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Chapter 20 - Ethical Aspects of Innovation in Neurosurgery

from Part III - Future Developments

Published online by Cambridge University Press:  29 May 2020

Stephen Honeybul
Affiliation:
Sir Charles Gairdner Hospital, Royal Perth and Fiona Stanley Hospitals
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Summary

Surgical innovation is a major driver of progress in neurosurgery. While clinical ethics and research ethics are well-defined, there is limited knowledge about sound ethics of surgical innovation. Here, we discuss different ethical aspects of innovation, including oversight, conflicts of interest, the surgical learning curve, introducing surgical devices, informed consent, and vulnerable patient populations. A robust ethical framework can empower surgeons to innovate in a way that both protects patients and advances the neurosurgical discipline.

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Publisher: Cambridge University Press
Print publication year: 2020

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References

Martin, E., Muskens, I. S., Senders, J. T., et al. Randomized controlled trials comparing surgery to non-operative management in neurosurgery: a systematic review. Acta Neurochir (Wien) 2019; 161: 62734.Google Scholar
Zaki, M. M., Cote, D. J., Muskens, I. S., et al. Defining innovation in neurosurgery: results from an international survey. World Neurosurg. 2018; 114: e103848.Google Scholar
Broekman, M. L., Carriere, M. E., Bredenoord, A. L. Surgical innovation: the ethical agenda: a systematic review. Medicine (Baltimore). 2016; 95: e3790.CrossRefGoogle ScholarPubMed
Gupta, S., Muskens, I. S., Fandino, L. B. et al. Oversight in surgical innovation: a response to ethical challenges. World J. Surg. 2018; 42: 277380.CrossRefGoogle ScholarPubMed
DiRisio, A. C., Muskens, I. S., Cote, D. J., et al. Oversight and ethical regulation of conflicts of interest in neurosurgery in the United States. Neurosurgery 2019; 84: 30512.Google Scholar
Ammirati, M., Lai, W., Ciric, I. Short term outcome of endoscopic versus microscopic pituitary adenoma surgery. A systematic review and meta-analysis. J. Neurol. Neurosurg. Psychiatry 2013; 84: 84349.Google Scholar
Bernards, R. When a conflict of interest is not a conflict. Nature 2019; 568: 458.Google Scholar
Muskens, I. S., Gupta, S., Hulsbergen, A., et al. Introduction of novel medical devices in surgery: ethical challenges of current oversight and regulation. J. Am. Coll. Surg. 2017; 225: 55865.CrossRefGoogle Scholar
Cooper, D. J., Nichol, A. D., Bailey, M., et al. POLAR trial investigators and the ANZICS clinical trials group. Effect of early sustained prophylactic hypothermia on neurologic outcomes among patients with severe traumatic brain injury: the POLAR randomized clinical trial. JAMA 2018; 320: 221120.Google Scholar
Muskens, I. S., Diederen, S. J. H., Senders, J. T., et al. Innovation in neurosurgery: less than IDEAL? A systematic review. Acta Neurochir (Wien) 2017; 159: 195766.Google Scholar

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