The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring
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(Published version)
Date
2024
Authors
Marcus, H.J.
Ramirez, P.T.
Khan, D.Z.
Layard Horsfall, H.
Hanrahan, J.G.
Williams, S.C.
Beard, D.J.
Bhat, R.
Catchpole, K.
Cook, A.
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Journal article
Citation
Nature Medicine, 2024; 30(1):61-75
Statement of Responsibility
Hani J. Marcus, Pedro T. Ramirez, Danyal Z. Khan, Hugo Layard Horsfall, John G. Hanrahan, Simon C. Williams, David J. Beard, Rani Bhat, Ken Catchpole, Andrew Cook, Katrina Hutchison, Janet Martin, Tom Melvin, Danail Stoyanov, Maroeska Rovers, Nicholas Raison, Prokar Dasgupta, David Noonan, Deborah Stocken, Georgia Sturt, Anne Vanhoestenberghe, Baptiste Vasey, Peter McCulloch, The IDEAL Robotics Colloquium
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Abstract
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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Corrected by: Author Correction: The IDEAL framework for surgical robotics: development, comparative evaluation and long-term monitoring, in Nature Medicine volume 30, page 1213 (2024). In the version of the article initially published, three authors were missing from The IDEAL Robotics Colloquium. Art Sedrakyan (Weill Cornell Medical College, New York, NY, USA), Joel Horowitz (Maimonides Medical Center, New York, NY, USA) and Arsenio Paez (Centre de Recherche de l’Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montreal, Quebec, Canada) have all been added in the HTML and PDF versions of the article.
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© The Author(s), under exclusive licence to Springer Nature America, Inc. 2024, corrected publication 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.