泌尿外科手术中的风险预测工具的使用和有用性:当前状态和前进道路
Elizabeth M Nazzal1, Allison M Deal2, Benjamin Borgert1
1Department of Urology, School of Medicine, University of North Carolina, Chapel Hill, North Carolina.
Urology practice
|March 11, 2025
概括
风险预测工具 (RPT) 在泌尿科医生中显示出有限的使用和帮助,他们经常依赖直觉. 解决这些障碍是人工智能 (AI) 改善手术决策和患者结果的关键.
科学领域:
- 外科手术决策的制定能力
- 医疗信息学 医疗信息学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 人工智能 (AI) 有望提高外科手术决策.
- 以前的风险预测工具 (RPT) 影响有限,需要对其作用和用户态度进行评估.
- 了解泌尿科医生的观点对于开发有效的人工智能手术工具至关重要.
研究的目的:
- 评估泌尿科医生当前对风险预测工具 (RPT) 的使用,有用性和信任.
- 探索泌尿科医生对RPT的态度,以及将其纳入外科决策.
- 识别限制RPT更广泛采用的障碍,并为未来的AI开发提供信息.
主要方法:
- 一项采用顺序解释设计的国家混合方法研究.
- 通过2019年AUA人口普查对2081名泌尿外科医生 (12,366名加权样本) 进行了关于RPT使用,帮助和信任的调查.
- 与25名参与者进行了定性访谈,随后进行了基于编码的专题分析,并与调查数据集成.
主要成果:
- 只有30.4%的泌尿科医生经常使用RPT,而34.3%的人认为它们有帮助.
- 实践时间较长的泌尿科医生显示RPT使用,帮助和信任较少 (P < .001).
- 定性调查结果显示,依赖于直觉和基于实质的近似,而不是数字RPT数据;方法和操作方面的挑战阻碍了RPT的采用.
结论:
- 由于手术决策和实施挑战的直观性质,风险预测工具 (RPT) 的影响有限.
- 解决认知和实际障碍对于人工智能实现其在改善外科护理方面的潜力至关重要.
- 未来的人工智能工具必须克服这些局限性,以提高手术决策和患者的结果.
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