Polyakov Alex, Savulescu Julian, Gyngell Christopher, Rozen Genia
Reproductive Services Unit, The Royal Women's Hospital, Melbourne, Victoria, Australia.; Genea Fertility Melbourne City, Melbourne, Victoria, Australia.; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia..
Faculty of Philosophy, The University of Oxford, Oxford, UK.; Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Biomedical Ethics Research Group, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Reprod Biomed Online. 2025 Aug;51(2):104702. doi: 10.1016/j.rbmo.2024.104702. Epub 2024 Nov 4.
In the dynamic field of reproductive medicine, the introduction of new technologies often follows a modified Gartner Hype Cycle, characterized by initial enthusiasm, unmet inflated expectations and eventual disillusionment. This paper explores how the Dunning-Kruger effect, where individuals overestimate their knowledge and competence, contributes to the Gartner Hype Cycle in reproductive medicine. By examining the history of the endometrial scratch, the paper illustrates the negative impact of prematurely adopted innovations. The authors stress the urgent need for a more rigorous approach to designating interventions as 'innovative' and call for robust data collection and analysis evaluating their safety and effectiveness. There is a balance between the need for innovation and the imperative to protect patients from harm, while ensuring the cost-effectiveness of reproductive technologies. The paper emphasizes the importance of evidence-based practice encompassing interventions undergoing thoroughly vetted scientific research before being widely adopted. It underscores the role of regulatory bodies in overseeing the introduction of new technologies to prevent the premature implementation of unproven methods. We propose the creation of comprehensive national and international databases accessible to researchers and clinicians. These would facilitate the rapid and reliable assessment of new treatments, allowing for continuous monitoring of their safety and efficacy. This paper advocates for a cautious and measured approach to innovation, ensuring that advancements are scientifically validated and clinically beneficial.
在生殖医学这个充满活力的领域，新技术的引入往往遵循一种经过修正的高德纳技术成熟度曲线，其特点是起初热情高涨、过高期望无法实现，最终幻想破灭。本文探讨了邓宁-克鲁格效应（即个体高估自己的知识和能力）如何在生殖医学的高德纳技术成熟度曲线中发挥作用。通过审视子宫内膜刮擦术的历史，本文阐述了过早采用创新技术的负面影响。作者强调迫切需要采取更严谨的方法来认定干预措施为“创新”，并呼吁进行有力的数据收集和分析，以评估其安全性和有效性。在创新需求与保护患者免受伤害的迫切要求之间需要取得平衡，同时要确保生殖技术的成本效益。本文强调循证实践的重要性，即在广泛采用之前，干预措施要经过全面严格的科学研究。它强调了监管机构在监督新技术引入方面的作用，以防止未经验证的方法过早实施。我们提议创建供研究人员和临床医生使用的全面的国家和国际数据库。这些数据库将有助于对新治疗方法进行快速可靠的评估，以便持续监测其安全性和有效性。本文倡导对创新采取谨慎、适度的方法，确保进展经过科学验证且对临床有益。
