An international consensus panel on the potential value of Digital Surgery
Objectives The use of digital technology in surgery is increasing rapidly, with a wide array of new applications from presurgical planning to postsurgical performance assessment. Understanding the clinical and economic value of these technologies is vital for making appropriate health policy and pur...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/14/9/e082875.full |
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| author | Anita Patel Giuseppe Turchetti Guy Maddern Ataru Igarashi Prasanna Sooriakumaran Gretchen Purcell Jackson Anastasia Chalkidou Jamie Erskine Jean-Christophe Bernhard Payam Abrishami Richard Charter Richard Culbertson Jo Carol Hiatt Matthew Lien Joseph Soon Yau Ng Koon Ho Rha Scott Tackett |
| author_facet | Anita Patel Giuseppe Turchetti Guy Maddern Ataru Igarashi Prasanna Sooriakumaran Gretchen Purcell Jackson Anastasia Chalkidou Jamie Erskine Jean-Christophe Bernhard Payam Abrishami Richard Charter Richard Culbertson Jo Carol Hiatt Matthew Lien Joseph Soon Yau Ng Koon Ho Rha Scott Tackett |
| author_sort | Anita Patel |
| collection | DOAJ |
| description | Objectives The use of digital technology in surgery is increasing rapidly, with a wide array of new applications from presurgical planning to postsurgical performance assessment. Understanding the clinical and economic value of these technologies is vital for making appropriate health policy and purchasing decisions. We explore the potential value of digital technologies in surgery and produce expert consensus on how to assess this value.Design A modified Delphi and consensus conference approach was adopted. Delphi rounds were used to generate priority topics and consensus statements for discussion.Setting and participants An international panel of 14 experts was assembled, representing relevant stakeholder groups: clinicians, health economists, health technology assessment experts, policy-makers and industry.Primary and secondary outcome measures A scoping questionnaire was used to generate research questions to be answered. A second questionnaire was used to rate the importance of these research questions. A final questionnaire was used to generate statements for discussion during three consensus conferences. After discussion, the panel voted on their level of agreement from 1 to 9; where 1=strongly disagree and 9=strongly agree. Consensus was defined as a mean level of agreement of >7.Results Four priority topics were identified: (1) how data are used in digital surgery, (2) the existing evidence base for digital surgical technologies, (3) how digital technologies may assist surgical training and education and (4) methods for the assessment of these technologies. Seven consensus statements were generated and refined, with the final level of consensus ranging from 7.1 to 8.6.Conclusion Potential benefits of digital technologies in surgery include reducing unwarranted variation in surgical practice, increasing access to surgery and reducing health inequalities. Assessments to consider the value of the entire surgical ecosystem holistically are critical, especially as many digital technologies are likely to interact simultaneously in the operating theatre. |
| format | Article |
| id | doaj-art-dcec0d20cab24068a0f261329f1a7214 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-dcec0d20cab24068a0f261329f1a72142025-01-22T05:00:10ZengBMJ Publishing GroupBMJ Open2044-60552024-09-0114910.1136/bmjopen-2023-082875An international consensus panel on the potential value of Digital SurgeryAnita Patel0Giuseppe Turchetti1Guy Maddern2Ataru Igarashi3Prasanna Sooriakumaran4Gretchen Purcell Jackson5Anastasia Chalkidou6Jamie Erskine7Jean-Christophe Bernhard8Payam Abrishami9Richard Charter10Richard Culbertson11Jo Carol Hiatt12Matthew Lien13Joseph Soon Yau Ng14Koon Ho Rha15Scott Tackett16Wolfson Institute of Population Health, Queen Mary University of London, London, UK11 Institute of Management, Scuola Superiore Sant`Anna, Pisa, Tuscany, ItalySurgery, The Queen Elizabeth Hospital, University of Adelaide, Woodville, Adelaide, AustraliaThe University of Tokyo, Tokyo, JapanUniversity College London, London, UKIntuitive Surgical Inc, Sunnyvale, California, USANICE, London, UKMarket Access, Alira Health, Boston, Massachusetts, USAUniversity Hospital Centre Bordeaux, Bordeaux, FranceErasmus School of Health Policy and Management, National Health Care Institute, Rotterdam, The NetherlandsHealth Technology Assessment International, Edmonton, Alberta, CanadaLouisiana State University Health Sciences Center, New Orleans, Louisiana, USAHealth Technology Assessment International, Edmonton, Alberta, CanadaIntuitive Surgical Inc, Sunnyvale, California, USANational University Cancer Institute, SingaporeYonsei University Medical Center, Seodaemun-gu, Seoul, Republic of KoreaIntuitive Surgical Inc, Sunnyvale, California, USAObjectives The use of digital technology in surgery is increasing rapidly, with a wide array of new applications from presurgical planning to postsurgical performance assessment. Understanding the clinical and economic value of these technologies is vital for making appropriate health policy and purchasing decisions. We explore the potential value of digital technologies in surgery and produce expert consensus on how to assess this value.Design A modified Delphi and consensus conference approach was adopted. Delphi rounds were used to generate priority topics and consensus statements for discussion.Setting and participants An international panel of 14 experts was assembled, representing relevant stakeholder groups: clinicians, health economists, health technology assessment experts, policy-makers and industry.Primary and secondary outcome measures A scoping questionnaire was used to generate research questions to be answered. A second questionnaire was used to rate the importance of these research questions. A final questionnaire was used to generate statements for discussion during three consensus conferences. After discussion, the panel voted on their level of agreement from 1 to 9; where 1=strongly disagree and 9=strongly agree. Consensus was defined as a mean level of agreement of >7.Results Four priority topics were identified: (1) how data are used in digital surgery, (2) the existing evidence base for digital surgical technologies, (3) how digital technologies may assist surgical training and education and (4) methods for the assessment of these technologies. Seven consensus statements were generated and refined, with the final level of consensus ranging from 7.1 to 8.6.Conclusion Potential benefits of digital technologies in surgery include reducing unwarranted variation in surgical practice, increasing access to surgery and reducing health inequalities. Assessments to consider the value of the entire surgical ecosystem holistically are critical, especially as many digital technologies are likely to interact simultaneously in the operating theatre.https://bmjopen.bmj.com/content/14/9/e082875.full |
| spellingShingle | Anita Patel Giuseppe Turchetti Guy Maddern Ataru Igarashi Prasanna Sooriakumaran Gretchen Purcell Jackson Anastasia Chalkidou Jamie Erskine Jean-Christophe Bernhard Payam Abrishami Richard Charter Richard Culbertson Jo Carol Hiatt Matthew Lien Joseph Soon Yau Ng Koon Ho Rha Scott Tackett An international consensus panel on the potential value of Digital Surgery BMJ Open |
| title | An international consensus panel on the potential value of Digital Surgery |
| title_full | An international consensus panel on the potential value of Digital Surgery |
| title_fullStr | An international consensus panel on the potential value of Digital Surgery |
| title_full_unstemmed | An international consensus panel on the potential value of Digital Surgery |
| title_short | An international consensus panel on the potential value of Digital Surgery |
| title_sort | international consensus panel on the potential value of digital surgery |
| url | https://bmjopen.bmj.com/content/14/9/e082875.full |
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