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June 5, 2019

The IDEAL Framework for Evaluating Surgical Innovation: How It Can Be Used to Improve the Quality of Evidence

Author Affiliations
  • 1Center for Healthcare Outcomes and Policy, Department of Surgery, University of Michigan, Ann Arbor
  • 2Surgical Innovation Editor, JAMA Surgery
  • 3Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York
  • 4IDEAL Collaboration, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, England
JAMA Surg. 2019;154(8):685-686. doi:10.1001/jamasurg.2019.0903

New surgical procedures are continuously entering clinical practice. Evaluating these interventions to ensure their safe use is of the utmost importance. New procedures are distinctly different than other interventions (eg, pharmaceuticals).1,2 They are more complex, often require “tinkering” with techniques, and have learning curves with which to contend.2 Therefore, new surgical procedures proceed through a unique set of stages with their own evaluation end points.1

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