The merits of decision modelling in the earliest stages of the IDEAL framework – an innovative case in DIEP flap breast reconstructions

IDEAL framework aims at improving the evidence base of available surgical innovations. However, the development of such innovations and collection of evidence is costly. Surgical innovation can provide more value for money if innovations are evaluated in an early stage, where evaluations can inform the decision whether to stop or further develop an innovation. We illustrate how decision modelling can be readily adopted at the earliest stages (0-1) of the IDEAL framework, using an innovation in bilateral DIEP flap breast reconstruction as an example.

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