title: Systematic review of surgical innovation reporting in laparoendoscopic colonic polyp resection.
abstract: BACKGROUND
  The IDEAL framework (Idea, Development, Exploration, Assessment, Long-term study) proposes a staged assessment of surgical innovation, but whether it can be used in practice is uncertain. This study aimed to review the reporting of a surgical innovation according to the IDEAL framework.
  
  
  METHODS
  Systematic literature searches identified articles reporting laparoendoscopic excision for benign colonic polyps. Using the IDEAL stage recommendations, data were collected on: patient selection, surgeon and unit expertise, description of the intervention and modifications, outcome reporting, and research governance. Studies were categorized by IDEAL stages: 0/1, simple technical preclinical/clinical reports; 2a, technique modifications with rationale and safety data; 2b, expanded patient selection and reporting of both innovation and standard care outcomes; 3, formal randomized controlled trials; and 4, long-term audit and registry studies. Each stage has specific requirements for reporting of surgeon expertise, governance details and outcome reporting.
  
  
  RESULTS
  Of 615 abstracts screened, 16 papers reporting outcomes of 550 patients were included. Only two studies could be put into IDEAL categories. One animal study was classified as stage 0 and one clinical study as stage 2a through prospective ethical approval, protocol registration and data collection. Studies could not be classified according to IDEAL for insufficient reporting details of patient selection, relevant surgeon expertise, and how and why the technique was modified or adapted.
  
  
  CONCLUSIONS
  The reporting of innovation in the context of laparoendoscopic colonic polyp excision would benefit from standardized methods.
authors: Department of Surgery, St Mark's Hospital, Harrow.
authors: A
authors: A
authors: Currie
authors: A
authors: A
authors: Brigic
authors: N S
authors: NS
authors: Blencowe
authors: S
authors: S
authors: Potter
authors: O D
authors: OD
authors: Faiz
authors: R H
authors: RH
authors: Kennedy
authors: J M
authors: JM
authors: Blazeby
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003111:Colonic Polyps / Q000601:surgery*; D003113:Colonoscopy / Q000592:standards / Q000706:statistics & numerical data*; D006801:Humans; D062069:Inventions / Q000592:standards / Q000706:statistics & numerical data; D010535:Laparoscopy / Q000592:standards / Q000706:statistics & numerical data*; D010348:Patient Care Team / Q000592:standards; D018579:Patient Selection; D012107:Research Design / Q000592:standards; D035703:Therapies, Investigational / Q000592:standards / Q000706:statistics & numerical data; D016896:Treatment Outcome