Evaluation and stages of surgical innovations

Jeffrey S. Barkun, Jeffrey K. Aronson, Liane S. Feldman, Guy J. Maddern, Steven M. Strasberg

Research output: Contribution to journalReview articlepeer-review

449 Scopus citations


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 languageEnglish
Pages (from-to)1089-1096
Number of pages8
JournalThe Lancet
Issue number9695
StatePublished - Oct 2 2009

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