本文由小咖机器人翻译整理

期刊来源：Nat Med

原文链接：https://doi.org/10.1038/s41591-023-02732-7

摘要内容如下：

下一代手术机器人将颠覆全球医疗保健系统，需要新的评估框架。然而，在手术机器人的发展过程中，由于其复杂的进化性质、更广泛的系统破坏潜力以及与人工智能等互补技术的集成，评估是具有挑战性的。比较临床研究需要注意干预背景、学习曲线和标准化结果。长期监测需要向协作、透明和包容的联盟过渡，以收集真实世界的数据。在这里，理念、开发、探索、评估和长期监测（IDEAL）机器人学术讨论会提出了在外科机器人的开发、比较研究和临床监测期间进行评估的建议，为开发人员、临床医生、患者和医疗保健系统提供了实用的建议。从多个角度考虑，包括经济、外科培训、人为因素、伦理、患者观点和可持续性。需要在标准化指标、卫生经济评估模型和建议的全球适用性方面开展进一步工作。

英文原文如下：

Abstracts

The next generation of surgical robotics is poised to disrupt healthcare systems worldwide, requiring new frameworks for evaluation. However, evaluation during a surgical robot's development is challenging due to their complex evolving nature, potential for wider system disruption and integration with complementary technologies like artificial intelligence. Comparative clinical studies require attention to intervention context, learning curves and standardized outcomes. Long-term monitoring needs to transition toward collaborative, transparent and inclusive consortiums for real-world data collection. Here, the Idea, Development, Exploration, Assessment and Long-term monitoring (IDEAL) Robotics Colloquium proposes recommendations for evaluation during development, comparative study and clinical monitoring of surgical robots-providing practical recommendations for developers, clinicians, patients and healthcare systems. Multiple perspectives are considered, including economics, surgical training, human factors, ethics, patient perspectives and sustainability. Further work is needed on standardized metrics, health economic assessment models and global applicability of recommendations.

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