A Delphi consensus statement for digital surgery

被引：48

作者：

Lam, Kyle ^{[1
,2
]}

Abramoff, Michael D. ^{[3
,4
]}

Balibrea, Jose M. ^{[5
,6
]}

Bishop, Steven M. ^{[7
]}

Brady, Richard R. ^{[8
,9
]}

Callcut, Rachael A. ^{[10
]}

Chand, Manish

Collins, Justin W. ^{[7
]}

Diener, Markus K. ^{[11
,12
]}

Eisenmann, Matthias ^{[13
,14
]}

Fermont, Kelly ^{[15
]}

Neto, Manoel Galvao ^{[16
,17
]}

Hager, Gregory D. ^{[18
,19
]}

Hinchliffe, Robert J. ^{[20
]}

Horgan, Alan ^{[9
]}

Jannin, Pierre ^{[21
]}

Langerman, Alexander ^{[22
,23
]}

Logishetty, Kartik ^{[1
]}

Mahadik, Amit ^{[24
]}

Maier-Hein, Lena ^{[13
,14
,25
,26
,27
]}

Antona, Esteban Martin ^{[28
]}

Mascagni, Pietro ^{[29
,30
,31
]}

Mathew, Ryan K. ^{[32
,33
]}

Muller-Stich, Beat P. ^{[34
,35
]}

Neumuth, Thomas ^{[36
]}

Nickel, Felix ^{[34
]}

Park, Adrian ^{[37
]}

Pellino, Gianluca ^{[38
,39
]}

Rudzicz, Frank ^{[40
,41
,42
,43
]}

Shah, Sam ^{[44
]}

Slack, Mark ^{[7
,45
,46
]}

Smith, Myles J. ^{[47
,48
]}

Soomro, Naeem ^{[49
]}

Speidel, Stefanie ^{[50
,51
]}

Stoyanov, Danail ^{[52
]}

Tilney, Henry S. ^{[1
,53
]}

Wagner, Martin ^{[34
,35
]}

Darzi, Ara ^{[1
,2
]}

Kinross, James M. ^{[1
]}

Purkayastha, Sanjay ^{[1
]}

机构：

[1] Imperial Coll, Dept Surg & Canc, London, England

[2] Imperial Coll London, Inst Global Hlth Innovat, London, England

[3] Univ Iowa, Dept Ophthalmol & Visual Sci, Iowa City, IA USA

[4] Univ Iowa, Dept Elect & Comp Engn, Iowa City, IA 52242 USA

[5] Hosp Clin Barcelona, Dept Gastrointestinal Surg, Barcelona, Spain

[6] Univ Barcelona, Barcelona, Spain

[7] CMR Surg Ltd, Cambridge, England

[8] Newcastle Univ, Newcastle Ctr Bowel Dis Res Hub, Newcastle, England

[9] Newcastle Hosp, Dept Colorectal Surg, Newcastle, England

[10] Univ Calif Davis, Dept Surg, Davis, CA 95616 USA

[11] UCL, Dept Surg & Intervent Sci, London, England

[12] Univ Freiburg, Dept Gen & Visceral Surg, Freiburg, Germany

[13] Univ Freiburg, Fac Med, Freiburg, Germany

[14] German Canc Res Ctr, Div Comp Assisted Med Intervent CAMI, Heidelberg, Germany

[15] Senior Courts England & Wales, Bristol, Avon, England

[16] Endovitta Inst, Sao Paulo, Brazil

[17] FMABC Med Sch, Santo Andre, SP, Brazil

[18] Johns Hopkins Univ, Malone Ctr Engn Healthcare, Baltimore, MD USA

[19] Johns Hopkins Univ, Dept Comp Sci, Baltimore, MD 21218 USA

[20] Univ Bristol, Dept Vasc Surg, Bristol, Avon, England

[21] Univ Rennes 1, INSERM, LTSI, UMR 1099, Rennes, France

[22] Vanderbilt Univ, Med Ctr, Otolaryngol Head & Neck Surg Radiol & Radiol Sci, Nashville, TN USA

[23] Univ Toronto, Li Ka Shing Knowledge Inst, St Michaels Hosp, Int Ctr Surg Safety, Toronto, ON, Canada

[24] Stryker Corp, Kalamazoo, MI USA

[25] Heidelberg Univ, Fac Math & Comp Sci, Heidelberg, Germany

[26] Heidelberg Univ, Med Fac, Heidelberg, Germany

[27] LKSK Inst St Michaels Hosp, Toronto, ON, Canada

[28] Hosp Clin San Carlos, Dept Surg, Madrid, Spain

[29] Fdn Policlin Univ A Gemelli IRCCS, Rome, Italy

[30] IHU Strasbourg, Inst Image Guided Surg, Strasbourg, France

[31] Univ Strasbourg, ICube, Strasbourg, France

[32] Univ Leeds, Sch Med, Leeds, W Yorkshire, England

[33] Leeds Teaching Hosp NHS Trust, Dept Neurosurg, Leeds, W Yorkshire, England

[34] Heidelberg Univ Hosp, Dept Gen Visceral & Transplantat Surg, Heidelberg, Germany

[35] Natl Ctr Tumor Dis, Heidelberg, Germany

[36] Univ Leipzig, Innovat Ctr Comp Assisted Surg ICCAS, Leipzig, Germany

[37] Johns Hopkins Univ, Sch Med, Anne Arundel Med Ctr, Dept Surg, Annapolis, MD USA

[38] Univ Campania Luigi Vanvitelli, Dept Adv Med & Surg Sci, Naples, Italy

[39] Vall dHebron Univ Hosp, Colorectal Surg, Barcelona, Spain

[40] Univ Toronto, Dept Comp Sci, Toronto, ON, Canada

[41] Vector Inst Artificial Intelligence, Toronto, ON, Canada

[42] Unity Hlth Toronto, Toronto, ON, Canada

[43] Surg Safety Technol Inc, Toronto, ON, Canada

[44] Ulster Univ, Coll Med & Dent, Fac Future Hlth, Birmingham, W Midlands, England

[45] Addenbrookes Hosp, Dept Urogynaecol, Cambridge, England

[46] Univ Cambridge, Cambridge, England

[47] Royal Marsden Hosp, London, England

[48] Inst Canc Res, London, England

[49] Newcastle Upon Tyne Hosp NHS Fdn Trust, Dept Urol, Newcastle Upon Tyne, Tyne & Wear, England

[50] Natl Ctr Tumor Dis NCT UCC, Div Translat Surg Oncol, Dresden, Germany

来源：

NPJ DIGITAL MEDICINE | 2022年 / 5卷 / 01期

关键词：

Surveys;

D O I：

10.1038/s41746-022-00641-6

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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.

引用

页数：9

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