학술논문
Surgeons' perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey
Document Type
Academic Journal
Author
Cobianchi, Lorenzo; Piccolo, Daniele; Dal Mas, Francesca; Agnoletti, Vanni; Ansaloni, Luca; Balch, Jeremy; Biffl, Walter; Butturini, Giovanni; Catena, Fausto; Coccolini, Federico; Denicolai, Stefano; De Simone, Belinda; Frigerio, Isabella; Fugazzola, Paola; Marseglia, Gianluigi; Marseglia, Giuseppe Roberto; Martellucci, Jacopo; Modenese, Mirko; Previtali, Pietro; Ruta, Federico; Venturi, Alessandro; Kaafarani, Haytham M.; Loftus, Tyler J.; Abbott, Kenneth Lyle; Abdelmalik, Abubaker; Abebe, Nebyou Seyoum; Abu-Zidan, Fikri; Adam, Yousif Abdallah Yousif; Adamou, Harissou; Adamovich, Dmitry Mikhailovich; Agresta, Ferdinando; Agrusa, antonino; Akin, Emrah; Alessiani, Mario; Alexandrino, Henrique; Ali, Syed Muhammad; Mihai, Vasilescu Alin; Almeida, Pedro Miguel; Al-Shehari, Mohammed Mohammed; Altomare, Michele; Amico, Francesco; Ammendola, Michele; Andreuccetti, Jacopo; Anestiadou, Elissavet; Angelos, Peter; Annicchiarico, Alfredo; Antonelli, Amedeo; Aparicio-Sanchez, Daniel; Ardito, antonella; Argenio, Giulio; Arvieux, Catherine Claude; Askevold, Ingolf Harald; Atanasov, Boyko Tchavdarov; Augustin, Goran; Awad, Selmy Sabry; Bacchiocchi, Giulia; Bagnoli, Carlo; Bahouth, Hany; Baili, Efstratia; Bains, Lovenish; Baiocchi, Gian Luca; Bala, Miklosh; Balagué, Carmen; Balalis, Dimitrios; Baldini, Edoardo; Baraket, oussama; Baral, Suman; Barone, Mirko; Barranquero, Alberto Gonzãlez; Barreras, Jorge Arturo; Bass, Gary Alan; Bayhan, Zulfu; Bellanova, Giovanni; Ben-Ishay, Offir; Bert, Fabrizio; Bianchi, Valentina; Biancuzzi, Helena; Bidoli, Chiara; Radulescu, Raluca Bievel; Bignell, Mark Brian; Biloslavo, Alan; Bini, Roberto; Boati, Paolo; Boddaert, Guillaume; Bogdanic, Branko; Bombardini, Cristina; Bonavina, Luigi; Bonomo, Luca; Bottari, Andrea; Bouliaris, Konstantinos; Brachini, Gioia; Brillantino, Antonio; Brisinda, Giuseppe; Bulanauca, Maloni Mamada; Buonomo, Luis Antonio; Burcharth, Jakob; Buscemi, Salvatore; Calabretto, Francesca; Calini, Giacomo; Calu, Valentin; Campanile, Fabio Cesare; Campo Dall'Orto, Riccardo; Campos-Serra, Andrea; Campostrini, Stefano; Capoglu, Recayi; Carvas, Joao Miguel; Cascella, Marco; Casoni Pattacini, Gianmaria; Celentano, Valerio; Centonze, Danilo Corrado; Ceresoli, Marco; Chatzipetris, Dimitrios; Chessa, Antonella; Chiarello, Maria Michela; Chirica, Mircea; Chooklin, Serge; Chouliaras, Christos; Chowdhury, Sharfuddin; Cianci, Pasquale; Cillara, Nicola; Cimbanassi, Stefania; Cioffi, Stefano Piero Bernardo; Colak, Elif; Colás Ruiz, Enrique; Conti, Luigi; Coppola, Alessandro; Correia De Sa, Tiago; Dantas Costa, Silvia; Cozza, Valerio; Curro', Giuseppe; Dabekaussen, Kirsten Felicia Ann-Sophie Aimee; D'Acapito, Fabrizio; Damaskos, Dimitrios; D'Ambrosio, Giancarlo; Das, Koray; Davies, Richard Justin; De Beaux, Andrew Charles; De Lebrusant Fernandez, Sara Patricia; De Luca, Alessandro; De Stefano, Francesca; Degrate, Luca; Demetrashvili, Zaza; Demetriades, Andreas Kyriacou; Detanac, Dzemail Smail; Dezi, Agnese; Di Buono, Giuseppe; Di Carlo, Isidoro; Di Lascio, Pierpaolo; Di Martino, Marcello; Di Saverio, Salomone; Diaconescu, Bogdan; Diaz, Jose J.; Dibra, Rigers; Dimitrov, Evgeni Nikolaev; Dinuzzi, Vincenza Paola; Dios-Barbeito, Sandra; Diyani, Jehangir Farman Ali; Dogjani, Agron; Domanin, Maurizio; D'Oria, Mario; Duran Munoz-Cruzado, Virginia; East, Barbora; Ekelund, Mikael; Ekwen, Gerald Takem; Elbaih, Adel Hamed; Elhadi, Muhammed; Enninghorst, Natalie; Ernisova, Mairam; Escalera-Antezana, Juan Pablo; Esposito, Sofia; Esposito, Giuseppe; Estaire, Mercedes; Farè, Camilla Nikita; Farre, Roser; Favi, Francesco; Ferrario, Luca; Ferrario di Tor Vajana, Antonjacopo; Filisetti, Claudia; Fleres, Francesco; Cordeiro Fonseca, Vinicius; Forero-Torres, Alexander; Forfori, Francesco; Fortuna, Laura; Fradelos, Evangelos; Fraga, Gustavo P.; Fransvea, Pietro; Frassini, Simone; Frazzetta, Giuseppe; Pizzocaro, Erica; Frountzas, Maximos; Gachabayov, Mahir; Galeiras, Rita; Garcia Vazquez, Alain A.; Gargarella, Simone; Garzali, Ibrahim Umar; Ghannam, Wagih Mommtaz; Ghazi, Faiz Najmuddin; Gillman, Lawrence Marshall; Gioco, Rossella; Giordano, Alessio; Giordano, Luca; Giove, Carlo; Giraudo, Giorgio; Giuffrida, Mario; Giulii Capponi, Michela; Gois, Emanuel; Gomes, Carlos Augusto; Gomes, Felipe Couto; Gonsaga, Ricardo Alessandro Teixeira; Gonullu, Emre; Goosen, Jacques; Goranovic, Tatjana; Gracia-Roman, Raquel; Graziano, Giorgio Maria Paolo; Griffiths, Ewen Alexander; Guagni, Tommaso; Hadzhiev, Dimitar Bozhidarov; Haidar, Muad Gamil; Hamid, Hytham K. S.; Hardcastle, Timothy Craig; Hayati, Firdaus; Healey, Andrew James; Hecker, Andreas; Hecker, Matthias; Hernandez Garcia, Edgar Fernando; Hodonou, Adrien Montcho; Huaman, Eduardo Cancio; Huerta, Martin; Ibrahim, Aini Fahriza; Ibrahim, Basil Mohamed Salabeldin; Ietto, Giuseppe; Inama, Marco; Ioannidis, Orestis; Isik, Arda; Ismail, Nizar; Ismail, Azzain Mahadi Hamid; Jailani, Ruhi Fadzlyana; Jang, Ji Young; Kalfountzos, Christos; Kalipershad, Sujala Niatarika Rajsain; Kaouras, Emmanouil; Kaplan, Lewis Jay; Kara, Yasin; Karamagioli, Evika; Karamarkovia, Aleksandar; Katsaros, Ioannis; Kavalakat, Alfie J.; Kechagias, Aristotelis; Kenig, Jakub; Kessel, Boris Juli; Khan, Jim S.; Khokha, Vladimir; Kim, Jae Il; Kirkpatrick, Andrew Wallace; Klappenbach, Roberto; Kluger, Yoram; Kobe, Yoshiro; Lymperis, Efstratios Kofopoulos; Kok, Kenneth Yuh Yen; Kong, Victor; Korkolis, Dimitris P.; Koukoulis, Georgios; Kovacevic, Bojan; Kruger, Vitor Favali; Kryvoruchko, Igor A.; Kurihara, Hayato; Kuriyama, Akira; Landaluce-Olavarria, Aitor; Lapolla, Pierfrancesco; Leppäniemi, Ari; Licari, Leo; Lisi, Giorgio; Litvin, Andrey; Lizarazu, Aintzane; Bayo, Heura Llaquet; Lohsiriwat, Varut; Lopes Moreira, Claudia Cristina; Lostoridis, Eftychios; Tovar Luna, Agustãn.; Luppi, Davide; V., Gustavo Miguel Machain; Maegele, Marc; Maggiore, Daniele; Magnone, Stefano; Maier, Ronald V.; Major, Piotr; Manangi, Mallikarjuna; manetti, andrea; Mantoglu, Baris; Marafante, Chiara; Mariani, Federico; Marinis, Athanasios; Mariot, Evandro Antonio Sbalcheiro; Martines, Gennaro; Perez, Aleix Martinez; Martino, Costanza; Mascagni, Pietro; Massalou, Damien; Massaro, Maurizio; Matías-García, Belen; Mazzarella, Gennaro; Mazzarolo, Giorgio; Melo, Renato Bessa; Mendoza-Moreno, Fernando; Meric, Serhat; Meyer, Jeremy; Miceli, Luca; Michalopoulos, Nikolaos V.; Milana, Flavio; Mingoli, Andrea; Mishra, Tushar S.; Mohamed, Muyed; Mohamed, Musab Isam Eldin Abbas; Mohamedahmed, Ali Yasen; Mohammed, Mohammed Jibreel Suliman; Mohan, Rajashekar; Moore, Ernest E.; Morales-Garcia, Dieter; Muhrbeck, MÃÂ¥ns; Mulita, Francesk; Mustafa, Sami Mohamed Siddig; Muttillo, Edoardo Maria; Naimzada, Mukhammad David; Navsaria, Pradeep H.; Negoi, Ionut; Nespoli, Luca; Nguyen, Christine; Nidaw, Melkamu Kibret; Nigri, Giuseppe; Nikolopoulos, Ioannis; O'Connor, Donal Brendan; Ogundipe, Habeeb Damilola; Oliveri, Cristina; Olmi, Stefano; Ong, Ernest Cun Wang; Orecchia, Luca; Osipov, Aleksei V.; Othman, Muhammad Faeid; Pace, Marco; Pacilli, Mario; Pagani, Leonardo; Palomba, Giuseppe; Pantalone, Desire'; Panyko, Arpad; Paolillo, Ciro; Papa, Mario Virgilio; Papaconstantinou, Dimitrios; Papadoliopoulou, Maria; Papadopoulos, Aristeidis; Papis, Davide; Pararas, Nikolaos; Parreira, Jose Gustavo; Parry, Neil Geordie; Pata, Francesco; Patel, Tapan; Paterson-Brown, Simon; Pavone, Giovanna; Pecchini, Francesca; Pegoraro, Veronica; Pellino, Gianluca; Pelloni, Maria; Peloso, Andrea; Perea Del Pozo, Eduardo; Pereira, Rita Goncalves; Pereira, Bruno Monteiro; Perez, Aintzane Lizarazu; Pérez, Silvia; Perra, Teresa; Perrone, Gennaro; Pesce, Antonio; Petagna, Lorenzo; Petracca, Giovanni; Phupong, Vorapong; Picardi, Biagio; Picciariello, Arcangelo; Piccoli, Micaela; Picetti, Edoardo; Pikoulis Pikoulis, Emmanouil; Pintar, Tadeja; Pirozzolo, Giovanni; Piscioneri, Francesco; Podda, Mauro; Porcu, Alberto; Privitera, Francesca; Punzo, Clelia; Quaresima, Silvia; Quiodettis, Martha Alexa; Qvist, Niels; Rahim, Razrim; de Almeida, Filipe Ramalho; Ramely, Rosnelifaizur Bin; Rasa, Huseyin Kemal; Reichert, Martin; Reinisch-Liese, Alexander; Renne, Angela; Riccetti, Camilla; Rodriguez-Luna, Maria Rita; Roizblatt, Daniel; Romanzi, Andrea; Romeo, Luigi; Roscio, Francesco Pietro Maria; Rosnelifaizur, Ramely Bin; Rossi, Stefano; Rubiano, Andres M.; Ruiz-Ucar, Elena; Sakakushev, Boris Evgeniev; Salamea, Juan Carlos; Sall, Ibrahima; Samarakoon, Lasitha Bhagya; Sammartano, Fabrizio; Arteaga, Alejandro Sanchez; Sanchez-Cordero, Sergi; Santoanastaso, Domenico Pietro Maria; Sartelli, Massimo; Sasia, Diego; SATO, NORIO; Savchuk, Artem; Sawyer, Robert Grant; Scaioli, Giacomo; SCHIZAS, DIMITRIOS; Sebastiani, Simone; Seeliger, Barbara; Lohse, Helmut Alfredo Segovia; Seretis, Charalampos; Sermonesi, Giacomo; Serradilla-Martin, Mario; Shelat, Vishal G.; Shlyapnikov, Sergei; Sidiropoulos, Theodoros; Simoes, Romeo Lages; Siragusa, Leandro; Siribumrungwong, Boonying; Slavchev, Mihail; Solaini, Leonardo; soldini, gabriele; Sopuev, Andrey; Soreide, Kjetil; SOVATZIDIS, APOSTOLOS; Stahel, Philip Frank; Strickland, Matt; Sultan, Mohamed Arif Hameed; Sydorchuk, Ruslan; Sydorchuk, Larysa; Syed, Syed Muhammad Ali Muhammad; Tallon-Aguilar, Luis; Tamburini, Andrea Marco; Tamini, Nicolò; Tan, Edward C. T. H.; Tan, Jih Huei; Tarasconi, Antonio; Tartaglia, Nicola; Tartaglia, Giuseppe; Tartaglia, Dario; Taylor, John Vincent; Tebala, Giovanni Domenico; Teuben, Michel; Theodorou, Alexis; Tolonen, Matti; Tomasicchio, Giovanni; Toro, Adriana; Torre, Beatrice; Triantafyllou, Tania; Trigiante Trigiante, Giuseppe; Tripepi, Marzia; Trostchansky, Julio; Tsekouras, Konstantinos; Turrado-Rodriguez, Victor; Tutino, Roberta; Uccelli, Matteo; Uchikov, Petar Angelov; Ugarte-Sierra, Bakarne; Ukkonen, Mika Tapani; Vailas, Michail; Vassiliu, Panteleimon G.; Vazquez, Alain Garcia; Vazquez, Rita Galeiras; Velmahos, George; Verde, Juan Ezequiel; Verde, Juan Manuel; Veroux, Massimiliano; Viganò, Jacopo; Vilallonga, Ramon; Visconti, Diego; Vittori, Alessandro; Waledziak, Maciej; Wannatoop, Tongporn; Widmer, Lukas Werner; Wilson, Michael Samuel James; Woltz, Sarah; Wong, Ting Hway; Xenaki, Sofia; Yu, Byungchul; Yule, Steven; Zachariah, Sanoop Koshy; Zacharis, Georgios; Zaghi, Claudia; Zakaria, Andee Dzulkarnaen; Zambrano, Diego A.; Zampitis, Nikolaos; Zampogna, Biagio; Zanghì, Simone; Zantedeschi, Maristella; Zapsalis, Konstantinos; Zattoni, Fabio; Zese, Monica
Source
World Journal of Emergency Surgery. January 3, 2023, Vol. 18 Issue 1
Subject
Language
English
ISSN
1749-7922
Abstract
Author(s): Lorenzo Cobianchi[sup.1,2,3], Daniele Piccolo[sup.1,4], Francesca Dal Mas[sup.5], Vanni Agnoletti[sup.6], Luca Ansaloni[sup.1,2], Jeremy Balch[sup.7], Walter Biffl[sup.8], Giovanni Butturini[sup.9], Fausto Catena[sup.6], Federico Coccolini[sup.10], Stefano Denicolai[sup.3,11], Belinda De Simone[sup.12], Isabella Frigerio[sup.9], Paola [...]
Background Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. Methods An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to 917 WSES members through the society's website and Twitter profile. Results 650 surgeons from 71 countries in five continents participated in the survey. Results depict the presence of technology enthusiasts and skeptics and surgeons' preference toward more classical decision-making aids like clinical guidelines, traditional training, and the support of their multidisciplinary colleagues. A lack of knowledge about several AI-related aspects emerges and is associated with mistrust. Discussion The trauma and emergency surgical community is divided into those who firmly believe in the potential of AI and those who do not understand or trust AI-enabled surgical decision-making aids. Academic societies and surgical training programs should promote a foundational, working knowledge of clinical AI. Keywords: Artificial intelligence, Clinical decision-making, Decision aids, Trauma and emergency surgery, Survey
Background Artificial intelligence (AI) is gaining traction in medicine and surgery. AI-based applications can offer tools to examine high-volume data to inform predictive analytics that supports complex decision-making processes. Time-sensitive trauma and emergency contexts are often challenging. The study aims to investigate trauma and emergency surgeons' knowledge and perception of using AI-based tools in clinical decision-making processes. Methods An online survey grounded on literature regarding AI-enabled surgical decision-making aids was created by a multidisciplinary committee and endorsed by the World Society of Emergency Surgery (WSES). The survey was advertised to 917 WSES members through the society's website and Twitter profile. Results 650 surgeons from 71 countries in five continents participated in the survey. Results depict the presence of technology enthusiasts and skeptics and surgeons' preference toward more classical decision-making aids like clinical guidelines, traditional training, and the support of their multidisciplinary colleagues. A lack of knowledge about several AI-related aspects emerges and is associated with mistrust. Discussion The trauma and emergency surgical community is divided into those who firmly believe in the potential of AI and those who do not understand or trust AI-enabled surgical decision-making aids. Academic societies and surgical training programs should promote a foundational, working knowledge of clinical AI. Keywords: Artificial intelligence, Clinical decision-making, Decision aids, Trauma and emergency surgery, Survey