Surgeons’ perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey

著者: Lorenzo Cobianchi, Daniele Piccolo, Francesca Dal Mas, Vanni Agnoletti, Luca Ansaloni, Jeremy A. Balch, Walter Biffl, Giovanni Butturini, Fausto Catena, Federico Coccolini, Stefano Denicolai, Belinda De Simone, Isabella Frigerio, Paola Fugazzola, Gian Luigi Marseglia, Giuseppe Roberto Marseglia, Jacopo Martellucci, Mirko Modenese, Pietro Previtali, Federico Ruta, Alessandro Venturi, Haytham M.A. Kaafarani, Tyler J. Loftus, Team Dynamics Study Group, Kenneth L. Abbott, Abubaker Abdelmalik, Nebyou Seyoum Abebe, Fikri M. Abu‐Zidan, Yousif Abdallah Yousif Adam, Harissou Adamou, Dmitry Mikhailovich Adamovich, Ferdinando Agresta, Antonino Agrusa, Emrah Akın, M Alessiani, Henrique Alexandrino, Syed Muhammad Ali, Vasilescu Alin Mihai, Pedro Miguel Almeida, Mohammed Mohammed Al-Shehari, Michele Altomare, Francesco Amico, Michele Ammendola, Jacopo Andreuccetti, Εlissavet Anestiadou, Peter Angelos, Alfredo Annicchiarico, Amedeo Antonelli, Daniel Aparicio-Sanchez, Antonella Ardito, Giulio Argenio, Catherine Claude Arvieux, Ingolf Askevold, Boyko Atanasov, Goran Augustin, Selmy Awad, Giulia Bacchiocchi, Carlo Bagnoli, Hany Bahouth, Efstratia Baili, Lovenish Bains, Gian Luca Baiocchi, Miklosh Bala, Carmen Balagué, Dimitrios Balalis, Edoardo Baldini, oussama Baraket, Suman Baral, Mirko Barone, Alberto Gonzãlez Barranquero, Jorge Arturo Barreras, Gary Alan Bass, Zülfü Bayhan, Giovanni Bellanova, Offir Ben‐Ishay, Fabrizio Bert, Valentina Bianchi, Helena Biancuzzi, Chiara Bidoli, Raluca Bievel Radulescu, Mark Brian Bignell, Alan Biloslavo, Daniele Bissacco, Roberto Bini, Paolo Boati, Guillaume Boddaert, Branko Bogdanić, Cristina Bombardini, Luigi Bonavina, L Bonomo, Andrea Bottari, Konstantinos Bouliaris, Gioia Brachini, Antonio Brillantino, Giuseppe Brisinda, Maloni Mamada Bulanauca, Luis Antonio Buonomo, Jakob Burcharth, Salvatore Buscemi, Francesca Calabretto, Giacomo Calini, Valentin Calu, Fabio Cesare Campanile, Riccardo Campo Dall′Orto, Andrea Campos‐Serra, Stefano Campostrini, Recayi Çapoğlu, João Miguel Carvas, Marco Cascella, Gianmaria Casoni Pattacini, Valerio Celentano, Danilo Corrado Centonze, Marco Ceresoli, Dimitrios Chatzipetris, A Chessa, Maria Michela Chiarello, Mircea Chirica, Serge Chooklin, Christos Chouliaras, Sharfuddin Chowdhury, Pasquale Cianci, Nicola Cillara, Stefania Cimbanassi, Stefano Piero Bernardo Cioffi, Elif Çolak, Enrique Colás‐Ruiz, Luigi Conti, Alessandro Coppola, Tiago Correia de, Silvia Dantas Costa, Valerio Cozza, Giuseppe Currò, Kirsten Felicia Ann-Sophie Aimee Dabekaussen, Fabrizio D’Acapito, Dimitrios Damaskos, Giancarlo D’Ambrosio, Koray Daş, Richard Justin Davies, Andrew Charles de Beaux, Sara Patricia De Lebrusant Fernandez, Alessandro De Luca, Francesca De Stefano, Luca Degrate, Zaza Demetrashvili, Andreas K. Demetriades, Dzemail Smail Detanac, Agnese Dezi, Giuseppe Di Buono, Isidoro Di Carlo, Pierpaolo Di Lascio, Marcello Di Martino, Salomone Di Saverio, Bogdan Diaconescu, José J. Diaz, Rigers Dibra, Evgeni Dimitrov, Vincenza Paola Dinuzzi, Sandra Dios‐Barbeito, Jehangir Farman Ali Diyani, Agron Dogjani, Maurizio Domanin, Mario D’Oria, Virginia Duran Munoz-Cruzado, Barbora East, M. Ekelund, Gerald Ekwen, Adel Elbaih, Muhammed Elhadi, Natalie Enninghorst, Mairam Ernisova, Juan Pablo Escalera-Antezana, Sofia Esposito, Giuseppe Esposito, Mercedes Estaire, Camilla Nikita Farè, Roser Farré, Francesco Favi, Luca Ferrario, Antonjacopo Ferrario di Tor Vajana, Claudia Filisetti, Francesco Fleres, Vinicius Cordeiro Fonseca, Alexander Forero-Torres, Francesco Forfori, Laura Fortuna, Εvangelos C. Fradelos, Gustavo P. Fraga, Pietro Fransvea, Simone Frassini, Giuseppe Frazzetta, Erica Pizzocaro, Maximos Frountzas, Mahir Gachabayov, Rita Galeiras, Alain A. Garcia Vazquez, Simone Gargarella, Ibrahım Umar Garzali, Wagih Ghannam, Faiz Najmuddin Ghazi, Lawrence M. Gillman, Rossella Gioco, Alessio Giordano, Luca Giordano, Carlo Giove, Giorgio Giraudo, Mario Giuffrida, M Capponi, Emanuel Gois, Carlos Augusto Gomes, Felipe Couto GOMES, Ricardo Alessandro Teixeira Gonsaga, Emre Gönüllü, Jacques Goosen, Tatjana Goranović, Raquel Gràcia-Roman, Giorgio Maria Paolo Graziano, Ewen A. Griffiths, Tommaso Guagni, Dimitar Bozhidarov Hadzhiev, Muad Gamil Haidar, Hytham K. S. Hamid, Timothy Craig Hardcastle, Firdaus Hayati, Andrew J. Healey, Andreas Hecker, Matthias Hecker, Edgar Fernando Hernandez García, Adrien M. Hodonou, Eduardo Cancio Huaman, Martin Huerta, Aini Fahriza Ibrahim, Basil Mohamed Salabeldin Ibrahim, Giuseppe Ietto, Marco Inama, Orestis Ioannidis, Arda Işık, Nizar Ismail, Azzain Mahadi Hamid Ismail, Ruhi Fadzlyana Jailani, Ji Young Jang, C Kalfountzos, Sujala Niatarika Rajsain Kalipershad, Emmanouil Kaouras, Lewis J. Kaplan, Yasi̇n Kara, Evika Karamagioli, Aleksandar Karamarkovia, Ioannis Katsaros, Alfie J. Kavalakat, Aristotelis Kechagias, Jakub Kenig, Boris Juli Kessel, Jim Khan, Vladimir Khokha, Jae Il Kim, Andrew W. Kirkpatrick, Roberto Klappenbach, Yoram Kluger, Yoshiro Kobe, Efstratios Kofopoulos Lymperis, Kenneth Yuh Yen Kok, Victor Kong, Dimitris P. Korkolis, Georgios Koukoulis, Bojan Kovačević, Vitor Favali Kruger, І. А. Кryvoruchko, Hayato Kurihara, Akira Kuriyama, Aitor Landaluce-Olavarria, Pierfrancesco Lapolla, Ari Leppäniemi, Leo Licari, Giorgio Lisi, Andrey Litvin, Aintzane Lizarazu, Heura Llaquet Bayo, Varut Lohsiriwat, Claudia Cristina Lopes Moreira, Eftychios Lostoridis, Agustãn. Tovar Luna, Davide Luppi, Gustavo M. Machaín, Marc Maegele, D Maggiore, Stefano Magnone, Ronald V. Maier, Piotr Major, Mallikarjuna Manangi, andrea manetti, Barış Mantoğlu, Chiara Marafante, Federico Mariani, Athanasios Marinis, Evandro Antonio Sbalcheiro Mariot, Gennaro Martines, Aleix Martinez Perez, Costanza Martino, Pietro Mascagni, Damien Massalou, Maurizio Massaro, Belén Matías‐García, Gennaro Mazzarella, Giorgio Mazzarolo, Renato Bessa Melo, Fernando Mendoza‐Moreno, Serhat Meric, Jeremy Meyer, Luca Miceli, Nikolaos V. Michalopoulos, Flavio Milana, Andrea Mingoli, Tushar Subhadarshan Mishra, Muyed Mohamed, Musab Isam Eldin Abbas Mohamed, Ali Yasen Mohamedahmed, Mohammed Jibreel Suliman Mohammed, Rajashekar Mohan, Ernest E. Moore, Dieter Morales-García, Måns Muhrbeck, Francesk Mulita, Sami Mohamed Siddig Mustafa, Edoardo Maria Muttillo, Mukhammad David Naimzada, Pradeep H. Navsaria, Ionut Negoi, Luca Nespoli, Christine Nguyen, Melkamu Kibret Nidaw, Giuseppe Nigri, Ioannis Nikolopoulos, Donal Brendan O’Connor, Habeeb Ogundipe, Cristina Oliveri, Stefano Olmi, Ernest Cun Wang Ong, Luca Orecchia, Aleksei V. Osipov, Muhammad Faeid Othman, Marco Pace, Mario Pacilli, Léonardo Pagani, Giuseppe Palomba, D Pantalone, Arpád Panyko, Ciro Paolillo, Mario Virgilio Papa, Dimitrios Papaconstantinou, Maria Papadoliopoulou, Aristeidis Papadopoulos, Davide Papis, Νικόλαος Παραράς, José Gustavo Parreira, Neil Parry, Francesco Pata, Tapan Patel, Simon Paterson‐Brown, Giovanna Pavone, Francesca Pecchini, Veronica Pegoraro, Gianluca Pellino, María Pelloni, Andrea Peloso, Eduardo Perea del Pozo, Rita Gonçalves Pereira, Bruno Monteiro Pereira, Aintzane Lizarazu, Silvia Pérez, Teresa Perra, Gennaro Perrone, Antonio Pesce, Lorenzo Petagna, Giovanni Petracca, Vorapong Phupong, Biagio Picardi, Arcangelo Picciariello, Micaela Piccoli, Edoardo Picetti, Emmanouil Pikoulis Pikoulis, Tadeja Pintar, Giovanni Pirozzolo, Francesco Piscioneri, Mauro Podda, Alberto Porcu, Francesca Privitera, Clelia Punzo, Silvia Quaresima, Martha Quiodettis, Niels Qvist, Razrim Rahim, Filipe Ramalho de Almeida, Rosnelifaizur Bin Ramely, Kemal Raşa, Martin Reichert, Alexander Reinisch, Angela Renne, Camilla Riccetti, María Rita Rodríguez‐Luna, Daniel Roizblatt, Andrea Romanzi, Luigi Romeo, Francesco Roscio, Ramely Bin Rosnelifaizur, Stefano Rossi, Andrés M. Rubiano, Elena Ruiz‐Úcar, Boris Sakakushev, Juan Carlos Salamea, Ibrahima Sall, Lasitha Samarakoon, Fabrizio Sammartano, Alejandro Sánchez Arteaga, Sergi Sánchez-Cordero, Domenico Pietro Maria Santoanastaso, Massimo Sartelli, Diego Sasia, Norio Sato, А. М. Савчук, Robert Grant Sawyer, Giacomo Scaioli, Dimitriοs Schizas, Simone Sebastiani, Barbara Seeliger, Helmut Alfredo Segovia Lohse, Charalampos Seretis, Giacomo Sermonesi, Mario Serradilla‐Martín, Vishal G. Shelat, S. A. Shlyapnikov, Theodoros Sidiropoulos, Romeo Lages Simões, Leandro Siragusa, Boonying Siribumrungwong, Mihail Slavchev, Leonardo Solaini, Gabriele Soldini, Andrey Sopuev, Kjetil Søreide, Apostolos Sovatzidis, Philip F. Stahel, Matt Strickland, Mohamed Arif Hameed Sultan, Ruslan Sydorchuk, Larysa Sydorchuk, Syed Muhammad Ali Muhammad Syed, Luis Tallón‐Aguilar, A. Tamburini, Nicolò Tamini, Edward Tan, Jih Huei Tan, Antonio Tarasconi, Nicola Tartaglia, Giuseppe Tartaglia, Dario Tartaglia, John V. Taylor, Giovanni Domenico Tebala, Ricardo Alessandro Teixeira Gonsaga, Michel Teuben, Alexis Theodorou, Matti Tolonen, G. Tomasicchio, Adriana Toro, Beatrice Torre, Tania Triantafyllou, Giuseppe Trigiante Trigiante, Marzia Tripepi, Julio Trostchansky, Konstantinos Tsekouras, Víctor Turrado-Rodriguez, Roberta Tutino, Matteo Uccelli, Petar Angelov Uchikov, Bakarne Ugarte-Sierra, Mika Ukkonen, Michail Vailas, Pantelis Vassiliu, Alain Garcia Vazquez, Rita Galeiras Vazquez, George C. Velmahos, Juan Ezequiel Verde, Juan M. Verde, Massimiliano Veroux, Jacopo Viganò, Ramón Vilallonga, Diego Visconti, Alessandro Vittori, Maciej Wałędziak, Tongporn Wannatoop, Lukas Werner Widmer, Michael Wilson, Sarah Woltz, Ting Hway Wong, Sofia Xenaki, Byungchul Yu, Steven Yule, Sanoop Koshy Zachariah, Georgios Zacharis, Claudia Zaghi, Andee Dzulkarnaen Zakaria, Diego Zambrano, Nikolaos Zampitis, Biagio Zampogna, Simone Zanghì, Maristella Zantedeschi, Konstantinos Zapsalis, Fabio Zattoni, Monica Zese - World Journal of Emergency Surgery 2023 被引用: 74

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.