“…Of the secondary publications, 21 (57%) explicitly mentioned the IDEAL framework [ 1 , 3 , 5 , 10 – 12 , 14 , 15 , 29 , 32 , 38 , 43 , 47 – 50 , 52 , 53 , 57 , 60 , 65 ], while the rest cited the IDEAL publications, but did not discuss them. Of the 21 papers that discussed the IDEAL framework, 18 (86%) were supportive of the use of the IDEAL framework [ 3 , 5 , 10 – 12 , 14 , 15 , 29 , 32 , 38 , 43 , 47 , 49 , 50 , 52 , 53 , 57 , 60 ], while 1 paper was not [ 1 ], and 2 were neutral [ 48 , 65 ]. Six of these publications evaluated the applicability of the IDEAL framework in neurosurgical innovation [ 38 , 47 , 48 , 50 , 64 , 65 ].…”