An international consensus panel on the potential value of Digital Surgery

Jamie Erskine; Payam Abrishami; Jean Christophe Bernhard; Richard Charter; Richard Culbertson; Jo Carol Hiatt; Ataru Igarashi; Gretchen Purcell Jackson; Matthew Lien; Guy Maddern; Joseph Soon Yau Ng; Anita Patel; Koon Ho Rha; Prasanna Sooriakumaran; Scott Tackett; Giuseppe Turchetti; Anastasia Chalkidou

doi:10.1136/bmjopen-2023-082875

An international consensus panel on the potential value of Digital Surgery

Jamie Erskine^*
, Payam Abrishami
, Jean Christophe Bernhard
, Richard Charter
, Richard Culbertson
, Jo Carol Hiatt
, Ataru Igarashi
, Gretchen Purcell Jackson
, Matthew Lien
, Guy Maddern
, Joseph Soon Yau Ng
, Anita Patel
, Koon Ho Rha
, Prasanna Sooriakumaran
, Scott Tackett
, Giuseppe Turchetti
, Anastasia Chalkidou

^*Corresponding author for this work

Health Care Governance (HCG)

Alira Health
University Hospital of Bordeaux
Health Technology Assessment International
CHLOE Healthcare Advisory Group
Louisiana State University Health Sciences Center
The University of Tokyo
Intuitive Surgical
American Medical Informatics Association
University of Adelaide
National University Cancer Institute
Anita Patel Health Economics Consulting Ltd
Queen Mary University of London
Yonsei University
University College London
Sant'Anna School of Advanced Studies
National Institute for Health and Care Excellence

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

11 Downloads (Pure)

Abstract

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.

Original language	English
Article number	e082875
Journal	BMJ open
Volume	14
Issue number	9
Early online date	5 Sept 2024
DOIs	https://doi.org/10.1136/bmjopen-2023-082875
Publication status	Published - 2024

Bibliographical note

Publisher Copyright:
© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

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Cite this

Erskine, J., Abrishami, P., Bernhard, J. C., Charter, R., Culbertson, R., Hiatt, J. C., Igarashi, A., Purcell Jackson, G., Lien, M., Maddern, G., Soon Yau Ng, J., Patel, A., Rha, K. H., Sooriakumaran, P., Tackett, S., Turchetti, G., & Chalkidou, A. (2024). An international consensus panel on the potential value of Digital Surgery. BMJ open, 14(9), Article e082875. https://doi.org/10.1136/bmjopen-2023-082875

@article{8dfefaac539c4bf78609375afc0ca970,

title = "An international consensus panel on the potential value of Digital Surgery",

abstract = "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.",

author = "Jamie Erskine and Payam Abrishami and Bernhard, \{Jean Christophe\} and Richard Charter and Richard Culbertson and Hiatt, \{Jo Carol\} and Ataru Igarashi and \{Purcell Jackson\}, Gretchen and Matthew Lien and Guy Maddern and \{Soon Yau Ng\}, Joseph and Anita Patel and Rha, \{Koon Ho\} and Prasanna Sooriakumaran and Scott Tackett and Giuseppe Turchetti and Anastasia Chalkidou",

note = "Publisher Copyright: {\textcopyright} Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",

year = "2024",

doi = "10.1136/bmjopen-2023-082875",

language = "English",

volume = "14",

journal = "BMJ open",

issn = "2044-6055",

publisher = "BMJ Publishing Group",

number = "9",

}

Erskine, J, Abrishami, P, Bernhard, JC, Charter, R, Culbertson, R, Hiatt, JC, Igarashi, A, Purcell Jackson, G, Lien, M, Maddern, G, Soon Yau Ng, J, Patel, A, Rha, KH, Sooriakumaran, P, Tackett, S, Turchetti, G & Chalkidou, A 2024, 'An international consensus panel on the potential value of Digital Surgery', BMJ open, vol. 14, no. 9, e082875. https://doi.org/10.1136/bmjopen-2023-082875

TY - JOUR

T1 - An international consensus panel on the potential value of Digital Surgery

AU - Erskine, Jamie

AU - Abrishami, Payam

AU - Bernhard, Jean Christophe

AU - Charter, Richard

AU - Culbertson, Richard

AU - Hiatt, Jo Carol

AU - Igarashi, Ataru

AU - Purcell Jackson, Gretchen

AU - Lien, Matthew

AU - Maddern, Guy

AU - Soon Yau Ng, Joseph

AU - Patel, Anita

AU - Rha, Koon Ho

AU - Sooriakumaran, Prasanna

AU - Tackett, Scott

AU - Turchetti, Giuseppe

AU - Chalkidou, Anastasia

PY - 2024

Y1 - 2024

N2 - 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.

AB - 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.

UR - https://www.scopus.com/pages/publications/85203613637

U2 - 10.1136/bmjopen-2023-082875

DO - 10.1136/bmjopen-2023-082875

M3 - Article

C2 - 39242163

AN - SCOPUS:85203613637

SN - 2044-6055

VL - 14

JO - BMJ open

JF - BMJ open

IS - 9

M1 - e082875

ER -

An international consensus panel on the potential value of Digital Surgery

Abstract

Bibliographical note

UN SDGs

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