Evidence map›Paper›PMID 38549586›Full record

ReviewEClinicalMedicine2024

Stakeholder perspectives towards diagnostic artificial intelligence: a co-produced qualitative evidence synthesis.

Rachel Yi Ling Kuo, Alexander Freethy, Judi Smith, Rosie Hill, Joanna C, Derek Jerome, Eli Harriss, Gary S Collins, Elizabeth Tutton, Dominic Furniss

Abstract readReview
In one paragraph

Review in EClinicalMedicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

20 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

10 authors.

Rachel Yi Ling KuoNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Alexander FreethyDepartment of Plastic Surgery, Royal Devon and Exeter Hospital, Royal Devon University Healthcare NHS Foundation Trust, UK.
Judi SmithNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Rosie HillNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Joanna CNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Derek JeromeNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Eli HarrissBodleian Health Care Libraries, Oxford, UK.
Gary S CollinsCentre for Statistics in Medicine, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Elizabeth TuttonNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.
Dominic FurnissNuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diagnosis is a cornerstone of medical practice. Worldwide, there is increased demand for diagnostic services, exacerbating workforce shortages. Artificial intelligence (AI) technologies may improve diagnostic efficiency, accuracy, and access. Understanding stakeholder perspectives is key to informing implementation of complex interventions. We systematically reviewed the literature on stakeholder perspectives on diagnostic AI, including all English-language peer-reviewed primary qualitative or mixed-methods research. Methods: We searched PubMed, Ovid MEDLINE/Embase, Scopus, CINAHL and Web of Science (22/2/2023 and updated 8/2/2024). The Critical Appraisal Skills Programme Checklist informed critical appraisal. We used a 'best-fit' framework approach for analysis, using the Non-adoption, Abandonment, Scale-up, Spread, Sustainability (NASSS) framework. This study was pre-registered (PROSPERO CRD42022313782). Findings: We screened 16,577 articles and included 44. 689 participants were interviewed, and 402 participated in focus groups. Four stakeholder groups were described: patients, clinicians, researchers and healthcare leaders. We found an under-representation of patients, researchers and leaders across articles. We summarise the differences and relationships between each group in a conceptual model, hinging on the establishment of trust, engagement and collaboration. We present a modification of the NASSS framework, tailored to diagnostic AI. Interpretation: We provide guidance for future research and implementation of diagnostic AI, highlighting the importance of representing all stakeholder groups. We suggest that implementation strategies consider how any proposed software fits within the extended NASSS-AI framework, and how stakeholder priorities and concerns have been addressed. Funding: RK is supported by an NIHR Doctoral Research Fellowship grant (NIHR302562), which funded patient and public involvement activities, and access to Covidence.

Indexed as

AIArtificial intelligencePatient and public involvementQualitativeQualitative evidence synthesisSystematic review

Identifiers

PMID38549586
PMCPMC10973718

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.