Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey
Issued Date
2023-01-01
Resource Type
eISSN
17497922
Scopus ID
2-s2.0-85145428951
Pubmed ID
36597105
Journal Title
World Journal of Emergency Surgery
Volume
18
Rights Holder(s)
SCOPUS
Bibliographic Citation
World Journal of Emergency Surgery Vol.18 (2023)
Suggested Citation
Cobianchi L., Piccolo D., Dal Mas F., Agnoletti V., Ansaloni L., Balch J., Biffl W., Butturini G., Catena F., Coccolini F., Denicolai S., De Simone B., Frigerio I., Fugazzola P., Marseglia G., Marseglia G.R., Martellucci J., Modenese M., Previtali P., Ruta F., Venturi A., Kaafarani H.M., Loftus T.J., Abbott K.L., Abdelmalik A., Abebe N.S., Abu-Zidan F., Adam Y.A.Y., Adamou H., Adamovich D.M., Agresta F., Agrusa A., Akin E., Alessiani M., Alexandrino H., Ali S.M., Mihai V.A., Almeida P.M., Al-Shehari M.M., Altomare M., Amico F., Ammendola M., Andreuccetti J., Anestiadou E., Angelos P., Annicchiarico A., Antonelli A., Aparicio-Sanchez D., Ardito A., Argenio G., Arvieux C.C., Askevold I.H., Atanasov B.T., Augustin G., Awad S.S., Bacchiocchi G., Bagnoli C., Bahouth H., Baili E., Bains L., Baiocchi G.L., Bala M., Balagué C., Balalis D., Baldini E., Baraket O., Baral S., Barone M., Barranquero A.G., Barreras J.A., Bass G.A., Bayhan Z., Bellanova G., Ben-Ishay O., Bert F., Bianchi V., Biancuzzi H., Bidoli C., Radulescu R.B., Bignell M.B., Biloslavo A., Bini R., Bissacco D., Boati P., Boddaert G., Bogdanic B., Bombardini C., Bonavina L., Bonomo L., Bottari A., Bouliaris K., Brachini G., Brillantino A., Brisinda G., Bulanauca M.M., Buonomo L.A., Burcharth J., Buscemi S., Calabretto F., Calini G. Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey. World Journal of Emergency Surgery Vol.18 (2023). doi:10.1186/s13017-022-00467-3 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/82618
Title
Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey
Author(s)
Cobianchi L.
Piccolo D.
Dal Mas F.
Agnoletti V.
Ansaloni L.
Balch J.
Biffl W.
Butturini G.
Catena F.
Coccolini F.
Denicolai S.
De Simone B.
Frigerio I.
Fugazzola P.
Marseglia G.
Marseglia G.R.
Martellucci J.
Modenese M.
Previtali P.
Ruta F.
Venturi A.
Kaafarani H.M.
Loftus T.J.
Abbott K.L.
Abdelmalik A.
Abebe N.S.
Abu-Zidan F.
Adam Y.A.Y.
Adamou H.
Adamovich D.M.
Agresta F.
Agrusa A.
Akin E.
Alessiani M.
Alexandrino H.
Ali S.M.
Mihai V.A.
Almeida P.M.
Al-Shehari M.M.
Altomare M.
Amico F.
Ammendola M.
Andreuccetti J.
Anestiadou E.
Angelos P.
Annicchiarico A.
Antonelli A.
Aparicio-Sanchez D.
Ardito A.
Argenio G.
Arvieux C.C.
Askevold I.H.
Atanasov B.T.
Augustin G.
Awad S.S.
Bacchiocchi G.
Bagnoli C.
Bahouth H.
Baili E.
Bains L.
Baiocchi G.L.
Bala M.
Balagué C.
Balalis D.
Baldini E.
Baraket O.
Baral S.
Barone M.
Barranquero A.G.
Barreras J.A.
Bass G.A.
Bayhan Z.
Bellanova G.
Ben-Ishay O.
Bert F.
Bianchi V.
Biancuzzi H.
Bidoli C.
Radulescu R.B.
Bignell M.B.
Biloslavo A.
Bini R.
Bissacco D.
Boati P.
Boddaert G.
Bogdanic B.
Bombardini C.
Bonavina L.
Bonomo L.
Bottari A.
Bouliaris K.
Brachini G.
Brillantino A.
Brisinda G.
Bulanauca M.M.
Buonomo L.A.
Burcharth J.
Buscemi S.
Calabretto F.
Calini G.
Piccolo D.
Dal Mas F.
Agnoletti V.
Ansaloni L.
Balch J.
Biffl W.
Butturini G.
Catena F.
Coccolini F.
Denicolai S.
De Simone B.
Frigerio I.
Fugazzola P.
Marseglia G.
Marseglia G.R.
Martellucci J.
Modenese M.
Previtali P.
Ruta F.
Venturi A.
Kaafarani H.M.
Loftus T.J.
Abbott K.L.
Abdelmalik A.
Abebe N.S.
Abu-Zidan F.
Adam Y.A.Y.
Adamou H.
Adamovich D.M.
Agresta F.
Agrusa A.
Akin E.
Alessiani M.
Alexandrino H.
Ali S.M.
Mihai V.A.
Almeida P.M.
Al-Shehari M.M.
Altomare M.
Amico F.
Ammendola M.
Andreuccetti J.
Anestiadou E.
Angelos P.
Annicchiarico A.
Antonelli A.
Aparicio-Sanchez D.
Ardito A.
Argenio G.
Arvieux C.C.
Askevold I.H.
Atanasov B.T.
Augustin G.
Awad S.S.
Bacchiocchi G.
Bagnoli C.
Bahouth H.
Baili E.
Bains L.
Baiocchi G.L.
Bala M.
Balagué C.
Balalis D.
Baldini E.
Baraket O.
Baral S.
Barone M.
Barranquero A.G.
Barreras J.A.
Bass G.A.
Bayhan Z.
Bellanova G.
Ben-Ishay O.
Bert F.
Bianchi V.
Biancuzzi H.
Bidoli C.
Radulescu R.B.
Bignell M.B.
Biloslavo A.
Bini R.
Bissacco D.
Boati P.
Boddaert G.
Bogdanic B.
Bombardini C.
Bonavina L.
Bonomo L.
Bottari A.
Bouliaris K.
Brachini G.
Brillantino A.
Brisinda G.
Bulanauca M.M.
Buonomo L.A.
Burcharth J.
Buscemi S.
Calabretto F.
Calini G.
Author's Affiliation
Centro Hospitalar Universitário do Algarve
Dipartimento di Management
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Azienda Ospedaliero-Universitaria di Ferrara
School of Medicine and Public Health
Oxford University Hospitals NHS Foundation Trust
University of Florida Health
ASST Fatebenefratelli Sacco
Gomel State Medical University
Université Grenoble Alpes
Azienda Ospedaliero Universitaria Pisana
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Sana'a University
Hamad Medical Corporation
Addis Ababa University
College of Medicine and Health Sciences United Arab Emirates University
Università degli studi Magna Graecia di Catanzaro
Université de Tunis El Manar
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli
Hospital Universitario Virgen del Rocío
Universidade de Coimbra, Faculdade de Medicina
Department of Surgery, The University of Chicago
Sapienza Università di Roma
KBC Zagreb
Medical University of Plovdiv
Københavns Universitet
Università degli Studi di Milano
Massachusetts General Hospital
Saint Savvas Hospital
Università degli Studi di Roma "Tor Vergata"
Fondazione IRCCS Policlinico San Matteo
Universitatea de Medicina si Farmacie Grigore T. Popa din Iasi
Università degli Studi di Udine
Rambam Health Care Campus Israel
Azienda Ospedaliera Careggi
Hospital Universitario Ramón y Cajal
Sakarya Üniversitesi
Faculty of Medicine
Università degli Studi di Palermo, Scuola di Medicina e Chirurgia
Ospedale M. Bufalini
Asst Grande Ospedale Metropolitano Niguarda
Aristotle University of Thessaloniki
Università degli Studi di Brescia
Università degli Studi di Pavia
Hôpital d'Instruction des Armées Percy
Secretaria de Salud
Università Ca' Foscari Venezia
Larissa General Hospital
Università degli Studi di Torino
Spedali Civili Di Brescia
Scripps Memorial Hospital
Maulana Azad Medical College
Universitätsklinikum Gießen und Marburg, Standort Gießen
University of Florida College of Medicine
Faculty of Medicine
Ospedale Maggiore Policlinico Milano
Ospedale di Cattinara
University of Pennsylvania
Guy's and St Thomas' NHS Foundation Trust
Università di Parma
Harvard Medical School
Universidad de Buenos Aires
National Cancer Center
Banca degli occhi
UOC Chirurgia Generale PO D.Camberlingo Francavilla Fontana
University Hospital in Waterford
UOC Chirurgia Generale ed Oncologica
Unità Operativa Complessa di Chirurgia—Ospedale Santa Maria delle Stelle
Humco Srl
AULSS2 Trevigiana del Veneto
Faculté des sciences de la santé – Zinder –
ASST Santi Paolo e Carlo
ASL BAT (Health Agency)
Dirghayu Pokhara Hospital
Cancer Institute of Misrata
Pederzoli Hospital
“SS. Annunziata” University Hospital
Hospital Universitari Mútua Terrassa
University Hospitals Dorset
ASUFC Santa Maria Della Misericordia
Poissy and Saint Germain en Laye Hospitals
Labasa Hospital
Dipartimento di Management
Azienda Ospedaliera Universitaria Policlinico Paolo Giaccone
Azienda Ospedaliero-Universitaria di Ferrara
School of Medicine and Public Health
Oxford University Hospitals NHS Foundation Trust
University of Florida Health
ASST Fatebenefratelli Sacco
Gomel State Medical University
Université Grenoble Alpes
Azienda Ospedaliero Universitaria Pisana
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Sana'a University
Hamad Medical Corporation
Addis Ababa University
College of Medicine and Health Sciences United Arab Emirates University
Università degli studi Magna Graecia di Catanzaro
Université de Tunis El Manar
Azienda Ospedaliera Di Rilievo Nazionale Antonio Cardarelli
Hospital Universitario Virgen del Rocío
Universidade de Coimbra, Faculdade de Medicina
Department of Surgery, The University of Chicago
Sapienza Università di Roma
KBC Zagreb
Medical University of Plovdiv
Københavns Universitet
Università degli Studi di Milano
Massachusetts General Hospital
Saint Savvas Hospital
Università degli Studi di Roma "Tor Vergata"
Fondazione IRCCS Policlinico San Matteo
Universitatea de Medicina si Farmacie Grigore T. Popa din Iasi
Università degli Studi di Udine
Rambam Health Care Campus Israel
Azienda Ospedaliera Careggi
Hospital Universitario Ramón y Cajal
Sakarya Üniversitesi
Faculty of Medicine
Università degli Studi di Palermo, Scuola di Medicina e Chirurgia
Ospedale M. Bufalini
Asst Grande Ospedale Metropolitano Niguarda
Aristotle University of Thessaloniki
Università degli Studi di Brescia
Università degli Studi di Pavia
Hôpital d'Instruction des Armées Percy
Secretaria de Salud
Università Ca' Foscari Venezia
Larissa General Hospital
Università degli Studi di Torino
Spedali Civili Di Brescia
Scripps Memorial Hospital
Maulana Azad Medical College
Universitätsklinikum Gießen und Marburg, Standort Gießen
University of Florida College of Medicine
Faculty of Medicine
Ospedale Maggiore Policlinico Milano
Ospedale di Cattinara
University of Pennsylvania
Guy's and St Thomas' NHS Foundation Trust
Università di Parma
Harvard Medical School
Universidad de Buenos Aires
National Cancer Center
Banca degli occhi
UOC Chirurgia Generale PO D.Camberlingo Francavilla Fontana
University Hospital in Waterford
UOC Chirurgia Generale ed Oncologica
Unità Operativa Complessa di Chirurgia—Ospedale Santa Maria delle Stelle
Humco Srl
AULSS2 Trevigiana del Veneto
Faculté des sciences de la santé – Zinder –
ASST Santi Paolo e Carlo
ASL BAT (Health Agency)
Dirghayu Pokhara Hospital
Cancer Institute of Misrata
Pederzoli Hospital
“SS. Annunziata” University Hospital
Hospital Universitari Mútua Terrassa
University Hospitals Dorset
ASUFC Santa Maria Della Misericordia
Poissy and Saint Germain en Laye Hospitals
Labasa Hospital
Other Contributor(s)
Abstract
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.