Evidence map›Paper›PMID 34565420›Full record

ReviewWorld journal of emergency surgery : WJES2021

WSES project on decision support systems based on artificial neural networks in emergency surgery.

Andrey Litvin, Sergey Korenev, Sophiya Rumovskaya, Massimo Sartelli, Gianluca Baiocchi, Walter L Biffl, Federico Coccolini, Salomone Di Saverio, Michael Denis Kelly, Yoram Kluger and 3 more

Abstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Artificial intelligence in gynecologic and obstetric emergencies.International journal of emergency medicine · 2025
    Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Andrey LitvinDepartment of Surgical Disciplines, Immanuel Kant Baltic Federal University, Kaliningrad, Russia. alitvin@kantiana.ru.ORCID 0000-0002-9330-6513
Sergey KorenevDepartment of Surgical Disciplines, Immanuel Kant Baltic Federal University, Kaliningrad, Russia.
Sophiya RumovskayaKaliningrad Branch of Federal Research Center "Computer Science and Control" of Russian Academy of Sciences, Kaliningrad, Russia.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Gianluca BaiocchiSurgical Clinic, Department of Experimental and Clinical Sciences, University of Brescia, Brescia, Italy.
Walter L BifflDivision of Trauma and Acute Care Surgery, Scripps Memorial Hospital La Jolla, La Jolla, CA, USA.
Federico CoccoliniGeneral, Emergency and Trauma Surgery Department, Pisa University Hospital, Pisa, Italy.
Salomone Di SaverioDepartment of Surgery, Cambridge University Hospital, NHS Foundation Trust, Cambridge, UK.
Michael Denis KellyDepartment of General Surgery, Albury Hospital, Albury, Australia.
Yoram KlugerDepartment of General Surgery, Rambam Healthcare Campus, Haifa, Israel.
Ari LeppäniemiDepartment of Gastrointestinal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Michael SugrueDonegal Clinical Research Academy, Letterkenny University Hospital, Donegal, Ireland.
Fausto CatenaDepartment of Emergency and Trauma Surgery of the University Hospital of Parma, Parma, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The article is a scoping review of the literature on the use of decision support systems based on artificial neural networks in emergency surgery. The authors present modern literature data on the effectiveness of artificial neural networks for predicting, diagnosing and treating abdominal emergency conditions: acute appendicitis, acute pancreatitis, acute cholecystitis, perforated gastric or duodenal ulcer, acute intestinal obstruction, and strangulated hernia. The intelligent systems developed at present allow a surgeon in an emergency setting, not only to check his own diagnostic and prognostic assumptions, but also to use artificial intelligence in complex urgent clinical cases. The authors summarize the main limitations for the implementation of artificial neural networks in surgery and medicine in general. These limitations are the lack of transparency in the decision-making process; insufficient quality educational medical data; lack of qualified personnel; high cost of projects; and the complexity of secure storage of medical information data. The development and implementation of decision support systems based on artificial neural networks is a promising direction for improving the forecasting, diagnosis and treatment of emergency surgical diseases and their complications.

Indexed as

CholecystitisPancreatitisAcute DiseaseArtificial IntelligenceHumansNeural Networks, ComputerAcute appendicitisAcute cholecystitisAcute pancreatitisArtificial neural networksBowel obstructionDecision support systemEmergency surgeryPeptic ulcer bleedingPerforated gastroduodenal ulcersStrangulated hernias

Identifiers

PMID34565420
PMCPMC8474926

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.