Table 3 Demographic information of the included final 75 papers

From: A scoping review of silent trials for medical artificial intelligence

Trial

Country

Institutions

Organ failure: Aakre et al. (2017)21

USA

Mayo Clinic hospitals in Rochester, MN, and Jacksonville, FL

NLP for opioid use: Afshar et al. (2023)28

USA

University of Wisconsin Hospital

COVID-19: Alrajhi et al. (2022)75

Kingdom of Saudi Arabia

King Faisal Specialist Hospital and Research Centre

Appendicitis: Aydın et al. (2025)76

Turkey

13 tertiary paediatric hospitals across Turkey

Sperm: Bachelot et al. (2023)77

France

Assistance Publique-Hopitaux de Paris, Sorbonne University, Paris

Sepsis: Bedoya et al. (2020)39

USA

A hospital in the Duke University Health System

Breast: Berg et al. (2023)78

Mexico

Hospital Valentin Gomez Farias and Hospital General de Tijuana

Mortality: Brajer et al. (2020)36

USA

Duke University Health System

Brain cancer: Butler et al. (2019)79

UK

Western General Hospital, Edinburgh

Lung cancer: Campanella et al. (2025)80

USA

N/A

Neoplasia: Chen et al. (2025)81

China

N/A

Hypertension: Cheng et al. (2025)82

China

4 Taklamakan Desert-adjacent regions in northwest China

Haemodynamic instability: Chiang et al. (2025)83

Taiwan

Taipei Veterans General Hospital

Breast cancer: Chufal et al. (2025)84

India

Rajiv Gandhi Cancer Institute & Research Centre

Suicide risk: Coley et al. (2021)85

USA

HealthPartners, Henry Ford Health System, Kaiser Permanente

DEPLOYR (also a framework): Corbin et al. (2023)86

USA

Stanford Health Care, Stanford, CA

Lung: Dave et al. (2023)87

Canada

London Health Sciences Center, London, Ontario

Breast cancer: El Moheb et al. (2025)88

USA

University of Virginia Medical Center

Skin lesion: Escalé-Besa et al. (2023)24, using study protocol by Escalé-Besa et al. (2022)131

Spain

Primary care centres managed by Institut Catala de la Salut, Catalonia

Emergency department: Faqar-Uz-Zaman et al. (2022)89, using study protocol by Faqar-Uz-Zaman et al. (2021)132

Germany

University Hospital Frankfurt

Skin cancer: Felmingham et al. (2022)90 and results paper by Felmingham et al. (2023)133

Australia

Alfred Hospital and Skin Health Institute, Melbourne

Chest: Feng et al. (2025)91

China

Tangshan People’s Hospital

Head injury: Hanley et al. (2017)92

USA

Allegheny General Hospital, Pittsburgh, PA; Baylor University Medical Center, Dallas, TX; Detroit Receiving Hospital, Detroit, MI; Emory University School of Medicine and Grady Memorial Hospital, Atlanta, GA; Hartford Hospital, Hartford, CT; R Adams Cowley Shock Trauma Center, Baltimore, MD; University of Rochester Medical Center, Rochester, NY; University of Texas Memorial Hermann Hospital, Houston, TX; University of Virginia Health System, Charlottesville, VA; Washington University Barnes Jewish Medical Center, St. Louis, MO; Wayne State University Sinai-Grace Hospital, Detroit, MI

Sepsis: Hoang et al. (2025)93

Australia

N/A

Lymphoma: Im et al. (2018)94

USA

Massachusetts General Hospital, Boston, MA

Delirium: Jauk et al. (2020)19

Austria

LKH Graz II

Chest: Kim et al. (2023)10

South Korea

N/A

Pancreas: Korfiatis et al. (2023)95

USA

N/A

Malnutrition: Kramer et al. (2024)96

Austria

University Hospital Graz

Hydronephrosis: Kwong et al. (2022)97

Canada

Hospital for Sick Children, Toronto, Ontario

Pain prediction: Liu et al. (2023)98

USA

Massachusetts General Hospital, Boston, MA

Bone age: Liu et al. (2024)99

China

Children’s Hospital of Zhejiang University School of Medicine, Children’s Hospital of Fudan University, The First Affiliated Hospital of Sun Yat-Sen University, Xi’an Children’s Hospital Affiliated to Xi’an Jiaotong University, Tianjin Medical University General Hospital, Children’s Hospital of Chongqing Medical University, Shenzhen Children’s Hospital, The Second Affiliated Hospital of Nanchang University, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology

Gastrointestinal: Luo et al. (2019)100

China

Sun Yat-sen University Cancer Center, North Guangdong People’s Hospital, Shaoguan; Wuzhou’s Red Cross Hospital, Wuzhou; Jiangxi Cancer Hospital, Nanchang; Puning People’s Hospital, Puning; Jieyang People’s Hospital, Jieyang

COVID-19: Lupei et al. (2022)101

USA

N/A

Postoperative: Mahajan et al. (2023)102

USA

20 hospitals in the University Pittsburgh Medical Center health network

End of life: Major et al. (2020)103

USA

NYU Langone Health

Morality: Manz et al. (2020)16

USA

University of Pennsylvania Health System (multiple practices)

Chest: Miró Catalina et al. (2024)104, using protocol by Miró Catalina et al. (2022)134

Spain

Osana Primary Care Centre Catalonia

Kidney disease: Morse et al. (2022)27

USA

Lucile Packard Children’s Hospital, Stanford University

Shock: Nemeth et al. (2023)37

USA

Mayo Clinic

Deterioration: O’Brien et al. (2020)105

USA

Duke University Hospital System

Cardiac: Ouyang et al. (2020)32

USA

Cedars-Sinai Medical Center

Traumatic brain injury: Pan et al. (2025)106

China

Wuhan Yangtze River Shipping General Hospital

Early warning system: Pou-Prom et al. (2022)34

Canada

St Michael’s Hospital, Toronto, Ontario

Type 2 diabetes: Pyrros et al. (2023)107

USA

Emory Hospital and 28 geographically unique locations

Enema: Qian et al. (2025)108

China

Children’s Hospital of Soochow University and Affiliated Changzhou Children’s Hospital of Nantong University

Atrial fibrillation: Rajakariar et al. (2020)25

Australia

N/A

Bacterial infection: Rawson et al. (2021)109

UK

Three hospitals in northwest London

COVID-19: Razavian et al. (2020)33

USA

N/A

Paediatric: Ren et al. (2025)110

China

Obstetrics & Gynecology Hospital of Fudan University

Blood cultures: Schinkel et al. (2022)111

The Netherlands

Amsterdam UMC Location VU Medical Center

Deterioration: Shah et al. (2021)112

USA

Four PennMedicine hospitals

COVID-19: Shamout et al. (2021)113

USA

NYU Langone Health Institute

Paediatric ICU: Shelov et al. (2018)38

USA

Children’s Hospital of Philadelphia

Blood pressure: Sheppard et al. (2018)29, using study protocol by Sheppard et al. (2016)135

UK

Ten general practice surgeries and one hospital trust

Polyps: Shi et al. (2025)114

China

Hospital of Xuzhou Medical University

Breast: Smith et al. (2024)115

UK

Hospital—N/A

Pregnancy: Stamatopoulos et al. (2025)116

N/A

N/A

Sepsis: Stephen et al. (2023)20

USA

Hospital—N/A

COVID-19: Swinnerton et al. (2025)117

USA

EHR data from Veterans Affairs facilities nationwide

Burn: Tan et al. (2025)26

UK

Newcastle upon Tyne and Manchester Adult Burn Centres

Bone density: Tariq et al. (2023)118

USA

N/A

Neurological events: Titano et al. (2018)119

USA

Hospital—N/A

COVID-19: Vaid et al. (2020)120

USA

Five hospitals within the Mount Sinai Health System in New York City: Mount Sinai Hospital (MSH) located in East Harlem, Manhattan; Mount Sinai Morningside (MSM) located in Morningside Heights, Manhattan; Mount Sinai West (MSW) located in Midtown West, Manhattan; Mount Sinai Brooklyn (MSB) located in Midwood, Brooklyn; and Mount Sinai Queens (MSQ) located in Astoria, Queens

Radiation therapy: Wall et al. (2022)121

USA

Unknown local institution

Breast cancer: Wan et al. (2025)122

China

Renji Hospital

Lung cancer: Wang et al. (2019)123

USA

Hospitals in Maine

Cardiology: Wang et al. (2025)124

China

Zigong Fourth People’s Hospital

Epilepsy: Wissel et al. (2020)125

USA

Cincinnati Children’s Hospital Medical Center

Respiratory failure: Wong et al. (2021)30

USA

Emory Healthcare Network

Arthritis: Xie et al. (2025)126

China

N/A

Mortality: Ye et al. (2019)127

USA

Berkshire Health System

Liver surgery: Ye et al. (2020)128

China

Eastern Hepatobiliary Surgery Hospital (EHBH)

Sepsis: Yu et al. (2022)129

USA

Single, tertiary-care academic medical centre in St. Louis, MO

Cardiovascular: Zhang et al. (2025)130

China

Shanghai Sixth People’s Hospital