Department of Orthopaedic Surgery, New England Baptist Hospital, Tufts University School of Medicine, Boston, MA.
Department of Orthopaedic Surgery, University of Arkansas for Medical Sciences, Little Rock, AR.
J Arthroplasty. 2021 Jun;36(6):1887-1894.e3. doi: 10.1016/j.arth.2021.02.027. Epub 2021 Feb 15.
The clinical benefits of robotic-assisted technology in total joint arthroplasty are unclear, but its use is increasing. This study employed online crowdsourcing to explore public perceptions and beliefs regarding robotic-assisted orthopedic surgery.
A 30-question survey was completed by 588 members of the public using Amazon Mechanical Turk. Participants answered questions regarding robotic-assisted orthopedic surgery, sociodemographic factors, and validated assessments of health literacy and patient engagement. Multivariable logistic regression modeling was used to determine population characteristics associated with preference for robotic technology.
Most respondents believe robotic-assisted surgery leads to better results (69%), fewer complications (69%), less pain (59%), and faster recovery (62%) than conventional manual methods. About half (49%) would prefer a low-volume surgeon using robotic technology to a high-volume surgeon using conventional manual methods. The 3 main concerns regarding robotic technology included lack of surgeon experience with robotic surgery, robot malfunction causing harm, and increased cost. Only half of respondents accurately understand the actual role of the robot in the operating room. Overall, 34% of participants have a clear preference for robotic-assisted surgery over a conventional manual approach. After multivariable regression analysis, Asian race, working in healthcare, early technology adoption, and prior knowledge of robotic surgery were independent predictors of preferring robotic-assisted surgery.
The public's unawareness of the dubious outcome superiority associated with robotic-assisted orthopedic surgery may contribute to misinformed decisions in some patients. Robotic-assisted technology appears to be a powerful marketing tool for surgeons and hospitals.
机器人辅助技术在全关节置换术中的临床获益尚不清楚，但它的应用正在增加。本研究利用在线众包来探讨公众对机器人辅助骨科手术的看法和信念。
使用亚马逊 Mechanical Turk，588 名公众完成了一份包含 30 个问题的调查。参与者回答了关于机器人辅助骨科手术、社会人口因素以及健康素养和患者参与度的验证评估的问题。多变量逻辑回归模型用于确定与对机器人技术的偏好相关的人口特征。
大多数受访者认为机器人辅助手术比传统的手动方法能带来更好的结果（69%）、更少的并发症（69%）、更少的疼痛（59%）和更快的恢复（62%）。大约一半（49%）的人宁愿选择使用机器人技术的低容量外科医生，也不愿选择使用传统手动方法的高容量外科医生。对机器人技术的 3 个主要担忧包括外科医生缺乏机器人手术经验、机器人故障造成伤害和增加成本。只有一半的受访者准确理解机器人在手术室中的实际作用。总的来说，34%的参与者对机器人辅助手术明显偏好于传统的手动方法。经过多变量回归分析，亚洲种族、从事医疗保健工作、早期采用新技术以及对机器人手术的预先了解是偏好机器人辅助手术的独立预测因素。
公众对机器人辅助骨科手术与不确定的结果优越性缺乏认识，可能导致一些患者做出不明智的决策。机器人辅助技术似乎是外科医生和医院的强大营销工具。
