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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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The IDEAL framework in neurosurgery: a bibliometric analysis.

Helen C U Ota1, Brandon G Smith2, Alexander Alamri3

  • 1St Mary's Hospital, London, UK.

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The IDEAL framework adoption in neurosurgery is slow, especially for new techniques. Increased education and publicity could boost its use, as secondary literature shows positive support for the framework.

Keywords:
EvidenceIDEAL frameworkInnovationNeurosurgeryResearchSurgery

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Area of Science:

  • Neurosurgery
  • Medical device evaluation
  • Surgical innovation

Background:

  • The Idea, Development, Exploration, Assessment and Long-term study (IDEAL) framework offers a structured approach for evaluating novel surgical techniques and devices.
  • Assessing new neurosurgical interventions requires robust methodologies to ensure patient safety and efficacy.

Purpose of the Study:

  • To examine the application of the IDEAL framework in neurosurgery.
  • To identify barriers and facilitators to the IDEAL framework's implementation in neurosurgical research.

Main Methods:

  • Bibliometric analysis of key IDEAL papers across major databases (2009-2019).
  • A secondary search identified articles citing the IDEAL framework.
  • Neurosurgery-specific publications were selected and reviewed by two independent researchers.

Main Results:

  • Out of 51 relevant articles, 14 were primary studies and 37 were secondary. Only 36% of primary studies correctly applied the IDEAL framework stages.
  • 57% of secondary papers discussed the IDEAL framework, with 86% expressing support for its implementation.

Conclusions:

  • The utilization of the IDEAL framework in neurosurgery is currently limited, particularly for early-stage innovations.
  • Positive reception in secondary literature indicates potential for wider adoption through targeted education and increased awareness campaigns.