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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 publication

DOI

10.1016/s0140-6736(09)61083-7

Type

Journal article

Journal

Lancet (London, England)

Publication Date

09/2009

Volume

374

Pages

1089 - 1096

Addresses

McGill University Health Centre, Montreal, QC, Canada. jeffrey.barkun@muhc.mcgill.ca

Keywords

Balliol Collaboration, Humans, Surgical Procedures, Operative, Evidence-Based Medicine, Biomedical Research, Diffusion of Innovation, Technology Assessment, Biomedical, Evaluation Studies as Topic