{"id":"https://openalex.org/W4407357302","doi":"https://doi.org/10.1038/s41746-024-01379-z","title":"Ecosystems and monopolies in digital surgery","display_name":"Ecosystems and monopolies in digital surgery","publication_year":2025,"publication_date":"2025-02-11","ids":{"openalex":"https://openalex.org/W4407357302","doi":"https://doi.org/10.1038/s41746-024-01379-z","pmid":"https://pubmed.ncbi.nlm.nih.gov/39934312"},"language":"en","primary_location":{"id":"doi:10.1038/s41746-024-01379-z","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01379-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"type":"letter","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1038/s41746-024-01379-z","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5007136616","display_name":"Andrew Yiu","orcid":"https://orcid.org/0000-0002-1144-6927"},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":true,"raw_author_name":"Andrew Yiu","raw_affiliation_strings":["Department of Surgery and Cancer, Imperial College London, London, UK. a.yiu@imperial.ac.uk","Department of Surgery and Cancer, Imperial College London, London, UK"],"affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer, Imperial College London, London, UK. a.yiu@imperial.ac.uk","institution_ids":[]},{"raw_affiliation_string":"Department of Surgery and Cancer, Imperial College London, London, UK","institution_ids":["https://openalex.org/I47508984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5116224613","display_name":"Kapil Sahnan","orcid":null},"institutions":[{"id":"https://openalex.org/I47508984","display_name":"Imperial College London","ror":"https://ror.org/041kmwe10","country_code":"GB","type":"education","lineage":["https://openalex.org/I47508984"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Kapil Sahnan","raw_affiliation_strings":["Department of Surgery and Cancer, Imperial College London, London, UK","St Mark's Academic Institute, St Mark's Hospital, London, UK"],"affiliations":[{"raw_affiliation_string":"Department of Surgery and Cancer, Imperial College London, London, UK","institution_ids":["https://openalex.org/I47508984"]},{"raw_affiliation_string":"St Mark's Academic Institute, St Mark's Hospital, London, UK","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5007136616"],"corresponding_institution_ids":["https://openalex.org/I47508984"],"apc_list":{"value":3060,"currency":"USD","value_usd":3060},"apc_paid":{"value":3060,"currency":"USD","value_usd":3060},"fwci":7.8274,"has_fulltext":true,"cited_by_count":4,"citation_normalized_percentile":{"value":0.96834614,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":96,"max":99},"biblio":{"volume":"8","issue":"1","first_page":"96","last_page":"96"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.9991999864578247,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13953","display_name":"Digital Imaging in Medicine","score":0.9987999796867371,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11984","display_name":"Anatomy and Medical Technology","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2204","display_name":"Biomedical Engineering"},"field":{"id":"https://openalex.org/fields/22","display_name":"Engineering"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ecosystem","display_name":"Ecosystem","score":0.6691755056381226},{"id":"https://openalex.org/keywords/business","display_name":"Business","score":0.3556177616119385},{"id":"https://openalex.org/keywords/environmental-science","display_name":"Environmental science","score":0.3393493890762329},{"id":"https://openalex.org/keywords/environmental-resource-management","display_name":"Environmental resource management","score":0.3357165455818176},{"id":"https://openalex.org/keywords/ecology","display_name":"Ecology","score":0.2891652584075928},{"id":"https://openalex.org/keywords/biology","display_name":"Biology","score":0.1812201738357544}],"concepts":[{"id":"https://openalex.org/C110872660","wikidata":"https://www.wikidata.org/wiki/Q37813","display_name":"Ecosystem","level":2,"score":0.6691755056381226},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.3556177616119385},{"id":"https://openalex.org/C39432304","wikidata":"https://www.wikidata.org/wiki/Q188847","display_name":"Environmental science","level":0,"score":0.3393493890762329},{"id":"https://openalex.org/C107826830","wikidata":"https://www.wikidata.org/wiki/Q929380","display_name":"Environmental resource management","level":1,"score":0.3357165455818176},{"id":"https://openalex.org/C18903297","wikidata":"https://www.wikidata.org/wiki/Q7150","display_name":"Ecology","level":1,"score":0.2891652584075928},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.1812201738357544}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1038/s41746-024-01379-z","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01379-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},{"id":"pmid:39934312","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/39934312","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"NPJ digital medicine","raw_type":null},{"id":"pmh:oai:pubmedcentral.nih.gov:11814063","is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11814063","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11814063/pdf/41746_2024_Article_1379.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"NPJ Digit Med","raw_type":"Text"},{"id":"pmh:oai:doaj.org/article:6310d628e3bf413c94bf0a25a5b44fe8","is_oa":true,"landing_page_url":"https://doaj.org/article/6310d628e3bf413c94bf0a25a5b44fe8","pdf_url":null,"source":{"id":"https://openalex.org/S112646816","display_name":"SHILAP Revista de lepidopterolog\u00eda","issn_l":"0300-5267","issn":["0300-5267","2340-4078"],"is_oa":true,"is_in_doaj":true,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"npj Digital Medicine, Vol 8, Iss 1, Pp 1-3 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1038/s41746-024-01379-z","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41746-024-01379-z","pdf_url":null,"source":{"id":"https://openalex.org/S4210195431","display_name":"npj Digital Medicine","issn_l":"2398-6352","issn":["2398-6352"],"is_oa":true,"is_in_doaj":true,"is_core":true,"host_organization":"https://openalex.org/P4310319908","host_organization_name":"Nature Portfolio","host_organization_lineage":["https://openalex.org/P4310319908","https://openalex.org/P4310319965"],"host_organization_lineage_names":["Nature Portfolio","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"npj Digital Medicine","raw_type":"journal-article"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":15,"referenced_works":["https://openalex.org/W1583022010","https://openalex.org/W2031548072","https://openalex.org/W2580456502","https://openalex.org/W2741187991","https://openalex.org/W2790209545","https://openalex.org/W3016089488","https://openalex.org/W3126947787","https://openalex.org/W3165756988","https://openalex.org/W3182436858","https://openalex.org/W3216414121","https://openalex.org/W4308058324","https://openalex.org/W4322505502","https://openalex.org/W4391023377","https://openalex.org/W4393065053","https://openalex.org/W4401612088"],"related_works":["https://openalex.org/W4391375266","https://openalex.org/W4386428464","https://openalex.org/W4402051915","https://openalex.org/W3048828723","https://openalex.org/W1504696296","https://openalex.org/W3046338786","https://openalex.org/W2179620014","https://openalex.org/W963004597","https://openalex.org/W2900969150","https://openalex.org/W2387040017"],"abstract_inverted_index":{"The":[0],"ongoing":[1,65],"U.S":[2],"v.":[3],"Apple":[4],"lawsuit":[5],"demonstrates":[6],"the":[7,23,27,52,64],"potential":[8],"for":[9,22],"an":[10],"\u2018ecosystem\u2019":[11],"to":[12,63],"monopolize":[13],"hardware,":[14],"software,":[15],"and/or":[16],"services.":[17],"This":[18],"raises":[19],"important":[20],"issues":[21],"surgical":[24,36,47],"community":[25],"with":[26],"growing":[28],"adoption":[29],"of":[30,54,68],"digital":[31,66],"surgery":[32],"solutions,":[33],"such":[34],"as":[35],"robots,":[37],"that":[38],"offer":[39],"industry":[40],"unprecedented":[41],"access":[42],"to,":[43],"and":[44,57],"control":[45],"over,":[46],"data.":[48],"Surgeons":[49],"must":[50],"understand":[51],"significance":[53],"this":[55],"data":[56],"ensure":[58],"patient":[59],"benefit":[60],"is":[61],"central":[62],"transformation":[67],"surgery.":[69]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3}],"updated_date":"2026-04-02T15:55:50.835912","created_date":"2025-10-10T00:00:00"}