Note to users. If you're seeing this message, it means that your browser cannot find this page's style/presentation instructions -- or possibly that you are using a browser that does not support current Web standards. Find out more about why this message is appearing, and what you can do to make your experience of our site the best it can be.

Science 26 May 1978:
Vol. 200. no. 4344, pp. 937 - 941
DOI: 10.1126/science.347581
Prev | Table of Contents | Next

Articles

Science, Vol 200, Issue 4344, 937-941
Copyright © 1978 by American Association for the Advancement of Science

articles

Surgical innovation and its evaluation

JP Bunker, D Hinkley, and WV McDermott

Early clinical trials, observational or randomized, hasten the prompt evaluation of new operations. Early clinical surveillance facilitates the design and implementation of randomized clinical trials when they are necessary. Of equal or greater importance, long-term surveillance of operations allows continuing evaluation when their use becomes widespread. Standards, coordination, review, and funding of the evaluation of new operations we believe should be centralized in a single national agency, for which an Institute of Health Care Assessment might be created. Implementation and regulation of the evaluation we believe should remain at the local or regional level with existing mechanisms and agencies being used, such as institutional human research committees and local health systems agencies.


THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES:
When is surgery research? Towards an operational definition of human research.
C. E Margo (2001)
J. Med. Ethics 27, 40-43
   Abstract »    Full Text »    PDF »
Four perspectives on unconventional therapies.
R. E. Gray (1998)
Health (London) 2, 55-74
   Abstract »    PDF »
Is Social Work Different? Comments on "Confirmational Response Bias".
R. Westrum (1990)
Science Technology Human Values 15, 62-64
   PDF »
The Politics of Organ Transplantation: A Parable of Our Time.
R. A. Rettig (1989)
Journal of Health Politics Policy and Law 14, 191-227
   Abstract »    PDF »
Health Care Technology and the Inevitability of Resource Allocation and Rationing Decisions: Part I.
R. W. Evans (1983)
JAMA 249, 2047-2053
   Abstract »    PDF »
Evaluation of medical practices.
H. Frazier and H. Hiatt (1978)
Science 200, 875-878
   Abstract »


To Advertise     Find Products

Science. ISSN 0036-8075 (print), 1095-9203 (online)