ArticleAnnals of surgery2023
Re-Aiming Equity Evaluation in Clinical Decision Support: A Scoping Review of Equity Assessments in Surgical Decision Support Systems.
Article in Annals of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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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.
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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.
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Who cites it
14 citing papers in PubMed.
- Evaluation of Provider Clinical Decision Support System Adoption Rates by Patient Race and Sex.medRxiv : the preprint server for health sciences · 2026Article
- Artificial intelligence and digital health equity: a post-pandemic evidence synthesis and implementation safeguards framework.Frontiers in digital health · 2026Review
- Aligning cardiac monitoring with American Heart Association Guidelines: Impact on utilization, hemodynamic monitoring, and outcomes.PloS one · 2026Article
- Surgeon-Informed Clinical Decision Support Software for Surgical Risk Prediction and Outcomes Tracking.The Journal of surgical research · 2025Article
- Evaluating Equity in Usage and Effectiveness of the CONCERN Early Warning System.Applied clinical informatics · 2025Article
- A Novel Nomogram for Predicting the Risk of Acute Heart Failure in Intensive Care Unit Patients with COPD.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Recommendations to promote fairness and inclusion in biomedical AI research and clinical use.Journal of biomedical informatics · 2024Article
- A pragmatic, stepped-wedge, hybrid type II trial of interoperable clinical decision support to improve venous thromboembolism prophylaxis for patients with traumatic brain injury.Implementation science : IS · 2024Article
- ChatGPT and Clinical Decision Support: Scope, Application, and Limitations.Annals of biomedical engineering · 2024Article
- Artificial intelligence in screening and diagnosis of surgical diseases: A narrative review.AIMS public health · 2024Review
- Artificial Intelligence-enabled Decision Support in Surgery: State-of-the-art and Future Directions.Annals of surgery · 2023Article
- Prediction of in-hospital mortality among intensive care unit patients using modified daily Laboratory-based Acute Physiology Scores, version 2 (LAPS2).medRxiv : the preprint server for health sciences · 2023Article
- Surgeons' perspectives on artificial intelligence to support clinical decision-making in trauma and emergency contexts: results from an international survey.World journal of emergency surgery : WJES · 2023Article
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9 authors.
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Abstract
objectiveWe critically evaluated the surgical literature to explore the prevalence and describe how equity assessments occur when using clinical decision support systems.
backgroundClinical decision support (CDS) systems are increasingly used to facilitate surgical care delivery. Despite formal recommendations to do so, equity evaluations are not routinely performed on CDS systems and underrepresented populations are at risk of harm and further health disparities. We explored surgical literature to determine frequency and rigor of CDS equity assessments and offer recommendations to improve CDS equity by appending existing frameworks.
methodsWe performed a scoping review up to Augus 25, 2021 using PubMed and Google Scholar for the following search terms: clinical decision support, implementation, RE-AIM, Proctor, Proctor's framework, equity, trauma, surgery, surgical. We identified 1415 citations and 229 abstracts met criteria for review. A total of 84 underwent full review after 145 were excluded if they did not assess outcomes of an electronic CDS tool or have a surgical use case.
resultsOnly 6% (5/84) of surgical CDS systems reported equity analyses, suggesting that current methods for optimizing equity in surgical CDS are inadequate. We propose revising the RE-AIM framework to include an Equity element (RE 2 -AIM) specifying that CDS foundational analyses and algorithms are performed or trained on balanced datasets with sociodemographic characteristics that accurately represent the CDS target population and are assessed by sensitivity analyses focused on vulnerable subpopulations.
conclusionCurrent surgical CDS literature reports little with respect to equity. Revising the RE-AIM framework to include an Equity element (RE 2 -AIM) promotes the development and implementation of CDS systems that, at minimum, do not worsen healthcare disparities and possibly improve their generalizability.
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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.