Hanzhou Li , John T. Moon , Vishal Shankar , Janice Newsome , Judy Gichoya , Zachary Bercu
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引用次数: 0
摘要
在全球范围内,肌肉骨骼(MSK)疼痛导致大量医疗保健使用、生产力下降和残疾。由于病因复杂,MSK 疼痛通常是慢性的,难以有效控制。受医疗服务提供者的隐性偏见以及患者的种族、性别、年龄和社会经济地位的影响,疼痛治疗中存在的差异导致了治疗结果的不一致。介入放射学(IR)通过微创手术为 MSK 疼痛提供了创新的解决方案,可减轻症状并减少对阿片类药物的依赖。然而,介入放射学服务可能未得到充分利用,特别是由于目前的治疗模式、转诊模式以及在医疗服务有限的地区。人工智能(AI)通过分析大型数据集来识别疼痛管理中的差异、识别隐性偏见、提高文化能力,并通过多模态数据分析来加强疼痛评估,为解决这些不公平现象提供了一条前景广阔的途径。此外,在人工智能通过电子病历筛选出候选者后,可能从 IR 疼痛程序中获益的 MSK 疼痛患者可以通过医疗服务提供者获得更多信息。通过利用人工智能,医疗服务提供者有可能减少他们的偏见,同时确保为患者提供更公平的疼痛管理和更好的整体治疗效果。
Health inequities, bias, and artificial intelligence
Musculoskeletal (MSK) pain leads to significant healthcare utilization, decreased productivity, and disability globally. Due to its complex etiology, MSK pain is often chronic and challenging to manage effectively. Disparities in pain management—influenced by provider implicit biases and patient race, gender, age, and socioeconomic status—contribute to inconsistent outcomes. Interventional radiology (IR) provides innovative solutions for MSK pain through minimally invasive procedures, which can alleviate symptoms and reduce reliance on opioids. However, IR services may be underutilized, especially due to current treatment paradigms, referral patterns, and in areas with limited access to care. Artificial intelligence (AI) presents a promising avenue to address these inequities by analyzing large datasets to identify disparities in pain management, recognizing implicit biases, improving cultural competence, and enhancing pain assessment through multimodal data analysis. Additionally, patients who may benefit from an IR pain procedure for their MSK pain may then receive more information through their providers after being identified as a candidate by AI sifting through the electronic medical record. By leveraging AI, healthcare providers can potentially mitigate their biases while ensuring more equitable pain management and better overall outcomes for patients.
期刊介绍:
Interventional radiology is an area of clinical diagnosis and management that is highly technique-oriented. Therefore, the format of this quarterly journal, which combines the visual impact of an atlas with the currency of a journal, lends itself perfectly to presenting the topics. Each issue is guest edited by a leader in the field and is focused on a single clinical technique or problem. The presentation is enhanced by superb illustrations and descriptive narrative outlining the steps of a particular procedure. Interventional radiologists, neuroradiologists, vascular surgeons and neurosurgeons will find this a useful addition to the clinical literature.