Evidence map›Paper›PMID 41673309›Full record

ArticleNature medicine2026

PRIMARY-AI: outcomes-based standards to safeguard primary care in the AI era.

Dian Zeng, Lorainne Tudor Car, Kamlesh Khunti, Yuanli Liu, Till Bärnighausen, Niels H Chavannes, Pearse A Keane, Holger Kunz, Lan Xue, Joseph J Y Sung and 38 more

Abstract readLetter
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In one paragraph

Article in Nature medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

48 authors.

Dian Zeng *School of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua Medicine, Tsinghua University, Beijing, China.
Lorainne Tudor Car *King's Population Health Institute, King's College London, London, UK.ORCID http://orcid.org/0000-0001-8414-7664
Kamlesh KhuntiUniversity of Leicester, Leicester, UK.
Yuanli LiuSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Till BärnighausenHeidelberg Institute of Global Health (HIGH), Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4182-4212
Niels H ChavannesDepartment of Public Health and Primary Care, National eHealth Living Lab, Leiden University Medical Center, Leiden, the Netherlands.ORCID http://orcid.org/0000-0002-8607-9199
Pearse A KeaneInstitute of Ophthalmology, University College London, London, UK.ORCID http://orcid.org/0000-0002-9239-745X
Holger KunzDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
Lan XueSchwarzman College and School of Public Policy and Management, Tsinghua University, Beijing, China.
Joseph J Y SungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0003-3125-5199
Yih Chung ThamCentre for Innovation and Precision Eye Health and Department of Ophthalmology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-6752-797X
Lorenzo RighettoSpringer, Milan, Italy.
Rupa SarkerThe Lancet Group, London, UK.
Samuel Yeung Shan WongJockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, Hong Kong, China.
Donald BoudreauInstitute of Heath Sciences Education, Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.ORCID http://orcid.org/0000-0003-0826-9015
Qionghai DaiDepartment of Automation, Tsinghua University, Beijing, China.
Weiping JiaState Key Laboratory of Metabolic Dysregulation & Prevention and Treatment of Esophageal Cancer, Shanghai Key Laboratory of Diabetes Mellitus, Department of Endocrinology and Metabolism, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0002-6244-2168
Yang LiuDepartment of Computer Science and Technology, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0002-3087-242X
Dinggang ShenSchool of Biomedical Engineering & State Key Laboratory of Advanced Medical Materials and Devices, Shanghai Tech University, Shanghai, China.ORCID http://orcid.org/0000-0002-7934-5698
Jia LiuDepartment of Psychological and Cognitive Sciences, Tsinghua University, Beijing, China.
Weixing ShenSchool of Law, Tsinghua University, Beijing, China.
John S JiVanke School of Public Health, Tsinghua University, Beijing, China.ORCID http://orcid.org/0000-0002-5002-118X
Zhong WangGeneral Practice ACP, Tsinghua University, Beijing, China.
Zhiyi WangDepartment of General Practice, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Haibo WangFirst Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Shenglan TangDepartment of Population Health Science, School of Medicine, Duke University, Durham, NC, USA.
Chenyang PeiSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Zehua JiangSchool of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua Medicine, Tsinghua University, Beijing, China.
Zihao ZouSchool of Medicine, Tsinghua Medicine, Tsinghua University, Beijing, China.
Yiming QinSchool of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua Medicine, Tsinghua University, Beijing, China.
Huating LiState Key Laboratory of Metabolic Dysregulation & Prevention and Treatment of Esophageal Cancer, Shanghai Key Laboratory of Diabetes Mellitus, Department of Endocrinology and Metabolism, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai, China.ORCID http://orcid.org/0000-0003-0526-5545
Yasha WangNational Engineering Research Center of Software Engineering, Peking University, Beijing, China.
Dinesh Visva GunasekeranData Science and Technology, MOH Office for Healthcare Transformation, Singapore, Singapore.ORCID http://orcid.org/0000-0002-8502-2334
Sabrina WongLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0001-9220-1763
Dong XuAcacia Lab for Implementation Science, School of Health Management, Southern Medical University, Guangzhou, China.
Ryan UrbanowiczCedars Sinai Medical Center, Los Angeles, CA, USA.
Liliana LaranjoWestmead Applied Research Centre, Sydney Medical School, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0003-1020-3402
Ana Luisa NevesDepartment of Primary Care and Public Health, School of Public Health, Imperial College London, London, UK.
Nan LiuCentre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore.ORCID http://orcid.org/0000-0003-3610-4883
Yulan HeKing's College London, London, UK.
Phuoc Van LeCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.
Neil BresslerJohns Hopkins University School of Medicine, Baltimore, MD, USA.ORCID http://orcid.org/0009-0000-0845-6422
Rifat AtunDepartment of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-1531-5983
David C KlonoffMills-Peninsula Medical Center (Sutter Health), San Mateo, CA, USA.ORCID http://orcid.org/0000-0001-6394-6862
Bin ShengShanghai Belt and Road International Joint Laboratory for Intelligent Prevention and Treatment of Metabolic Disorders, Department of Computer Science and Engineering, School of Electronic, Information, and Electrical Engineering, Institute for Proactive Healthcare, Shanghai Jiao Tong University, Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai Diabetes Institute, Shanghai Clinical Center for Diabetes, Shanghai Key Laboratory of Diabetes Mellitus, Shanghai, China.ORCID http://orcid.org/0000-0001-8510-2556
Nigam ShahDepartment of Medicine, Stanford School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-9385-7158
Josip CarKing's Population Health Institute, King's College London, London, UK. josip.car@kcl.ac.uk.
Tien Yin WongSchool of Clinical Medicine, Beijing Tsinghua Changgung Hospital, Tsinghua Medicine, Tsinghua University, Beijing, China. ophwty@nus.edu.sg.ORCID http://orcid.org/0000-0002-8448-1264

Funding

National Natural Science Foundation of China (National Science Foundation of China) 82388101
6 · The paper itself

Abstract

PubMed holds no abstract for this paper.

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.