An approach to the ethical evaluation of innovative surgical procedures

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...

Full description

Saved in:
Bibliographic Details
Published inAnnals of the Academy of Medicine, Singapore Vol. 40; no. 1; pp. 26 - 29
Main Authors Tan, Veronique K M, Chow, Pierce K H
Format Journal Article
LanguageEnglish
Published Singapore 01.01.2011
Subjects
Biomedical Research - ethics
Clinical Competence
Diffusion of Innovation
Ethics, Medical
General Surgery - ethics
General Surgery - methods
General Surgery - standards
Humans
Informed Consent
Medical Audit
Medicine
Singapore
Specialty Boards
Singapore
Online AccessGet full text

Cover

Abstract 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.
AbstractList 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. Key words: Ethics, Surgical research
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.
Author Tan, Veronique K M
Chow, Pierce K H
Author_xml – sequence: 1
  givenname: Veronique K M
  surname: Tan
  fullname: Tan, Veronique K M
  organization: Department of General Surgery, Singapore General Hospital, Singapore
– sequence: 2
  givenname: Pierce K H
  surname: Chow
  fullname: Chow, Pierce K H
BackLink https://www.ncbi.nlm.nih.gov/pubmed/21369629$$D View this record in MEDLINE/PubMed
BookMark eNpNkMtOwzAQRS1URB_wC8hiwyrFsR07YVdVUJAq2ABby7EnbVBqlzipxN9j9SVWM6O5d-7ojNHAeQcI3aVkymVK6IN2Tjch0UbbDdiwmn5x8pZuqbhAI8IIT7ggdPCvH6JxCN-EcEmouEJDmjJRCFqM0GLmsN5uW6_NGnced2vA0K1roxsMO930uqu9w77CtXN-F6cd4NC3q70i-gzYvoVwjS6r-BPcHOsEfT4_fcxfkuX74nU-WyaGSdIlQMssJ2UuM2GkIQIsLwRksdFaAssZT3VVWKtNWUJpuSylyAgUKQNRVJazCbo_3I3RPz2ETm3qYKBptAPfB5VnGSVFkYqofDwoTetDaKFS27be6PZXpUTtOaoDR3XmqE4co_n2GNOXcXW2nsCxP7Rtd6A
CitedBy_id crossref_primary_10_1111_ans_15104
crossref_primary_10_1016_j_surge_2021_11_002
crossref_primary_10_1097_MD_0000000000003790
crossref_primary_10_1080_08989621_2013_866045
crossref_primary_10_1177_1556264616650117
crossref_primary_10_1016_j_jpedsurg_2023_05_011
crossref_primary_10_1016_j_amjsurg_2011_08_002
crossref_primary_10_1111_jsap_12402
Cites_doi 10.1056/NEJM198707163170304
10.1191/0962280202sm300ra
10.1001/archsurg.136.7.796
10.1016/S0720-048X(01)00338-2
10.1016/s0140-6736(05)67310-2
10.1016/S0140-6736(99)90413-0
10.1158/0008-5472.sabcs-09-ms3-1
10.1007/s002689900580
10.1016/s1072-7515(02)01153-5
10.1148/radiology.170.3.2916054
10.1007/bf00593446
10.1001/jama.1975.03250010017015
10.1016/s0140-6736(96)90137-3
10.1097/01.sla.0000089851.41115.1b
10.1056/nejmoa040093
10.2214/ajr.151.4.673
10.3949/ccjm.75.Suppl_6.S7
10.1007/s11936-009-0014-8
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
AAYXX
CITATION
7X8
DOI 10.47102/annals-acadmedsg.V40N1p26
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
CrossRef
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
CrossRef
MEDLINE - Academic
DatabaseTitleList CrossRef
MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod fulltext_linktorsrc
Discipline Medicine
EISSN 0304-4602
EndPage 29
ExternalDocumentID 10_47102_annals_acadmedsg_V40N1p26
21369629
Genre Journal Article
Review
GeographicLocations Singapore
GeographicLocations_xml – name: Singapore
GroupedDBID ---
.GJ
2WC
53G
ABDBF
ACGFO
ALMA_UNASSIGNED_HOLDINGS
CGR
CUY
CVF
ECM
EIF
F5P
GROUPED_DOAJ
GX1
NPM
OK1
P2P
P6G
SJN
TR2
AAYXX
CITATION
7X8
ID FETCH-LOGICAL-c370t-e2b580b8756c7c06ed496e506eaa7e38341af9ddacbbebd47b7650e913e69fd43
ISSN 0304-4602
IngestDate Fri Apr 12 06:32:43 EDT 2024
Fri Aug 23 02:28:45 EDT 2024
Thu May 23 23:15:23 EDT 2024
IsDoiOpenAccess false
IsOpenAccess true
IsPeerReviewed true
IsScholarly true
Issue 1
Language English
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c370t-e2b580b8756c7c06ed496e506eaa7e38341af9ddacbbebd47b7650e913e69fd43
Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
OpenAccessLink https://doi.org/10.47102/annals-acadmedsg.v40n1p26
PMID 21369629
PQID 855209916
PQPubID 23479
PageCount 4
ParticipantIDs proquest_miscellaneous_855209916
crossref_primary_10_47102_annals_acadmedsg_V40N1p26
pubmed_primary_21369629
PublicationCentury 2000
PublicationDate 2011-01-01
PublicationDateYYYYMMDD 2011-01-01
PublicationDate_xml – month: 01
  year: 2011
  text: 2011-01-01
  day: 01
PublicationDecade 2010
PublicationPlace Singapore
PublicationPlace_xml – name: Singapore
PublicationTitle Annals of the Academy of Medicine, Singapore
PublicationTitleAlternate Ann Acad Med Singapore
PublicationYear 2011
References ref13
ref12
ref15
ref14
ref20
ref11
ref10
ref0
ref2
ref1
ref17
ref16
ref19
ref18
ref8
ref7
ref9
ref4
ref3
ref6
ref5
References_xml – ident: ref3
– ident: ref6
  doi: 10.1056/NEJM198707163170304
– ident: ref5
  doi: 10.1191/0962280202sm300ra
– ident: ref4
  doi: 10.1001/archsurg.136.7.796
– ident: ref14
  doi: 10.1016/S0720-048X(01)00338-2
– ident: ref15
  doi: 10.1016/s0140-6736(05)67310-2
– ident: ref8
  doi: 10.1016/S0140-6736(99)90413-0
– ident: ref18
  doi: 10.1158/0008-5472.sabcs-09-ms3-1
– ident: ref20
  doi: 10.1007/s002689900580
– ident: ref0
  doi: 10.1016/s1072-7515(02)01153-5
– ident: ref11
  doi: 10.1148/radiology.170.3.2916054
– ident: ref9
– ident: ref12
  doi: 10.1007/bf00593446
– ident: ref1
  doi: 10.1001/jama.1975.03250010017015
– ident: ref2
  doi: 10.1016/s0140-6736(96)90137-3
– ident: ref16
  doi: 10.1097/01.sla.0000089851.41115.1b
– ident: ref19
  doi: 10.1056/nejmoa040093
– ident: ref10
  doi: 10.2214/ajr.151.4.673
– ident: ref7
  doi: 10.3949/ccjm.75.Suppl_6.S7
– ident: ref17
– ident: ref13
  doi: 10.1007/s11936-009-0014-8
SSID ssj0047026
Score 1.9883745
SecondaryResourceType review_article
Snippet While there is an ethical obligation to improve clinical outcomes by developing better therapies, surgical innovation has largely progressed without the strict...
SourceID proquest
crossref
pubmed
SourceType Aggregation Database
Index Database
StartPage 26
SubjectTerms Biomedical Research - ethics
Clinical Competence
Diffusion of Innovation
Ethics, Medical
General Surgery - ethics
General Surgery - methods
General Surgery - standards
Humans
Informed Consent
Medical Audit
Medicine
Singapore
Specialty Boards
Title An approach to the ethical evaluation of innovative surgical procedures
URI https://www.ncbi.nlm.nih.gov/pubmed/21369629
https://search.proquest.com/docview/855209916
Volume 40
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9swDBa2Dhh2GfZeugd02K1Qp0iyFR2DoW2wtdkOTpGbYNn00ItTJM4O-_WlLMtOthZ7XAzDQfwgP1AkRX4k5AOaRdATXrHSVMCUdI6Z3HDmuHC4HpQYQvuE_sU8nS3U52WyjNPsu-6Sxh0XP2_tK_kfreI11Kvvkv0HzfY3xQt4jvrFI2oYj3-l42ndc4JHHxJ8_TqKfWDxDqQQYfbpDzjabNfB2LVLV7ldd0WEvxEqtz0nQ7_JRbcJ36ZL_RxtdNx7UGQhjXoJnmnXE8J-OdopHAjbR9-ufA0N_jLbzTS0_XYx09B1WHHFVMr3rGcgW9pDSWcK051FNWQ1fjXXyrs3gagYP43l-E3oAmy-H18qPh9fi1s4sudf7eni_NxmJ8vsPnkgtEl8yH227At7lOYi7FB3bxuoZttnfbzzSftuyR2xRutzZE_I4y5YoNOg-afkHtTPyMOoiefkbFrTCADarCiqjHYAoAMA6KqiAwBoBAAdAPCCLE5Psk8z1k3GYIXUvGEgXDLhDmPNtNAFT6FUJoUET_Jcg5yga5JXpizzwjlwpdJOoycOZiwhNVWp5EtyUK9qeE2oLAQHKUyRSKVkBY7n2owrzwvpVFUkIyKjYOx1IECxGDi24rRBnLYXp43iHBEaZWjRXvlNqLyG1XZjJ4kvvMKgZEReBdn2txVjP1xSmMM___kNeTQg9C05aNZbeIfeYePet2C4Aaedah8
link.rule.ids 315,786,790,27957,27958
linkProvider Geneva Foundation for Medical Education and Research
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=An+approach+to+the+ethical+evaluation+of+innovative+surgical+procedures&rft.jtitle=Annals+of+the+Academy+of+Medicine%2C+Singapore&rft.au=Tan%2C+Veronique+K+M&rft.au=Chow%2C+Pierce+K+H&rft.date=2011-01-01&rft.issn=0304-4602&rft.volume=40&rft.issue=1&rft.spage=26&rft.epage=29&rft_id=info:doi/10.47102%2Fannals-acadmedsg.V40N1p26&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0304-4602&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0304-4602&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0304-4602&client=summon