Evidence map›Paper›PMID 40469554›Full record

ArticlePlastic and reconstructive surgery. Global open2025

Ethical Considerations for Generative Artificial Intelligence in Plastic Surgery.

Ravi Dhawan, Kendall Douglas Brooks, Orr Shauly, Denys Shay, Albert Losken

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2025. 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. Plastic Surgery Search Engine Optimization in the Artificial Intelligence Era.Plastic and reconstructive surgery. Global open · 2026
    Article
  3. Article
  4. Article
  5. Large language model applications in facial plastic and reconstructive surgery: a systematic review of applications, performance, and ethical considerations.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
    Review
  6. Review
  7. Review
  8. Review
  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

5 authors.

Ravi DhawanFrom the Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GA.
Kendall Douglas BrooksFrom the Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GA.
Orr ShaulyFrom the Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GA.
Denys ShayDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA.
Albert LoskenFrom the Department of Plastic Surgery, Emory University School of Medicine, Atlanta, GA.

Funding

CANCER CLINICAL EPIDEMIOLOGY TRAINING GRANTT32CA009679 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Richard Aplenc, Karen Glanz · 1992 to 2026
$11.1M
NCI NIH HHS T32 CA009679
6 · The paper itself

Abstract

The integration of artificial intelligence (AI) into surgical care is rapidly transforming healthcare by enhancing efficiency, clinical decision-making, and patient outcomes. Generative AI (genAI), a subfield using large language models such as ChatGPT, Bard, and Midjourney, holds significant promise in automating tasks such as surgical planning and discharge summaries. However, it raises concerns about misinformation, data breaches, biases, and misuse. No genAI technology has yet received Food and Drug Administration approval for surgical use, emphasizing the need for thorough regulatory evaluation. This article proposed 5 ethical principles, adapted from World Health Organization recommendations, to guide the adoption and governance of genAI in plastic surgery. These principles include ensuring data transparency, maintaining patient autonomy, prioritizing safety and accountability, promoting equity, and investing in sustainability. Each principle is illustrated with a hypothetical case to highlight potential ethical breaches and the importance of rigorous testing, clear communication, and continuous monitoring. By adhering to these guidelines, stakeholders can ensure that genAI serves to enhance patient care and uphold the highest standards of ethical practice in surgical settings.

Identifiers

PMID40469554
PMCPMC12133144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.