Surgical Innovation and Evaluation 1 Evaluation and stages of surgical innovations

被引:421
作者
Barkun, Jeffrey S. [1 ]
Aronson, Jeffrey K. [2 ]
Feldman, Liane S. [1 ]
Maddern, Guy J. [3 ]
Strasberg, Steven M. [4 ]
机构
[1] McGill Univ, Ctr Hlth, Montreal, PQ H3A 1A1, Canada
[2] Univ Dept Primary Hlth Care, Oxford, England
[3] Univ Adelaide, Discipline Surg, Queen Elizabeth Hosp, Adelaide, SA 5005, Australia
[4] Washington Univ, St Louis, MO USA
关键词
RANDOMIZED CONTROLLED-TRIALS; ENDOSCOPIC SURGERY; CLINICAL-TRIALS; TECHNOLOGIES; CHALLENGES; GUIDANCE; QUALITY; CARE;
D O I
10.1016/S0140-6736(09)61083-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Surgical innovation is an important part of surgical practice. Its assessment is complex because of idiosyncrasies related to surgical practice, but necessary so that introduction and adoption of surgical innovations can derive from evidence-based principles rather than trial and error. A regulatory framework is also desirable to protect patients against the potential harms of any novel procedure. In this first of three Series papers on surgical innovation and evaluation, we propose a five-stage paradigm to describe the development of innovative surgical procedures.
引用
收藏
页码:1089 / 1096
页数:8
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