Evidence map›Paper›PMID 42054696›Full record

ArticleJournal of medical Internet research2026

Rethinking Trust in Synthetic Health Data: Lessons From 7 European Research Initiatives.

Jens Declerck, Dipak Kalra, Antti Airola, Ahmed Youssef Ali Amer, Christos Chatzichristos, Maria Del Mar Mañu Pereira, Bruno M de Brito Robalo, Francesco Ghini, Alberto Gutierrez-Torre, Sem Hoogteijling and 8 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

18 authors.

Jens DeclerckThe European Institute for Innovation through Health Data, Oosterzele, Belgium.ORCID https://orcid.org/0000-0002-9743-9188
Dipak KalraThe European Institute for Innovation through Health Data, Oosterzele, Belgium.ORCID https://orcid.org/0000-0002-2998-9882
Antti AirolaDepartment of Computing, University of Turku, Turku, Finland.ORCID https://orcid.org/0000-0002-1010-4386
Ahmed Youssef Ali AmerInnovative Medicine, Johnson & Johnson, Beerse, Belgium.ORCID https://orcid.org/0000-0001-5347-9009
Christos ChatzichristosDepartment of Electrical Engineering, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-9054-5340
Maria Del Mar Mañu PereiraUniversity Hospital Vall d'Hebron, Barcelona, Spain.ORCID https://orcid.org/0000-0003-4770-7460
Bruno M de Brito RobaloDepartment of Obstetrics and Gynaecology, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.ORCID https://orcid.org/0000-0001-9957-5039
Francesco GhiniLaboratory of Translational Research, Reggio Emilia, Italy.ORCID https://orcid.org/0000-0002-6746-4542
Alberto Gutierrez-TorreBarcelona Supercomputing Center, Barcelona, Catalonia, Spain.ORCID https://orcid.org/0000-0002-5548-3359
Sem HoogteijlingDepartment of Neurology and Neurosurgery, University Medical Center Utrecht Brain Center, Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-4455-6700
Susanne HultschVEIL.AI, Helsinki, Finland.ORCID https://orcid.org/0000-0001-6739-1665
Jan RamonInstitut national de recherche en sciences et technologies du numérique, Lille, France.ORCID https://orcid.org/0000-0002-0558-7176
Sara ReidelVall d'Hebron Research Institute, University Hospital Vall d'Hebron, Barcelona, Spain.ORCID https://orcid.org/0000-0003-1887-9538
Francesco RegazzoniUniversity of Amsterdam, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0001-6385-0780
Luís SilvaLaboratory for Instrumentation, Biomedical Engineering and Radiation Physics, NOVA School of Science and Technology, Caparica, Portugal.ORCID https://orcid.org/0000-0001-9811-0571
Inês SilveiraLaboratory for Instrumentation, Biomedical Engineering and Radiation Physics, NOVA School of Science and Technology, Caparica, Portugal.ORCID https://orcid.org/0000-0003-0675-3444
Tsekeridou SofiaNetcompany BELUX, Athens, Greece.ORCID https://orcid.org/0000-0003-3830-1936
Christophe MaesThe European Institute for Innovation through Health Data, Oosterzele, Belgium.ORCID https://orcid.org/0009-0007-7114-0675

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Synthetic data generation (SDG) structured health data is increasingly promoted as a solution to longstanding barriers in health data access. It is offering the promise of privacy-preserving data reuse for research, innovation, and policy. Despite rapid technical advances, the adoption of synthetic health data in real-world settings remains limited. Shaped by challenges around data quality, representativeness, infrastructure readiness, trust, and legal uncertainty, this viewpoint draws on experiences from 7 European research initiatives within the HealthData4EU cluster to reflect on how SDG is being operationalized in practice. It synthesizes cross-project insights to highlight recurring methodological and governance tensions and to examine their implications for trust and responsible use. The analysis argues that trustworthy SDG cannot be achieved through technical optimization alone but requires alignment between evaluation practices, upstream data stewardship, regulatory clarity, and sustained stakeholder engagement. Addressing these conditions is essential for moving synthetic data from experimental pilots toward a credible and sustainable component of European health research ecosystems.

Indexed as

Data AccuracyTrustEuropedata quality dimensionshealth datahealth data qualityprivacyprojectsynthetic data generation

Identifiers

PMID42054696
PMCPMC13173070

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.