Background

The Idea, Development, Exploration, Assessment and Long-term study (IDEAL) framework was created to provide a structured way for assessing and evaluating novel surgical techniques and devices.

Objectives

The aim of this paper was to investigate the utilization of the IDEAL framework within neurosurgery, and to identify factors influencing implementation.

Methods

A bibliometric analysis of the 7 key IDEAL papers on Scopus, PubMed, Embase, Web of Science, and Google Scholar databases (2009–2019) was performed. A second journal-specific search then identified additional papers citing the IDEAL framework. Publications identified were screened by two independent reviewers to select neurosurgery-specific articles.

Results

The citation search identified 1336 articles. The journal search identified another 16 articles. Following deduplication and review, 51 relevant articles remained; 14 primary papers (27%) and 37 secondary papers (73%). Of the primary papers, 5 (36%) papers applied the IDEAL framework to their research correctly; two were aligned to the pre-IDEAL stage, one to the Idea and Development stages, and two to the Exploration stage. Of the secondary papers, 21 (57%) explicitly discussed the IDEAL framework. Eighteen (86%) of these were supportive of implementing the framework, while one was not, and two were neutral.

Conclusion

The adoption of the IDEAL framework in neurosurgery has been slow, particularly for early-stage neurosurgical techniques and inventions. However, the largely positive reviews in secondary literature suggest potential for increased use that may be achieved with education and publicity.

中文翻译：

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神经外科的理想框架：文献计量分析。

背景

创建理念、开发、探索、评估和长期研究 (IDEAL) 框架是为了提供一种结构化的方法来评估和评价新颖的手术技术和设备。

目标

本文的目的是调查 IDEAL 框架在神经外科领域的应用，并确定影响实施的因素。

方法

对 Scopus、PubMed、Embase、Web of Science 和 Google Scholar 数据库（2009-2019 年）上的 7 篇关键 IDEAL 论文进行了文献计量分析。然后，第二次针对特定期刊的搜索发现了引用 IDEAL 框架的其他论文。确定的出版物由两名独立审稿人筛选，以选择神经外科特定的文章。

结果

引文检索发现了 1336 篇文章。期刊检索发现了另外 16 篇文章。经过去重和审核，剩下51篇相关文章；14 篇初级论文（27%）和 37 篇次级论文（73%）。在初级论文中，有 5 篇（36%）论文正确地将 IDEAL 框架应用到了他们的研究中；两个与预 IDEAL 阶段一致，一个与理念和开发阶段一致，两个与探索阶段一致。在二级论文中，21 篇（57%）明确讨论了 IDEAL 框架。其中 18 人 (86%) 支持实施该框架，1 人不支持，2 人持中立态度。

结论

IDEAL 框架在神经外科领域的采用进展缓慢，特别是对于早期神经外科技术和发明而言。然而，二手文献中大部分积极的评论表明，通过教育和宣传可以增加使用的潜力。