Spinal surgery, including fusion and dynamic stabilisation, is one of the available treatment options for patients with symptomatic degenerative changes of the lumbar or cervical spine. The various symptoms can include local pain, radicular pain due to nerve root...
Negative Pressure Wound Therapy Devices
The Center for Medicare Management at the Centers for Medicare and Medicaid Services (CMS) requested this report from The Technology Assessment Program (TAP) at the Agency for Healthcare Research and Quality (AHRQ). AHRQ assigned this report to the following...
Evaluation of the Evidence on Benefits and Harms of Pulmonary Artery Catheter Use in Critical Care Settings
The Center of Medicare & Medicaid Services (CMS) requested that the Tufts Medical Center Evidence-based Practice Center (Tufts EPC) conduct a technology assessment report on pulmonary artery catheter (PAC) monitoring in patients hospitalized in critical care...
Esophageal Doppler Ultrasound-Based Cardiac Output Monitoring for Real-Time Therapeutic Management of Hospitalized Patients
The Centers of Medicare & Medicaid Services (CMS) requested that AHRQ commission an evidence report to inform CMS of the evidence regarding ultrasound-based monitoring of cardiac output (Doppler). This is currently listed as a Category II procedure (clinical...
Systematic Review of ECG-based Signal Analysis Technologies for Evaluating Patients with Acute Coronary Syndrome
Objective: To summarize the clinical and scientific evidence for commercially available ECG-based signal analysis technologies used or proposed to be used to evaluate patients at low to intermediate risk of coronary artery disease (CAD) who have chest pain or other...
ECG-based Signal Analysis Technologies
In patients where coronary artery disease (CAD) is suspected - either because of the presence of risk factors for CAD or because of symptoms that may represent manifestations of CAD (e.g., chest pain) - the standard electrocardiogram (ECG) is one of the most commonly...
Effectiveness of Cochlear Implants in Adults with Sensorineural Hearing Loss
Sensorineural hearing loss is the third leading cause of disability during the adult years, according to the World Health Organization. This type of hearing loss is usually permanent, most commonly occurs gradually, and becomes worse with increasing age with clinical...
Assessment on Implantable Defibrillators and the Evidence for Primary Prevention of Sudden Cardiac Death
Implantable cardioverter–defibrillators (ICDs) are battery-powered implantable devices that monitor heart rhythm and deliver therapy in the form of either electric shock or antitachycardia pacing (ATP) when a life-threatening ventricular arrhythmia is detected. ICDs...
Catheter Ablation for Treatment of Atrial Fibrillation
This report evaluates the current state of evidence regarding effectiveness and harms of catheter ablation for atrial fibrillation (AF) with a focus on longer-term outcomes and evidence relevant to the Medicare population. Using predefined criteria, randomized...
Implantable LVAD (Left Ventricular Assist Device) in addition to guideline directed medical therapy (GDMT) in end stage heart failure
Left ventricular assist device (LVAD) is considered an alternative to transplantationin end stage acute or chronic left ventricular congestive heart failure (HF). Use of LVAD improves the allocation of transplants alleviating the shortage of donors. The target...
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