Development of a conceptual framework for reporting modifications in surgical innovation: scoping review

Abstract Background Innovative surgical procedures and devices are often modified throughout their development and introduction into clinical practice. A systematic approach to reporting modifications may support shared learning and foster safe and transparent innovation. Definitions of ‘modificatio...

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Veröffentlicht in:BJS Open 2023-04, Vol.7 (2)
Hauptverfasser: Hossaini, Sina, Hoffmann, Christin, Cousins, Sian, Blencowe, Natalie, McNair, Angus G K, Blazeby, Jane M, Avery, Kerry N L, Potter, Shelley, Macefield, Rhiannon
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container_end_page
container_issue 2
container_start_page
container_title BJS Open
container_volume 7
creator Hossaini, Sina
Hoffmann, Christin
Cousins, Sian
Blencowe, Natalie
McNair, Angus G K
Blazeby, Jane M
Avery, Kerry N L
Potter, Shelley
Macefield, Rhiannon
description Abstract Background Innovative surgical procedures and devices are often modified throughout their development and introduction into clinical practice. A systematic approach to reporting modifications may support shared learning and foster safe and transparent innovation. Definitions of ‘modifications’, and how they are conceptualized and classified so they can be reported and shared effectively, however, are lacking. This study aimed to explore and summarize existing definitions, perceptions, classifications and views on modification reporting to develop a conceptual framework for understanding and reporting modifications. Methods A scoping review was conducted in accordance with PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Targeted searches and two database searches were performed to identify relevant opinion pieces and review articles. Included were articles relating to modifications to surgical procedures/devices. Data regarding definitions, perceptions and classifications of modifications, and views on modification reporting were extracted verbatim. Thematic analysis was undertaken to identify themes, which informed development of the conceptual framework. Results Forty-nine articles were included. Eight articles included systems for classifying modifications, but no articles reported an explicit definition of modifications. Some 13 themes relating to perception of modifications were identified. The derived conceptual framework comprises three overarching components: baseline data about modifications, details about modifications and impact/consequences of modifications. Conclusion A conceptual framework for understanding and reporting modifications that occur during surgical innovation has been developed. This is a first necessary step to support consistent and transparent reporting of modifications, to facilitate shared learning and incremental innovation of surgical procedures/devices. Testing and operationalization is now needed to realize the value of this framework. This paper describes the conduct of a scoping review and the development of a conceptual framework for reporting modifications in surgical innovation.
doi_str_mv 10.1093/bjsopen/zrad020
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A systematic approach to reporting modifications may support shared learning and foster safe and transparent innovation. Definitions of ‘modifications’, and how they are conceptualized and classified so they can be reported and shared effectively, however, are lacking. This study aimed to explore and summarize existing definitions, perceptions, classifications and views on modification reporting to develop a conceptual framework for understanding and reporting modifications. Methods A scoping review was conducted in accordance with PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Targeted searches and two database searches were performed to identify relevant opinion pieces and review articles. Included were articles relating to modifications to surgical procedures/devices. Data regarding definitions, perceptions and classifications of modifications, and views on modification reporting were extracted verbatim. Thematic analysis was undertaken to identify themes, which informed development of the conceptual framework. Results Forty-nine articles were included. Eight articles included systems for classifying modifications, but no articles reported an explicit definition of modifications. Some 13 themes relating to perception of modifications were identified. The derived conceptual framework comprises three overarching components: baseline data about modifications, details about modifications and impact/consequences of modifications. Conclusion A conceptual framework for understanding and reporting modifications that occur during surgical innovation has been developed. This is a first necessary step to support consistent and transparent reporting of modifications, to facilitate shared learning and incremental innovation of surgical procedures/devices. Testing and operationalization is now needed to realize the value of this framework. This paper describes the conduct of a scoping review and the development of a conceptual framework for reporting modifications in surgical innovation.</description><identifier>ISSN: 2474-9842</identifier><identifier>EISSN: 2474-9842</identifier><identifier>DOI: 10.1093/bjsopen/zrad020</identifier><identifier>PMID: 37104755</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Analysis ; Database searching ; General Surgery - methods ; Humans ; Internet/Web search services ; Inventions ; Online searching ; Research Design ; Review</subject><ispartof>BJS Open, 2023-04, Vol.7 (2)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of BJS Society Ltd.</rights><rights>COPYRIGHT 2023 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c450t-af869c5db72ed54d9c5e391a0d17a09fd701ecc73d2af11ebaa6798ddabb61083</cites><orcidid>0000-0003-0088-841X ; 0000-0002-3354-3330 ; 0000-0002-2601-9258 ; 0000-0001-8122-5321 ; 0000-0002-6977-312X ; 0000-0002-6606-5427 ; 0000-0002-6293-3813</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139440/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10139440/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,1604,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37104755$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hossaini, Sina</creatorcontrib><creatorcontrib>Hoffmann, Christin</creatorcontrib><creatorcontrib>Cousins, Sian</creatorcontrib><creatorcontrib>Blencowe, Natalie</creatorcontrib><creatorcontrib>McNair, Angus G K</creatorcontrib><creatorcontrib>Blazeby, Jane M</creatorcontrib><creatorcontrib>Avery, Kerry N L</creatorcontrib><creatorcontrib>Potter, Shelley</creatorcontrib><creatorcontrib>Macefield, Rhiannon</creatorcontrib><title>Development of a conceptual framework for reporting modifications in surgical innovation: scoping review</title><title>BJS Open</title><addtitle>BJS Open</addtitle><description>Abstract Background Innovative surgical procedures and devices are often modified throughout their development and introduction into clinical practice. A systematic approach to reporting modifications may support shared learning and foster safe and transparent innovation. Definitions of ‘modifications’, and how they are conceptualized and classified so they can be reported and shared effectively, however, are lacking. This study aimed to explore and summarize existing definitions, perceptions, classifications and views on modification reporting to develop a conceptual framework for understanding and reporting modifications. Methods A scoping review was conducted in accordance with PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Targeted searches and two database searches were performed to identify relevant opinion pieces and review articles. Included were articles relating to modifications to surgical procedures/devices. Data regarding definitions, perceptions and classifications of modifications, and views on modification reporting were extracted verbatim. Thematic analysis was undertaken to identify themes, which informed development of the conceptual framework. Results Forty-nine articles were included. Eight articles included systems for classifying modifications, but no articles reported an explicit definition of modifications. Some 13 themes relating to perception of modifications were identified. The derived conceptual framework comprises three overarching components: baseline data about modifications, details about modifications and impact/consequences of modifications. Conclusion A conceptual framework for understanding and reporting modifications that occur during surgical innovation has been developed. This is a first necessary step to support consistent and transparent reporting of modifications, to facilitate shared learning and incremental innovation of surgical procedures/devices. Testing and operationalization is now needed to realize the value of this framework. 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Hoffmann, Christin ; Cousins, Sian ; Blencowe, Natalie ; McNair, Angus G K ; Blazeby, Jane M ; Avery, Kerry N L ; Potter, Shelley ; Macefield, Rhiannon</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c450t-af869c5db72ed54d9c5e391a0d17a09fd701ecc73d2af11ebaa6798ddabb61083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Analysis</topic><topic>Database searching</topic><topic>General Surgery - methods</topic><topic>Humans</topic><topic>Internet/Web search services</topic><topic>Inventions</topic><topic>Online searching</topic><topic>Research Design</topic><topic>Review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hossaini, Sina</creatorcontrib><creatorcontrib>Hoffmann, Christin</creatorcontrib><creatorcontrib>Cousins, Sian</creatorcontrib><creatorcontrib>Blencowe, Natalie</creatorcontrib><creatorcontrib>McNair, Angus G K</creatorcontrib><creatorcontrib>Blazeby, Jane M</creatorcontrib><creatorcontrib>Avery, Kerry N L</creatorcontrib><creatorcontrib>Potter, Shelley</creatorcontrib><creatorcontrib>Macefield, Rhiannon</creatorcontrib><collection>Access via Oxford University Press (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BJS Open</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hossaini, Sina</au><au>Hoffmann, Christin</au><au>Cousins, Sian</au><au>Blencowe, Natalie</au><au>McNair, Angus G K</au><au>Blazeby, Jane M</au><au>Avery, Kerry N L</au><au>Potter, Shelley</au><au>Macefield, Rhiannon</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of a conceptual framework for reporting modifications in surgical innovation: scoping review</atitle><jtitle>BJS Open</jtitle><addtitle>BJS Open</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>7</volume><issue>2</issue><issn>2474-9842</issn><eissn>2474-9842</eissn><abstract>Abstract Background Innovative surgical procedures and devices are often modified throughout their development and introduction into clinical practice. A systematic approach to reporting modifications may support shared learning and foster safe and transparent innovation. Definitions of ‘modifications’, and how they are conceptualized and classified so they can be reported and shared effectively, however, are lacking. This study aimed to explore and summarize existing definitions, perceptions, classifications and views on modification reporting to develop a conceptual framework for understanding and reporting modifications. Methods A scoping review was conducted in accordance with PRISMA Extension for Scoping Reviews (PRISMA-ScR) guidelines. Targeted searches and two database searches were performed to identify relevant opinion pieces and review articles. Included were articles relating to modifications to surgical procedures/devices. Data regarding definitions, perceptions and classifications of modifications, and views on modification reporting were extracted verbatim. Thematic analysis was undertaken to identify themes, which informed development of the conceptual framework. Results Forty-nine articles were included. Eight articles included systems for classifying modifications, but no articles reported an explicit definition of modifications. Some 13 themes relating to perception of modifications were identified. The derived conceptual framework comprises three overarching components: baseline data about modifications, details about modifications and impact/consequences of modifications. Conclusion A conceptual framework for understanding and reporting modifications that occur during surgical innovation has been developed. This is a first necessary step to support consistent and transparent reporting of modifications, to facilitate shared learning and incremental innovation of surgical procedures/devices. Testing and operationalization is now needed to realize the value of this framework. 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source MEDLINE; Access via Oxford University Press (Open Access Collection); EZB-FREE-00999 freely available EZB journals; PubMed Central
subjects Analysis
Database searching
General Surgery - methods
Humans
Internet/Web search services
Inventions
Online searching
Research Design
Review
title Development of a conceptual framework for reporting modifications in surgical innovation: scoping review
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