Literature DB >> 33500760

Digital Health: Should We Be Concerned?

John Mandrola1.   

Abstract

Type "health and fitness apps" into any search engine, and thousands of options will appear-so many, in fact, that people can now measure their own heart rate, sleep habits, and dozens of other health parameters that once required a doctor's visit. While anecdotes of a personal health device capturing early signs of disease may garner media attention, the increasing quantification of human physiology can have downsides. In essence, the enhanced ability to assess surrogate measures of health, such as temperature, minute-to-minute blood pressure, and genomics, are an expansion of anticipatory health-that is, an attempt to detect and avoid events that might happen in the future. While patients used to seek out doctors when they were sick, digital tools will send increasing numbers of people to their physicians before they are sick. In a Cartesian model of the human body, wherein one system could potentially be fixed independent of another system, having more data may be beneficial. The human body, however, is far more complex than any Cartesian model could explain. This article explores the limitations of digital devices to improve health.
© 2020 Houston Methodist Hospital Houston, Texas.

Entities:  

Keywords:  digital health; harms; screening

Year:  2020        PMID: 33500760      PMCID: PMC7812840          DOI: 10.14797/mdcj-16-4-309

Source DB:  PubMed          Journal:  Methodist Debakey Cardiovasc J        ISSN: 1947-6108


  10 in total

1.  Genome sequencing for sale on the NHS.

Authors:  Christopher Semsarian
Journal:  BMJ       Date:  2019-02-25

2.  Screening for Atrial Fibrillation Comes With Many Snags.

Authors:  John Mandrola; Andrew Foy; Gerald Naccarelli
Journal:  JAMA Intern Med       Date:  2018-10-01       Impact factor: 21.873

3.  Dissecting racial bias in an algorithm used to manage the health of populations.

Authors:  Ziad Obermeyer; Brian Powers; Christine Vogeli; Sendhil Mullainathan
Journal:  Science       Date:  2019-10-25       Impact factor: 47.728

Review 4.  Mobile Devices and Health.

Authors:  Ida Sim
Journal:  N Engl J Med       Date:  2019-09-05       Impact factor: 91.245

Review 5.  Does screening for disease save lives in asymptomatic adults? Systematic review of meta-analyses and randomized trials.

Authors:  Nazmus Saquib; Juliann Saquib; John P A Ioannidis
Journal:  Int J Epidemiol       Date:  2015-01-15       Impact factor: 7.196

6.  All-cause mortality in randomized trials of cancer screening.

Authors:  William C Black; David A Haggstrom; H Gilbert Welch
Journal:  J Natl Cancer Inst       Date:  2002-02-06       Impact factor: 13.506

7.  Large-Scale Assessment of a Smartwatch to Identify Atrial Fibrillation.

Authors:  Marco V Perez; Kenneth W Mahaffey; Haley Hedlin; John S Rumsfeld; Ariadna Garcia; Todd Ferris; Vidhya Balasubramanian; Andrea M Russo; Amol Rajmane; Lauren Cheung; Grace Hung; Justin Lee; Peter Kowey; Nisha Talati; Divya Nag; Santosh E Gummidipundi; Alexis Beatty; Mellanie True Hills; Sumbul Desai; Christopher B Granger; Manisha Desai; Mintu P Turakhia
Journal:  N Engl J Med       Date:  2019-11-14       Impact factor: 176.079

8.  General health checks in adults for reducing morbidity and mortality from disease.

Authors:  Lasse T Krogsbøll; Karsten Juhl Jørgensen; Peter C Gøtzsche
Journal:  Cochrane Database Syst Rev       Date:  2019-01-31

9.  Cascades of Care After Incidental Findings in a US National Survey of Physicians.

Authors:  Ishani Ganguli; Arabella L Simpkin; Claire Lupo; Arlene Weissman; Alexander J Mainor; E John Orav; Meredith B Rosenthal; Carrie H Colla; Thomas D Sequist
Journal:  JAMA Netw Open       Date:  2019-10-02

10.  Predictive Accuracy of a Polygenic Risk Score Compared With a Clinical Risk Score for Incident Coronary Heart Disease.

Authors:  Jonathan D Mosley; Deepak K Gupta; Jingyi Tan; Jie Yao; Quinn S Wells; Christian M Shaffer; Suman Kundu; Cassianne Robinson-Cohen; Bruce M Psaty; Stephen S Rich; Wendy S Post; Xiuqing Guo; Jerome I Rotter; Dan M Roden; Robert E Gerszten; Thomas J Wang
Journal:  JAMA       Date:  2020-02-18       Impact factor: 157.335

  10 in total

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