Evaluation and stages of surgical innovations

JS Barkun, JK Aronson, LS Feldman, GJ Maddern, SM Strasberg, Collaboration Balliol, DG Altman, JS Barkun, JM Blazeby, IC Boutron, WB Campbell, PA Clavien, JA Cook, PL Ergina, DR Flum, P Glasziou, JC Marshall, P McCulloch, J Nicholl, BC ReevesCM Seiler, JL Meakins, D Ashby, N Black, J Bunker, M Burton, M Campbell, K Chalkidou, I Chalmers, M de Leval, J Deeks, A Grant, M Gray, R Greenhalgh, M Jenicek, S Kehoe, R Lilford, P Littlejohns, Y Loke, R Madhock, K McPherson, P Rothwell, B Summerskill, D Taggard, P Tekkis, M Thompson, T Treasure, U Trohler, J Vandenbroucke

Research output: Contribution to journalArticle (Academic Journal)peer-review

449 Citations (Scopus)


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.
Translated title of the contributionEvaluation and stages of surgical innovations
Original languageEnglish
Pages (from-to)1089 - 1096
Number of pages8
Publication statusPublished - Sept 2009

Bibliographical note

Other: Pub Med ID 19782874

Structured keywords

  • BTC (Bristol Trials Centre)


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