Beyond IDEAL: the importance of surgical innovation metrics

We read with interest the Health Policy by Peter McCulloch and colleagues (July 7, 2018, p 88),1McCulloch P Feinberg J Philippou Y et al.Progress in clinical research in surgery and IDEAL.Lancet. 2018; 392: 88-94Summary Full Text Full Text PDF PubMed Scopus (42) Google Scholar in which they concluded that IDEAL has “probably only contributed in a minor way to the improvement seen so far” in surgical research. Two fundamental limitations of IDEAL...