Journal article
A Delphi consensus statement for digital surgery
NPJ digital medicine, Vol.5(1), pp.1-9
07/01/2022
DOI: 10.1038/s41746-022-00641-6
PMCID: PMC9296639
PMID: 35854145
Abstract
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.
Details
- Title: Subtitle
- A Delphi consensus statement for digital surgery
- Creators
- Kyle Lam - Imperial Valley CollegeMichael D. Abràmoff - University of IowaJosé M. Balibrea - Hospital Clínic de BarcelonaSteven M. Bishop - CMR Surgical (United Kingdom)Richard R. Brady - Newcastle Centre for Bowel Disease Research Hub, Newcastle UniversityRachael A. Callcut - Department of Surgery, University of CaliforniaManish Chand - University College LondonJustin W. Collins - CMR Surgical (United Kingdom)Markus K. Diener - University of FreiburgMatthias Eisenmann - Division of Computer Assisted Medical Interventions (CAMI), German Cancer Research Center (DKFZ)Kelly Fermont - Solicitor of the Senior Courts of England and Wales, Independent ResearcherManoel Galvao Neto - Endovitta InstituteGregory D. Hager - Johns Hopkins UniversityRobert J. Hinchliffe - University of BristolAlan Horgan - Department of Colorectal Surgery, Newcastle HospitalsPierre Jannin - Université de RennesAlexander Langerman - Vanderbilt University Medical CenterKartik Logishetty - Department of Surgery and Cancer, Imperial CollegeAmit Mahadik - Stryker CorporationLena Maier-Hein - Division of Computer Assisted Medical Interventions (CAMI), German Cancer Research Center (DKFZ)Esteban Martín Antona - Hospital Clínico San CarlosPietro Mascagni - Fondazione Policlinico Universitario A. Gemelli IRCCSRyan K. Mathew - University of LeedsBeat P. Müller-Stich - Department of General, Visceral and Transplantation Surgery, Heidelberg University HospitalThomas Neumuth - Innovation Center Computer Assisted Surgery (ICCAS), Universität LeipzigFelix Nickel - Department of General, Visceral and Transplantation Surgery, Heidelberg University HospitalAdrian Park - Johns Hopkins UniversityGianluca Pellino - University of Campania "Luigi Vanvitelli"Frank Rudzicz - University of TorontoSam Shah - University of UlsterMark Slack - CMR Surgical (United Kingdom)Myles J. Smith - Royal Marsden HospitalNaeem Soomro - Newcastle upon Tyne Hospitals NHS Foundation TrustStefanie Speidel - National Center for Tumor DiseasesDanail Stoyanov - Wellcome/ESPRC Centre for Interventional and Surgical Sciences, University College LondonHenry S. Tilney - Department of Surgery and Cancer, Imperial CollegeMartin Wagner - Department of General, Visceral and Transplantation Surgery, Heidelberg University HospitalAra Darzi - Department of Surgery and Cancer, Imperial CollegeJames M. Kinross - Department of Surgery and Cancer, Imperial CollegeSanjay Purkayastha - Department of Surgery and Cancer, Imperial College
- Resource Type
- Journal article
- Publication Details
- NPJ digital medicine, Vol.5(1), pp.1-9
- DOI
- 10.1038/s41746-022-00641-6
- PMID
- 35854145
- PMCID
- PMC9296639
- NLM abbreviation
- NPJ Digit Med
- eISSN
- 2398-6352
- Publisher
- Nature Portfolio
- Language
- English
- Date published
- 07/01/2022
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Electrical and Computer Engineering; Fraternal Order of Eagles Diabetes Research Center; Ophthalmology and Visual Sciences
- Record Identifier
- 9984277455902771
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