• BMJ open · Apr 2018

    Adoption of a novel surgical innovation into clinical practice: protocol for a qualitative systematic review examining surgeon views.

    • Thomas L Lewis, Hugh N Furness, George W Miller, Nicholas Parsons, Kate Seers, Martin Underwood, and Andrew J Metcalfe.
    • Department of Trauma and Orthopaedic Surgery, University Hospital Coventry & Warwick, Coventry, UK.
    • BMJ Open. 2018 Apr 17; 8 (4): e020486.

    IntroductionEfficient adoption of clinically effective novel surgical innovations has great potential benefits for patients. Factors affecting the adoption of surgical innovation are not well understood and proposed models of adoption do not accurately correlate with historical evidence. This protocol is for a systematic review that aims to identify the qualitative evidence relating to surgeon views regarding the adoption of novel surgical innovation into clinical practice.Methods And AnalysisA systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidance will be performed. Two independent reviewers will search the following databases: MEDLINE, Embase, Science Direct, Scopus, Web of Science and the Cochrane Library of Systematic Reviews. Inclusion criteria are studies which report on the views of surgeons who adopt a novel surgical innovation into clinical practice. Each article will be screened for inclusion and assessed according to a Critical Appraisal Skills Programme tool. Data will be synthesised and analysed according to thematic analysis. Given the anticipated yield of a small heterogeneous body of evidence meeting the eligibility criteria for the review, a narrative-based summary is planned.Ethics And DisseminationThis review does not require formal ethical approval as it does not involve direct patient contact or patient-identifiable data. The results of this review will be published in a peer-reviewed journal and presented at relevant conferences. The results will also inform an empirical qualitative study exploring surgeon and other stakeholder views regarding the introduction of novel surgical technology and procedures into clinical practice.Prospero Registration NumberCRD42017076715.© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

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