Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2013 Jun 18:346:f3012.
doi: 10.1136/bmj.f3012.

IDEAL framework for surgical innovation 1: the idea and development stages

Collaborators, Affiliations

IDEAL framework for surgical innovation 1: the idea and development stages

Peter McCulloch et al. BMJ. .

Abstract

IDEAL is a framework for evaluations of surgical innovations, which follow a distinct development pathway differing from the approach developed for pharmacological interventions. Many pathway and evaluation challenges are shared by other interventional therapies, requiring individual therapist skills and customisation of treatment to the individual, partly through medical devices. This paper provides an overview of the IDEAL framework and recommendations, and focuses on the first two stages: idea and development.

PubMed Disclaimer

Conflict of interest statement

Competing interests: All authors have completed the ICMJE uniform disclosure form at www.icmje.org/coi_disclosure.pdf and declare: PM received financial support from the National Institute for Health Research’s Health Technology Assessment programme, Johnson & Johnson, Medtronic, and Zimmer for the IDEAL collaboration and for a workshop; PM and JC received support for travel to the US from the FDA to attend a seminar on IDEAL; no other financial relationships with any organisations that might have an interest in the submitted work in the previous three years; no other relationships or activities that could appear to have influenced the submitted work.

References

    1. Cobb LA, Thomas GI, Dillard DH, Meredino KA, Bruce RA. An evaluation of internal mammary artery ligation by a double-blind technic. N Engl J Med 1959;260:1115-8. - PubMed
    1. Streptomycin in Tuberculosis Trials Committee. Streptomycin treatment of pulmonary tuberculosis. A Medical Research Council investigation. BMJ 1948;2:769-82.
    1. Wente MN, Seiler CM, Uhl W, Büchler MW. Perspectives of evidence-based surgery. Dig Surg 2003;20:263-9. - PubMed
    1. Barkun JS, Aronson JK, Feldman LS, Maddern GJ, Strasberg SM; Balliol Collaboration, et al. Evaluation and stages of surgical innovations. Lancet 2009;374:1089-96. - PubMed
    1. Ergina PL, Cook JA, Blazeby JM, Boutron I, Clavien PA, Reeves BC, et al. Challenges in evaluating surgical innovation. Lancet 2009;374:1097-104. - PMC - PubMed

Publication types