Evidence map›Paper›PMID 41844862›Full record

ReviewNature cardiovascular research2026

Decentralized clinical trials in cardiovascular disease : A primer for clinical trialists.

Guillaume Baudry, Prashanth Kulkarni, Tor Biering-Sørensen, Adam D DeVore, Charles Michael Gibson, Christopher B Granger, Harriette G C Van Spall

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature cardiovascular research, 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

7 authors.

Guillaume BaudryUniversité de Lorraine, INSERM, Centre d'Investigation Clinique Plurithématique 1433, Inserm U1116, CHRU de Nancy and F-CRIN INI-CRCT, REICATRA, Nancy, France.ORCID http://orcid.org/0000-0002-9200-2729
Prashanth KulkarniDepartment of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID http://orcid.org/0000-0002-2170-2103
Tor Biering-SørensenCenter for Translational Cardiology and Pragmatic Randomized Trials, Department of Biomedical Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID http://orcid.org/0000-0003-4209-2778
Adam D DeVoreDepartment of Medicine and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.
Charles Michael GibsonDivision of Cardiovascular Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Christopher B GrangerDepartment of Medicine and Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC, USA.ORCID http://orcid.org/0000-0002-0045-3291
Harriette G C Van SpallDepartment of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada. Harriette.vanspall@phri.ca.ORCID http://orcid.org/0000-0002-8370-4569

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decentralized clinical trials (DCTs) move trial activities-such as recruitment, consent, delivery of the intervention, data collection and assessment of outcomes-away from traditional research sites to the homes or communities of patients. This participant-centered approach is accomplished through the use of digital health technology, remote monitoring, electronic data capture, and home- or community-based procedures. The advantage of DCTs may include broader trial recruitment pools with greater representativeness, reduced participant burden, greater operational efficiency and the ability to generate evidence in real-world settings. These features are particularly relevant in cardiovascular disease, which imposes a disproportionate population burden in regions where clinical trial centers are lacking. In this Perspective, we outline the essential components of the DCT ecosystem, discuss how DCTs can address key challenges in cardiovascular disease research, and using case examples, highlight operational and regulatory considerations in designing fully or partially (hybrid) decentralized trials. We also review the potential risks of DCTs and propose mitigation strategies to ensure high-quality, safe and reliable trial execution.

Indexed as

Cardiovascular DiseasesClinical Trials as TopicResearch DesignDigital HealthHumansInformed ConsentPatient Selection

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.