A Delphi consensus statement for digital surgery
Abstrak
Abstract The use of digital technology is increasing rapidly across surgical specialities, yet there is no consensus for the term ‘digital surgery’. This is critical as digital health technologies present technical, governance, and legal challenges which are unique to the surgeon and surgical patient. We aim to define the term digital surgery and the ethical issues surrounding its clinical application, and to identify barriers and research goals for future practice. 38 international experts, across the fields of surgery, AI, industry, law, ethics and policy, participated in a four-round Delphi exercise. Issues were generated by an expert panel and public panel through a scoping questionnaire around key themes identified from the literature and voted upon in two subsequent questionnaire rounds. Consensus was defined if >70% of the panel deemed the statement important and <30% unimportant. A final online meeting was held to discuss consensus statements. The definition of digital surgery as the use of technology for the enhancement of preoperative planning, surgical performance, therapeutic support, or training, to improve outcomes and reduce harm achieved 100% consensus agreement. We highlight key ethical issues concerning data, privacy, confidentiality and public trust, consent, law, litigation and liability, and commercial partnerships within digital surgery and identify barriers and research goals for future practice. Developers and users of digital surgery must not only have an awareness of the ethical issues surrounding digital applications in healthcare, but also the ethical considerations unique to digital surgery. Future research into these issues must involve all digital surgery stakeholders including patients.
Topik & Kata Kunci
Penulis (40)
Kyle Lam
Michael D. Abràmoff
José M. Balibrea
Steven M. Bishop
Richard R. Brady
Rachael A. Callcut
Manish Chand
Justin W. Collins
Markus K. Diener
Matthias Eisenmann
Kelly Fermont
Manoel Galvao Neto
Gregory D. Hager
Robert J. Hinchliffe
Alan Horgan
Pierre Jannin
Alexander Langerman
Kartik Logishetty
Amit Mahadik
Lena Maier-Hein
Esteban Martín Antona
Pietro Mascagni
Ryan K. Mathew
Beat P. Müller-Stich
Thomas Neumuth
Felix Nickel
Adrian Park
Gianluca Pellino
Frank Rudzicz
Sam Shah
Mark Slack
Myles J. Smith
Naeem Soomro
Stefanie Speidel
Danail Stoyanov
Henry S. Tilney
Martin Wagner
Ara Darzi
James M. Kinross
Sanjay Purkayastha
Akses Cepat
- Tahun Terbit
- 2022
- Sumber Database
- DOAJ
- DOI
- 10.1038/s41746-022-00641-6
- Akses
- Open Access ✓