters and the random forest algorithm method improved efficiency for WDT in the detection fertility window. Overall, WDT holds promise for fertility window tracking and could offer tentative support for optimizing pregnancy planning and monitoring women's reproductive health.

Identifiers

PMID41580499
PMCPMC12886881

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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.