Beyond IDEAL: the importance of surgical innovation metrics
نویسندگان
چکیده
منابع مشابه
No surgical innovation without evaluation: the IDEAL recommendations.
Surgery and other invasive therapies are complex interventions, the assessment of which is challenged by factors that depend on operator, team, and setting, such as learning curves, quality variations, and perception of equipoise. We propose recommendations for the assessment of surgery based on a five-stage description of the surgical development process. We also encourage the widespread use o...
متن کاملRetrospective analysis of a surgical innovation using the IDEAL framework: radical cystectomy with epidural anaesthesia
Objectives To retrospectively analyse experience of radical cystectomy using spinal/epidural anaesthesia and to classify this method using the IDEAL criteria. Methods Data from patients who had undergone radical cystectomy using spinal/epidural anaesthesia were evaluated retrospectively, focusing on clinical data, intraoperative and perioperative parameters and postoperative complications. Curr...
متن کاملTailoring study design to each stage of surgical innovation: the ideal recommendations
The pathway of surgical innovation is complex. Inherent ethical and practical characteristics make scientific evaluation of new techniques or devices by a definitive randomized controlled trial (RCT) challenging. The IDEAL Collaboration (http://www.ideal-collaboration. net) Framework for evaluating surgical innovation describes a five stage process Idea, Development, Exploration, Assessment and...
متن کاملDemonstration of the IDEAL recommendations for evaluating and reporting surgical innovation in minimally invasive oesophagectomy.
BACKGROUND The Idea, Development, Evaluation, Assessment and Long term study (IDEAL) framework makes recommendations for evaluating and reporting surgical innovation and adoption, but remains untested. METHODS A prospective database was created for the introduction of minimally invasive techniques for oesophagectomy. IDEAL stages of development and evaluation were examined retrospectively in ...
متن کاملSurgical innovation and safety: femoroacetabular impingement and the IDEAL collaborative framework
Operative treatment of femoroacetabular impingement (FAI) is a relatively new, yet rapidly expanding surgical innovation. Although the practice of surgery is inherently innovative, there is no clear distinction between minor technical variation and true modification that warrants testing. This raises important questions about how new procedures should be evaluated before being broadly dissemina...
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ژورنال
عنوان ژورنال: The Lancet
سال: 2019
ISSN: 0140-6736
DOI: 10.1016/s0140-6736(18)32204-9