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This study is designed to examine how artificial intelligence (AI) could be applied to support surgical care in Sudan during the ongoing armed conflict. The conflict has disrupted hospital operations, displaced surgical teams, and limited access to specialists and modern technology. The investigators are conducting a survey of Sudanese surgeons working in public, private, military, and conflict-zone hospitals to assess awareness of AI, interest in its application, and perceived challenges. In addition, in-depth interviews with senior surgeons and residents are being performed to further explore perspectives on AI in surgical care.
This study represents one of the first attempts to investigate the role of AI in surgery within an active conflict setting in Africa. Findings from this research are expected to inform the design of AI tools that are tailored for fragile health systems, including offline and low-bandwidth environments.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Artificial Intelligence Awareness and Feasibility Assessment | Other | A sequential explanatory mixed-methods assessment of surgeons' awareness, readiness, and perceived barriers to adopting artificial intelligence in surgical care during the ongoing Sudan conflict. The intervention consisted of: A validated, structured online questionnaire adapted from established AI awareness tools, assessing familiarity, perceived benefits, barriers, and ethical concerns. Semi-structured interviews with senior surgical residents and consultants to explore contextual and ethical perspectives in greater depth. The study did not implement AI tools in practice but focused on measuring feasibility and identifying requirements for future AI deployment in conflict-affected surgical systems. |
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| Measure | Description | Time Frame |
|---|---|---|
| Awareness of Artificial Intelligence in Surgical Care Among Sudanese Surgeons | Measured using a structured questionnaire including domains of familiarity with AI concepts, perceived benefits, and potential applications in perioperative care. Responses are recorded on a 5-point Likert scale ranging from 1 (not at all familiar/beneficial/applicable) to 5 (very familiar/beneficial/applicable). Higher scores indicate greater awareness and more positive perceptions. | At survey completion (October 2024 - June 2025) |
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Inclusion Criteria:
Exclusion Criteria:
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General surgery residents and consultants practicing in Sudan during the ongoing armed conflict, representing public, private, military, NGO, and conflict-zone hospitals across multiple regions. Participants include surgeons at various training levels, from early-year residents to senior consultants.
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| Name | Affiliation | Role |
|---|---|---|
| Alsadig Suliman, MBBS, Msc | Sudan Medical Specialization Board | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sudan Medical Specialization Board | Wad Medani | Al Jazirah | 14552 | Sudan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39728632 | Background | Alsaedi AR, Alneami N, Almajnoni F, Alamri O, Aljohni K, Alrwaily MK, Eid M, Budayr A, Alrehaili MA, Alghamdi MM, Almutairi ED, Eid MH. Perceived Worries in the Adoption of Artificial Intelligence Among Healthcare Professionals in Saudi Arabia: A Cross-Sectional Survey Study. Nurs Rep. 2024 Nov 28;14(4):3706-3721. doi: 10.3390/nursrep14040271. | |
| 34826106 |
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Individual participant data (IPD) will not be shared because the dataset contains sensitive information collected from healthcare professionals working in conflict-affected regions. Sharing could risk identification of participants despite anonymization, given the small and specialized population.
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| Fleming CA, Ali O, Clements JM, Hirniak J, King M, Mohan HM, Nally DM, Burke J; Association of Surgeons in Training (ASIT). Surgical trainee experience and opinion of robotic surgery in surgical training and vision for the future: a snapshot study of pan-specialty surgical trainees. J Robot Surg. 2022 Oct;16(5):1073-1082. doi: 10.1007/s11701-021-01344-y. Epub 2021 Nov 26. |
| 35144645 | Background | De Simone B, Abu-Zidan FM, Gumbs AA, Chouillard E, Di Saverio S, Sartelli M, Coccolini F, Ansaloni L, Collins T, Kluger Y, Moore EE, Litvin A, Leppaniemi A, Mascagni P, Milone L, Piccoli M, Abu-Hilal M, Sugrue M, Biffl WL, Catena F. Knowledge, attitude, and practice of artificial intelligence in emergency and trauma surgery, the ARIES project: an international web-based survey. World J Emerg Surg. 2022 Feb 10;17(1):10. doi: 10.1186/s13017-022-00413-3. |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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