Evidence map›Paper›PMID 42606713›Full record

ArticleInternational urogynecology journal2026

Redefining "Level of Involvement": A Stage-Based Governance Framework for Pelvic Organ Prolapse Innovation.

Eric R Sokol, Derek Sham, Stuart Hart, Geoffrey W Cundiff, Gil Levy

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Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Eric R SokolSchool of Medicine, Stanford University, Stanford, CA, USA. esokol@stanford.edu.ORCID http://orcid.org/0000-0001-6954-5875
Derek ShamFounder and CEO of Cosm Medical, Toronto, Canada.
Stuart HartFounder and CEO Urology Health, Miami, FL, USA.
Geoffrey W CundiffUniversity of British Columbia School of Medicine, Kelowna, Canada.
Gil LevyAssuta Samson University Hospital, Ben Gurion University of the Negev School of Medicine, Beer-Sheva, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Innovation in pelvic organ prolapse surgery depends on early, iterative collaboration among clinicians, engineers, companies, universities, and professional societies. After past device-related harms, many organizations adopted restrictive rules to prevent undue influence, but these can unintentionally exclude the physician innovators best positioned to guide safe progress. We propose a proportional governance framework that scales with technological maturity (technology readiness level, TRL), clinical validation (clinical readiness level, CRL), and physician financial or decisional influence (level of involvement, LOI) across four stages: discovery, translational innovation, clinical validation, and commercial deployment. A practical governance scorecard and a standardized research lexicon (completed, ongoing, planned) support management rather than exclusion, preserving transparency and patient protection while enabling responsible innovation.

Indexed as

DisclosureGovernanceInnovationMedical devicesPelvic organ prolapseProfessional societies

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.