Key result
The ethical evaluation of innovative surgical procedures requires stratifying new innovations based on deviation from current practice, with radical innovations audited by national boards.
The authors propose a stratified approach to the ethical evaluation of novel surgical procedures, suggesting that radical innovations should be audited by national boards prior to practice.
May warrant national audits for radical innovations; leaves open empirical validation of stratified ethical frameworks.
While there is an ethical obligation to improve clinical outcomes by developing better therapies, surgical innovation has largely progressed without the strict regulations required of novel pharmaceutical products. We explore the reasons why new surgical techniques are frequently introduced without the benefit of randomised controlled trials, and present an approach to the ethical evaluation of novel surgical procedures.
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Tan et al. (2011) conducted a review in Surgical innovation. Innovative surgical procedures was evaluated. The ethical evaluation of innovative surgical procedures requires stratifying new innovations based on deviation from current practice, with radical innovations audited by national boards.
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