Evaluation and stages of surgical innovations

Jeffrey S Barkun; Jeffrey K Aronson; Liane S Feldman; Guy J Maddern; Steven M Strasberg; Douglas G Altman; Jeffrey S Barkun; Jane M Blazeby; Isabell C Boutron; Steven Bruce Campbell; Pierre-Alain Clavien; Jonathan A Cook; Patrick L Ergina; David R Flum; Paul Glasziou; John Marshall; Peter McCulloch; Jon Nicholl; Bournaby C Reeves; Christoph M Seiler; Jonathan L Meakins; Deborah Ashby; Nick Black; John Bunker; Martin Burton; Marion K Campbell; Kalipso Chalkidou; Iain Chalmers; Marc de Leval; Jon Deeks; Adrian M Grant; Muir Gray; Roger Greenhalgh; Milos Jenicek; Sean Kehoe; Richard Lilford; Peter Littlejohns; Yoon Loke; Rajan Madhock; Donald Kirk McPherson; Peter Rothwell; Bill Summerskill; David Taggart; Parris Tekkis; Mandy Thompson; Tom Treasure; Ulrich Trohler; Jan Vandenbroucke; Balliol Collaboration

doi:10.1016/S0140-6736(09)61083-7

Evaluation and stages of surgical innovations

Jeffrey S Barkun, Jeffrey K Aronson, Liane S Feldman, Guy J Maddern, Steven M Strasberg, Douglas G Altman, Jeffrey S Barkun, Jane M Blazeby, Isabell C Boutron, Steven Bruce Campbell, Pierre-Alain Clavien, Jonathan A Cook, Patrick L Ergina, David R Flum, Paul Glasziou, John Marshall, Peter McCulloch, Jon Nicholl, Bournaby C Reeves, Christoph M SeilerJonathan L Meakins, Deborah Ashby, Nick Black, John Bunker, Martin Burton, Marion K Campbell, Kalipso Chalkidou, Iain Chalmers, Marc de Leval, Jon Deeks, Adrian M Grant, Muir Gray, Roger Greenhalgh, Milos Jenicek, Sean Kehoe, Richard Lilford, Peter Littlejohns, Yoon Loke, Rajan Madhock, Donald Kirk McPherson, Peter Rothwell, Bill Summerskill, David Taggart, Parris Tekkis, Mandy Thompson, Tom Treasure, Ulrich Trohler, Jan Vandenbroucke, Balliol Collaboration

Research output: Contribution to journal › Article › peer-review

449 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	1089-1096
Number of pages	8
Journal	The Lancet
Volume	374
Issue number	9695
DOIs	https://doi.org/10.1016/S0140-6736(09)61083-7
Publication status	Published - 26 Sept 2009

Keywords

biomedical research
diffusion of innovation
evaluation studies as topic
evidence-based medicine
humans
surgical procedures, operative
technology assessment, biomedical

Access to Document

10.1016/S0140-6736(09)61083-7

Cite this

Barkun, J. S., Aronson, J. K., Feldman, L. S., Maddern, G. J., Strasberg, S. M., Altman, D. G., Barkun, J. S., Blazeby, J. M., Boutron, I. C., Campbell, S. B., Clavien, P.-A., Cook, J. A., Ergina, P. L., Flum, D. R., Glasziou, P., Marshall, J., McCulloch, P., Nicholl, J., Reeves, B. C., ... Balliol Collaboration (2009). Evaluation and stages of surgical innovations. The Lancet, 374(9695), 1089-1096. https://doi.org/10.1016/S0140-6736(09)61083-7

Barkun, JS, Aronson, JK, Feldman, LS, Maddern, GJ, Strasberg, SM, Altman, DG, Barkun, JS, Blazeby, JM, Boutron, IC, Campbell, SB, Clavien, P-A, Cook, JA, Ergina, PL, Flum, DR, Glasziou, P, Marshall, J, McCulloch, P, Nicholl, J, Reeves, BC, Seiler, CM, Meakins, JL, Ashby, D, Black, N, Bunker, J, Burton, M, Campbell, MK, Chalkidou, K, Chalmers, I, de Leval, M, Deeks, J, Grant, AM, Gray, M, Greenhalgh, R, Jenicek, M, Kehoe, S, Lilford, R, Littlejohns, P, Loke, Y, Madhock, R, McPherson, DK, Rothwell, P, Summerskill, B, Taggart, D, Tekkis, P, Thompson, M, Treasure, T, Trohler, U, Vandenbroucke, J & Balliol Collaboration 2009, 'Evaluation and stages of surgical innovations', The Lancet, vol. 374, no. 9695, pp. 1089-1096. https://doi.org/10.1016/S0140-6736(09)61083-7

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