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A Delphi consensus statement for digital surgery

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Title: A Delphi consensus statement for digital surgery
Authors: Lam, K
Abramoff, M
Balibrea, J
Bishop, S
Brady, R
Callcut, R
Chand, M
Collins, J
Diener, M
Eisenmann, M
Fermont, K
Galvao Neto, M
Hager, G
Hinchliffe, R
Horgan, A
Jannin, P
Langerman, A
Logishetty, K
Mahadik, A
Maier-Hein, L
Martin Antona, E
Mascagni, P
Mathew, R
Mueller-Stich, B
Neumuth, T
Nickel, F
Park, A
Pellino, G
Rudzicz, F
Shah, S
Slack, M
Smith, M
Soomro, N
Speidel, S
Stoyanov, D
Tilney, H
Wagner, M
Darzi, A
Kinross, J
Purkayastha, S
Item Type: Journal Article
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.
Issue Date: 19-Jul-2022
Date of Acceptance: 24-Jun-2022
URI: http://hdl.handle.net/10044/1/97956
DOI: 10.1038/s41746-022-00641-6
ISSN: 2398-6352
Publisher: Nature Research
Start Page: 1
End Page: 9
Journal / Book Title: npj Digital Medicine
Volume: 5
Issue: 100
Copyright Statement: © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Sponsor/Funder: Imperial College Healthcare NHS Trust- BRC Funding
Imperial College Healthcare NHS Trust- BRC Funding
Funder's Grant Number: RDB04 79560
RD207
Keywords: Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
Publication Status: Published
Online Publication Date: 2022-07-19
Appears in Collections:Department of Surgery and Cancer
Faculty of Medicine
Institute of Global Health Innovation



This item is licensed under a Creative Commons License Creative Commons