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Patients’ sentiments on artificial intelligence in endoscopy: A large-scale intercontinental opinion survey

Endoscopy, vol. 56, pp. S324–S325

Abstract

Aims In recent years, the number of clinical studies evaluating artificial intelligence (AI) systems in endoscopy has increased. Authorities encourage integration of patients’ thoughts in development of innovative medical interventions to allow their patient-friendly implementation. However, little is known about patient perception regarding AI in endoscopy. Methods A prospective questionnaire study was conducted as part of the World Endoscopy Organization (WEO) AI committee activities. The committee developed 13 statements on the use of AI in endoscopy which were distributed to patients using a dedicated online survey platform. To avoid potential selection bias, the questionnaires were distributed equally to each of the six continents in the World. Patients responded to each of the statements by using a 5-point Likert-scale, ranging from strongly disagree (1) to strongly agree (5). Results In total, 1,237 patients completed the survey (>200 per continent). The majority of patients believed that humans and AI can complement each other (74.3% agreed) and would support its use (75.5% agreed). However, fewer patients believed that an AI system could be better than experienced endoscopists (38.2% agreed) and endoscopists should remain responsible for decision making (92.3% agreed). The majority of patients believed that endoscopists or hospitals should be liable for medical malpractice induced by the use of AI (76.9% agreed). Conclusions This large-scale international survey performed by the WEO AI committee revealed an obvious trend that patients appreciated benefit of using AI in endoscopy but did not blindly rely on the technology, leaving endoscopists and hospitals responsible for decision making and liability issues. Publication History Article published online: 15 April 2024 © 2024. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Authors 14

  1. Amsterdam University Medical Centers · Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    Amsterdam UMC, locatie VUmc, Amsterdam, Netherlands

  2. University College London

    Affiliation as printed

    Division of Surgery and Interventional Sciences, University College London (UCL), London, United Kingdom

  3. Leiden University Medical Center

    Affiliation as printed

    Leiden University Medical Center (LUMC), Leiden, Netherlands

  4. Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    VU University Medical Center, Amsterdam, Netherlands

  5. Mayo Clinic

    Affiliation as printed

    Mayo Clinic, Rochester, United States of America

  6. Renmin Hospital of Wuhan University

    Affiliation as printed

    Renmin Hospital of Wuhan University, Wuhan, China

  7. Tenwek Hospital

    Affiliation as printed

    Tenwek Hospital, Bomet, Kenya

  8. Swedish Medical Center

    Affiliation as printed

    Swedish Medical Center, Seattle, United States of America

  9. Lahore General Hospital

    Affiliation as printed

    General Hospital Lahore, Lahore, Pakistan

  10. University Medical Center of the Johannes Gutenberg University Mainz

    Affiliation as printed

    University Medical Center Mainz, Interventional Endoscopy Center, Mainz, Germany

  11. West Virginia University

    Affiliation as printed

    West Virginia University, Morgantown, United States of America

  12. Vancouver General Hospital

    Affiliation as printed

    Vancouver General Hospital, Vancouver, Canada

  13. Amsterdam UMC Location Vrije Universiteit Amsterdam

    Affiliation as printed

    VU University Medical Center, Amsterdam, Netherlands

  14. Jichi Medical University

    Affiliation as printed

    Jichi Medical University, Shimotsuke, Japan

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