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Should We Rely on AI to Help Avoid Bias in Patient Selection for Major Surgery

Bibliographic Data

ID15745647
AuthorsCharles E Binkley (0000-0001-9290-9876, Hackensack Meridian Health, corresponding author), David S Kemp (Legal Aid New South Wales), Brandi Braud Scully (Boston Children's Hospital)
Year2022
Volume24
Issue8
PagesE773-780
Publication date2022-08-01
Open AccessYes
TypeARTICLE
VenueThe AMA Journal of Ethic (JOURNAL)
Journal identifiersISSN: 2376-6980 • E-ISSN: 2376-6980
PublisherAmerican Medical Association (PUBLISHER • US)
DOI10.1001/amajethics.2022.773
PMID35976935
OpenAlexW4297855489
LanguageEN
References cited8

Many regard iatrogenic injuries as consequences of diagnosis or intervention actions. But inaction-not offering indicated major surgery-can also result in iatrogenic injury. This article explores some surgeons' overestimations of operative risk based on patients' race and socioeconomic status as unduly influential in their decisions about whether to perform major cancer or cardiac surgery on some patients with appropriate clinical indications. This article also considers artificial intelligence and machine learning-based clinical decision support systems that might offer more accurate, individualized risk assessment that could make patient selection processes more equitable, thereby mitigating racial and ethnic inequity in cancer and cardiac disease

Disease · Environmental health · Intensive care medicine · Intervention (counseling · Pathology · Psychiatry · Selection (genetic algorithm · Socioeconomic status · Cardiac, Anesthesia and Surgical Outcomes · Computer Science · Health and Medical Research Impacts · Healthcare cost, quality, practices · Medicine · Artificial Intelligence

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Highly citedNo

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