NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Centre for Clinical Practice
|
|
- Barry Owen
- 5 years ago
- Views:
Transcription
1 NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review of Clinical Guideline (CG3) Preoperative tests: the use of routine preoperative testes for elective surgery Background information Guideline issue date: year review: 2010 (first review was 2007) National Collaborating Centre: National Clinical Guidelines Centre (formerly NCC Acute Care) Review recommendation The guideline should be considered for an update, pending on the publication of the HTA project on Pre-operative testing: evidence synthesis, cost effectiveness and value of information analysis in Factors influencing the decision Literature search 1. From initial intelligence gathering and a high-level randomised control trial (RCT) search, clinical areas were identified to inform the development of clinical questions for focused searches. Through this stage of the process 3 studies were identified relevant to the guideline scope. The identified studies were related to the following clinical areas within the guideline: 1.1. Clinical utility of preoperative tests in ambulatory surgery including cataract surgery 1.2. Clinical utility of preoperative tests for planned/elective surgery, according to BMI and surgical classification Random glucose tests for planned/elective surgery in adult patients with ASA grade 1 to 3. CG03 Preoperative tests Review decision for web 1 of 6
2 2. Six clinical questions were developed based on the clinical areas above, qualitative feedback from other NICE departments and the views expressed by the Guideline Development Group, for the more focused literature searches. In total, 21 studies were identified through the focused searches. There is new evidence in four of the areas examined which may potentially change the current recommendation(s), they are: 2.1. The need for preoperative testing in ambulatory/day-case surgery, including cataract surgery The need for preoperative testing according to BMI and surgical classification for planned/elective surgery The clinical utility of random glucose test for planned/elective surgery in adult patients with ASA grade 1 to The clinical utility of cardiovascular risk assessment tests (apart from ECG) in adult patients with mild or systemic co-morbidity (ASA grade 2 and 3) before planned/elective grade 3 and 4 non-cardiac surgery. 3. An ongoing HTA project on Pre-operative testing: evidence synthesis, cost effectiveness and value of information analysis was also identified. This study will identify, assess and combine the evidence for three of the most common pre-operative tests (full blood count, electrolytes, renal function through urea); and pulmonary function tests (PFT); in order to provide a definitive account of their clinical worth and an assessment of whether this is sufficient to justify their cost. The study is due to publish early Guideline Development Group and National Collaborating Centre perspective 4. A questionnaire was distributed to GDG members and the National Collaborating Centre to consult them on the need for an update of the guideline. Four responses were received with respondents highlighting the following areas: CG03 Preoperative tests Review decision for web 2 of 6
3 4.1. The likely impact of the ongoing HTA project on Pre-operative testing: evidence synthesis, cost effectiveness and value of information analysis The clinical utility of blood glucose test for people with undiagnosed type 2 diabetes and poorly controlled diabetes prior to all grades of surgery and the Group and Save Testing for Major (3) and Major+ (4) surgeries 4.3. Consider the inclusion of new tests in the guideline, for example, static Echo, stress Echo, myocardial perfusion scanning, and cardiopulmonary exercise test 4.4. To address the sensitive and important issue of assessing the pregnancy status of year olds 5. Feedback from the GDG and NCC contributed towards the development of the clinical questions for the focused searches. Implementation and post publication feedback 6. Key themes emerging from post-publication feedback included preoperative tests before ASA grade 1 surgery for patients older than 60 years and cardiopulmonary exercise testing (CPX) to determine preoperative fitness. This feedback contributed towards the development of clinical question one as described above. 7. Feedback from NICE implementation uptake report mentioned a study that found patients have blood tests performed in excess of the NICE guideline with coagulation screens requested in excess of guideline 17.8% of cases. Relationship to other NICE guidance 8. No NICE guidance is related to CG03. CG03 Preoperative tests Review decision for web 3 of 6
4 Summary of Stakeholder Feedback Review proposal put to consultees: The guideline should be considered for an update, pending on the publication of the HTA project in In total 17 stakeholders commented on the review proposal recommendation during the 2 week consultation period. 10. Sixteen stakeholders agreed with the review proposal recommendation that this guideline should be updated with the majority also agreeing that the update should wait for the publication of the HTA report. 11. Literature was submitted through stakeholder consultation relating to: Health economics evaluation on whether routine preoperative tests are necessary Specific preoperative obesity risk assessment before bariatric surgery Prognostic accuracy of six diagnostic tests for predicting perioperative risks in patients undergoing major vascular surgery Cardiopulmonary exercise testing as a risk assessment for noncardiopulmonary surgery 12. During consultation, areas to consider for review in an update of the guideline were highlighted including: The need to refine child bearing age as years old The need to specify the timing for pregnancy tests The need to restructure the guideline and more emphasis on children 13. During consultation, new area to consider for review in an update of the guideline was highlighted including: CG03 Preoperative tests Review decision for web 4 of 6
5 Glycosylated haemoglobin - HbA1c tests for inclusion in preoperative tests Anti-discrimination and equalities considerations 14. No evidence was identified to indicate that the guideline scope does not comply with anti-discrimination and equalities legislation. The original scope included ASA grade 1 (adults and children) and ASA grade 2 and 3 (adults only) undergoing planned/elective surgery. Conclusion 15. From the evidence and intelligence identified through the process, it suggests that some areas of the guideline may need updating at this stage, particularly in relation to: Preoperative testing in ambulatory surgery including cataract surgery The clinical utility of cardiovascular risk assessment tests (apart from ECG) before grade 3 and 4 non-cardiac surgery The clinical utility of random glucose test for adult patients with ASA grade 1 to 3 Preoperative testing according to BMI Areas mentioned by stakeholders need to be considered 16. As the ongoing HTA project on Pre-operative testing: evidence synthesis, cost effectiveness and value of information analysis would have a significant impact on current recommendations on the most common preoperative tests (full blood count, electrolytes, renal function through urea), the publication of its results in 2012 needs to be considered in the update of the guideline. The guideline should be considered for an update, pending on the publication of the HTA project in CG03 Preoperative tests Review decision for web 5 of 6
6 Relationship to quality standards 17. This topic is not currently being considered for a quality standard. Fergus Macbeth - Centre Director Sarah Willett - Associate Director Mousumi Biswas - Technical Analyst Centre for Clinical Practice March 2011 CG03 Preoperative tests Review decision for web 6 of 6
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review of Clinical Guideline (CG54) - Urinary tract infection in children Background information Guideline issue date:
More informationPreoperative tests (update)
National Institute for Health and Care Excellence. Preoperative tests (update) Routine preoperative tests for elective surgery NICE guideline NG45 Appendix C: April 2016 Developed by the National Guideline
More informationPreoperative tests (update)
National Institute for Health and Care Excellence. Preoperative tests (update) Routine preoperative tests for elective surgery NICE guideline NG45 Appendix N: Research recommendations April 2016 Developed
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE. Centre for Clinical Practice. Review consultation document
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review consultation document Review of Clinical Guideline (CG3) Preoperative tests: The use of routine preoperative tests
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review consultation document Review of Clinical Guideline (CG64) - Prophylaxis against infective endocarditis 1. Background
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme Recommendation for Guidance Executive (post-consultation) Clinical guideline CG103: Delirium: diagnosis,
More informationSurveillance report Published: 9 January 2017 nice.org.uk
Surveillance report 2017 Caesarean section (2011) NICE guideline CG132 Surveillance report Published: 9 January 2017 nice.org.uk NICE 2017. All rights reserved. Contents Surveillance decision... 3 Reason
More informationSurveillance report Published: 28 March 2018 nice.org.uk
Surveillance report 2018 Type 2 diabetes prevention: ention: population and community-level el interventions entions (2011) NICE guideline PH35 and Type 2 diabetes: prevention ention in people at high
More informationTitle Use of Pre-Operative Tests for Elective Surgery Guideline. Department. Anaesthetics. Comment / Changes / Approval
Document Control Title Use of Pre-Operative Tests for Elective Surgery Guideline Author Consultant Anaesthetist Author s job title Consultant Anaesthetist Directorate Clinical Support Services Department
More informationSurveillance report Published: 17 March 2016 nice.org.uk
Surveillance report 2016 Ovarian Cancer (2011) NICE guideline CG122 Surveillance report Published: 17 March 2016 nice.org.uk NICE 2016. All rights reserved. Contents Surveillance decision... 3 Reason for
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Diabetes in children and young people: diagnosis and management of type 1 and type 2 diabetes in children and young people
More informationSurveillance report Published: 30 January 2017 nice.org.uk
Surveillance report 2017 Surgical site infections: prevention ention and treatment (2008) NICE guideline Surveillance report Published: 30 January 2017 nice.org.uk NICE 2017. All rights reserved. Subject
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Ongoing care for adults with psychosis or schizophrenia bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated regularly
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME Briefing paper QOF indicator area: Primary prevention of CVD Potential output:
More informationHow effective are national strategies for getting evidence into practice?
How effective are national strategies for getting evidence into practice? Dr Gillian Leng Deputy Chief Executive, NICE Areas to cover Getting NICE guidance into practice Challenges National strategy Impact
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Review of TA151 Continuous subcutaneous insulin infusion for the treatment of diabetes mellitus This guidance was issued in
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme Clinical guideline CG28: Depression in children and young people: identification and management in
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme Clinical guideline CG54: Urinary tract infection: diagnosis, treatment and long-term management of
More informationBenefits and Harms of Routine Preoperative Testing: A Comparative Effectiveness Review
Benefits and Harms of Routine Preoperative Testing: A Comparative Effectiveness Review Brown Evidence- based Practice Center, Brown University School of Public Health Ethan M. Balk, MD, MPH Amy Earley,
More informationSurveillance report Published: 8 June 2017 nice.org.uk. NICE All rights reserved.
Surveillance report 2017 Antenatal and postnatal mental health: clinical management and service guidance (2014) NICE guideline CG192 Surveillance report Published: 8 June 2017 nice.org.uk NICE 2017. All
More informationNational Institute for Health and Care Excellence. Type 2 diabetes. Stakeholder Comments Draft Guideline
National Institute for Health and Care Excellence Type 2 diabetes Stakeholder Comments Draft Guideline NOTE: NICE is unable to accept comments from non-registered organisations or individuals. If you wish
More informationSurveillance report Published: 6 April 2016 nice.org.uk. NICE All rights reserved.
Surveillance report 2016 Chronic obstructive pulmonary disease in over 16s: diagnosis and management (2010) NICE guideline CG101 Surveillance report Published: 6 April 2016 nice.org.uk NICE 2016. All rights
More informationNICE guidelines. Type 2 diabetes in adults: management
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE NICE guidelines Equality impact assessment Type 2 diabetes in adults: management The impact on equality has been assessed during guidance development according
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME Briefing paper QOF indicator area: Peripheral arterial disease Potential output:
More informationSurveillance proposal consultation document
Surveillance proposal consultation document 2018 surveillance of Gallstone disease: diagnosis and management (NICE guideline CG188) Proposed surveillance decision We propose to not update the NICE guideline
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Recognising and managing bipolar disorder in adults in primary care bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review consultation document Review of Clinical Guideline (CG95) Chest pain of recent onset: Assessment and diagnosis
More informationCo-morbidity: a summary of issues from the NCIN Site-Specific Clinical Reference Groups Dr Mick Peake
Co-morbidity: a summary of issues from the NCIN Site-Specific Clinical Reference Groups Dr Mick Peake Clinical Lead, NCIN National Clinical Lead, NHS Cancer Improvement Questionnaire to Site- Specific
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE. Type 2 diabetes: the management of type 2 diabetes (update)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE 1 Guideline title SCOPE Type 2 diabetes: the management of type 2 diabetes (update) 1.1 Short title Type 2 diabetes (update) 2 Background a) The National
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE General practice Indicators for the NICE menu
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE General practice Indicators for the NICE menu Indicator area: Pulse rhythm assessment for AF Indicator: NM146 Date: June 2017 Introduction There is evidence
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME Briefing paper QOF indicator area: Diabetes dietary review Potential output: Recommendations
More informationSurveillance report Published: 7 July 2016 nice.org.uk. NICE All rights reserved.
Surveillance report 2016 Urinary tract infection in under 16s: diagnosis and management (2007) NICE guideline CG54 Surveillance report Published: 7 July 2016 nice.org.uk NICE 2016. All rights reserved.
More informationUse of Telehealth in Antenatal Diabetes clinics. Chandi Idampitiya Consultant Endocrinologist Cumbria Partnership NHS Foundation Trust
Use of Telehealth in Antenatal Diabetes clinics Chandi Idampitiya Consultant Endocrinologist Cumbria Partnership NHS Foundation Trust The problem Increase prevalence of gestational diabetes Increase demand
More informationGuideline scope Hypertension in adults (update)
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Hypertension in adults (update) This guideline will update the NICE guideline on hypertension in adults (CG127). The guideline will be
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Review of TA165; Machine perfusion systems and cold static storage of kidneys from deceased donors This guidance was issued
More informationIn keeping with the Scottish Diabetes Group criteria, use should be restricted to those who:
Advice Statement 009-18 July 2018 Advice Statement What is the clinical and cost effectiveness of Freestyle Libre flash glucose monitoring for patients with diabetes mellitus treated with intensive insulin
More informationChoosing and delivering ering interventions entions for
Choosing and delivering ering interventions entions for psychosis and schizophrenia in adults bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to
More informationWhy is co-morbidity important for cancer patients? Di Riley Associate Director Clinical Outcomes Programme
Why is co-morbidity important for cancer patients? Di Riley Associate Director Clinical Outcomes Programme Co-morbidity in cancer Definition:- Co-morbidity is a disease or illness affecting a cancer patient
More informationThe Cost-Effectiveness of Individual Cognitive Behaviour Therapy for Overweight / Obese Adolescents
Dr Marion HAAS R Norman 1, J Walkley 2, L Brennan 2, M Haas 1. 1 Centre for Health Economics Research and Evaluation, University of Technology, Sydney. 2 School of Medical Sciences, RMIT University, Melbourne.
More informationHBA1C AS A MARKER FOR HIGH RISK DIABETIC SURGICAL PATIENT
Basrah Journal Of Surgery Bas J Surg, September, 18, 2012 HBA1C AS A MARKER FOR HIGH RISK DIABETIC SURGICAL PATIENT MB,ChB, DA, FICMS, Lecturer in Anesthesiology, Department of Surgery, College of Medicine,
More informationProcess Measure: Screening for Adult Obstructive Sleep Apnea
Process Measure: Screening for Adult Obstructive Sleep Apnea Measure Description Description Type of Measure All patients aged 18 years and older at high risk for obstructive sleep apnea (OSA) with documentation
More informationWhat s New in Bariatric Surgery?
Bariatric Surgery: Update for the General Surgeon What s New in Bariatric Surgery? 2,000 B.C. 2,000 A.D. 1. America keeps getting fatter without an end in sight. 2. Bariatric surgery is not just about
More informationThe Micro Level. HTA Into Practice at the Local Clinical Network Level. Presenter: Paule Poulin, PhD. Alberta Health Services
The Micro Level HTA Into Practice at the Local Clinical Network Level Presenter: Paule Poulin, PhD Authors: P. Poulin, T. Schuler & L. Austen Surgery Clinical Network Alberta Health Services 2012 CADTH
More informationScottish Health Technologies Group: Response to query on Scottish patient pathways for surgical interventions for morbid obesity
Scottish Health Technologies Group: Response to query on Scottish patient pathways for surgical interventions for morbid obesity International HTA evidence presented at the April 2008 meeting of SHTG indicated
More informationIs the population appropriate? Population: Groups that will be covered: Are there any specific subgroups that have not been mentioned?
Sleep Disordered Breathing scope: stakeholder subgroup discussions Date: Thursday 12 April 2018 Group: 2 Population: Groups that will be covered: Adults (18 and older) with obstructive sleep apnoea/hypopnoea
More informationCosting report: Lipid modification Implementing the NICE guideline on lipid modification (CG181)
Putting NICE guidance into practice Costing report: Lipid modification Implementing the NICE guideline on lipid modification (CG181) Published: July 2014 This costing report accompanies Lipid modification:
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Review of TA152 drug-eluting stents for the treatment of coronary artery disease (part review of TA71) this guidance was originally
More informationNHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY
Agenda Item No: Part 1 X Part 2 NHS TRAFFORD CLINICAL COMMISSIONING GROUP GOVERNING BODY 25.4.17 Title of Report Purpose of the Report Public Health Update This report provides an update to the Clinical
More informationDementia Post- Diagnostic Support
Dementia Post- Diagnostic Support NHS Board Performance 2016/17 Publication date 5 February 2019 A Management Information publication for Scotland This is a Management Information publication Published
More informationNational Institute for Health and Care Excellence. Single Technology Appraisal (STA) Empagliflozin combination therapy for treating type 2 diabetes
National Institute for Health and Care Excellence Comment 1: the draft remit Single Technology Appraisal (STA) Empagliflozin combination therapy for treating type 2 diabetes Response to consultee and commentator
More informationSurveillance report Published: 13 April 2017 nice.org.uk. NICE All rights reserved.
Surveillance report 2017 Antisocial behaviour and conduct disorders in children and young people: recognition and management (2013) NICE guideline CG158 Surveillance report Published: 13 April 2017 nice.org.uk
More informationNational Optimal Lung Cancer Pathways. Dr Sadia Anwar Nottingham University Hospitals NHS Trust Clinical Lead for Lung Cancer
National Optimal Lung Cancer Pathways Dr Sadia Anwar ttingham University Hospitals NHS Trust Clinical Lead for Lung Cancer Overview How NOLCP evolved How it relates to national guidance Pathways Implementation
More informationWESTERN SYDNEY DIABETES PLAN 2017 PLANNING NOW FOR A HEALTHIER FUTURE
WESTERN SYDNEY DIABETES PLAN 2017 PLANNING NOW FOR A HEALTHIER FUTURE 2 PLAN 2017 OVERVIEW The Western Sydney Diabetes Plan 2017 document outlines the blueprint of how we will be delivering the Western
More informationSummary of 2012/13 QOF Changes
Summary of QOF Changes Retirements 2011/12 CHD13 AF4 QP1 QP2 QP3 QP4 QP5 2011/12 Indicator Wording Threshold For patients with newly diagnosed angina (diagnosed after 1 April 2011), the percentage who
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice SCOPE Clinical guideline title: Intravenous fluid therapy in adults in hospital Quality standard title: Intravenous fluid
More informationSupplementary Appendix
Supplementary Appendix This appendix has been provided by the authors to give readers additional information about their work. Supplement to: Chen CL, Lin GA, Bardach NS, et al. Preoperative medical testing
More informationCrohn's disease. Appendix I. Clinical Guideline < > 10 October Research recommendations
Crohn's disease Clinical Guideline < > 10 October 2012 Commissioned by the National Institute for Health and Clinical Excellence Contents Published by the National Clinical Guideline Centre at The Royal
More informationPREOP EVALUATION AND OPTIMIZATION
PREOP EVALUATION AND OPTIMIZATION Barry Perlman, PhD, MD System Lead, Anesthesia Physician Best Practice 4/2012 Disclosure of Potential Financial Conflicts of Interest None But am open to any and all offers
More informationGoals and Objectives. Assessment Methods/Tools
CA-3 CARDIOVASCULAR ANESTHESIA ROTATION Minneapolis Veterans Administration Medical Center (VAMC) Rotation Site Director: Dr. Karen Ringsred Rotation Duration: 4 weeks Introduction: The patients at the
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE QUALITY AND OUTCOMES FRAMEWORK (QOF) INDICATOR DEVELOPMENT PROGRAMME QOF indicator area: Diabetes Briefing paper Potential output: Recommendations
More informationCancer Control Council Evaluation and Monitoring Framework
Cancer Control Council Evaluation and Monitoring Framework Table of contents 1. Purpose...1 2. Background...1 3. Clarification of key tasks...2 4. International evaluation and monitoring frameworks...3
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Review of TA78 fluid filled thermal balloon and microwave endometrial ablation for menstrual bleeding This guidance was issued
More informationDronedarone for the treatment of atrial fibrillation and atrial flutter
National Institute for Health and Clinical Excellence Dronedarone for the treatment of atrial fibrillation and atrial flutter Comment 1: the draft remit Appropriateness Sanofi-aventis Sanofi-aventis believe
More informationA framework for evaluating public health interventions for obesity prevention. An IOM committee report
A framework for evaluating public health interventions for obesity prevention An IOM committee report Harold C. Sox, M.D., MACP The Dartmouth Institute Dartmouth Medical School Bridging the Evidence Gap
More informationPRE Operative Care of the High Risk Surgical Patient. Dr A T Dewhurst Consultant Anaesthetist St George s Hospital London
PRE Operative Care of the High Risk Surgical Patient Dr A T Dewhurst Consultant Anaesthetist St George s Hospital London Perioperative Optimization Shoemaker oxygen delivery goal directed therapy ITS NOT
More informationNational Optimal Lung Cancer Pathway
National Optimal Lung Cancer Pathway This document was produced by the Lung Clinical Expert Group 2017 Document Title: National Optimal Lung Cancer Pathway and Implementation Guide Date of issue: August
More informationDr. Stuart McCorkell BSc FRCA FFICM Anaesthetic Department, Guy s & St. Thomas s NHS Foundation Trust 2017 POPS
Dr. Stuart McCorkell BSc FRCA FFICM Anaesthetic Department, Guy s & St. Thomas s NHS Foundation Trust Why assess (estimate) risk? Patient information and informed consent (patient, surgeon) Stratify resource
More informationEndovascular versus 'fast-track' abdominal aortic aneurysm repair Abularrage C J, Sheridan M J, Mukherjee D
Endovascular versus 'fast-track' abdominal aortic aneurysm repair Abularrage C J, Sheridan M J, Mukherjee D Record Status This is a critical abstract of an economic evaluation that meets the criteria for
More informationNATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Centre for Clinical Practice Surveillance Programme Recommendation for Guidance Executive (post-consultation) Clinical guideline CG102: Bacterial meningitis
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review of Cancer Service Guidance: Colorectal Background information Guidance issue date: 1997 (by NHS Executive) Guidance
More informationPRESS RELEASE. New NICE guidance will improve diagnosis and treatment of chronic heart failure
Tel: 0845 003 7782 www.nice.org.uk Ref: 2010/118 ISSUED: WEDNESDAY, 25 AUGUST 2010 PRESS RELEASE New NICE guidance will improve diagnosis and treatment of chronic heart failure The National Institute for
More informationType 2 Diabetes: Screening and Prevention. Updating the Scottish Needs Assessment Programme Report on. Recommendations
Scottish Updating Public the Scottish Health Needs Network Assessment (ScotPHN) Programme Report on Type 2 Diabetes: Screening and Prevention Updating the Scottish Needs Assessment Programme Report on
More informationTechnical Meeting on: Current Role of Nuclear Cardiology in the Management of Cardiac Diseases Vienna, May 2008 Vienna International Centre
Technical Meeting on: Current Role of Nuclear Cardiology in the Management of Cardiac Diseases Vienna, 5-95 9 May 2008 Vienna International Centre Evidence-based Nuclear Cardiology: Imaging of CAD The
More informationNational Institute for Health and Clinical Excellence Health Technology Appraisal
National Institute for Health and Clinical Excellence Health Technology Appraisal Rivaroxaban for the prevention of venous thromboembolism after elective orthopaedic surgery of the lower limbs Comment
More informationCommissioning for Better Outcomes in COPD
Commissioning for Better Outcomes in COPD Dr Matt Kearney Primary Care & Public Health Advisor Respiratory Programme, Department of Health General Practitioner, Runcorn November 2011 What are the Commissioning
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE)
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE GUIDANCE EXECUTIVE (GE) Review of TA88; Dual-chamber pacemakers for symptomatic bradycardia due to sick sinus syndrome and/or atrioventricular block
More informationThey are updated regularly as new NICE guidance is published. To view the latest version of this NICE Pathway see:
Managing comorbid health problems in people with eating disorders bring together everything NICE says on a topic in an interactive flowchart. are interactive and designed to be used online. They are updated
More informationCost-effective commissioning of colorectal cancer care: An assessment of the cost-effectiveness of improving early diagnosis
Cost-effective commissioning of colorectal cancer care: An assessment of the cost-effectiveness of improving early diagnosis London Public Health Knowledge & Intelligence Network 31 January 2017 Panos
More informationLiraglutide (Victoza) in combination with basal insulin for type 2 diabetes
Liraglutide (Victoza) in combination with basal insulin for type 2 diabetes May 2011 This technology summary is based on information available at the time of research and a limited literature search. It
More informationDr Emma Solomon and Zoe Clifford
Evaluation of the Living Well, Taking Control Community-based Prevention and Management of Type 2 Diabetes Programme: a Study Protocol and Presentation of Preliminary Findings Dr Emma Solomon and Zoe Clifford
More informationPatients undergoing Bariatric surgery with type 2 diabetes on antidiabetic drugs WITHOUT insulin, when starting liver shrinking diet: Guidance for GPs
Patients undergoing Bariatric surgery with type 2 diabetes on antidiabetic drugs WITHOUT insulin, when starting liver shrinking diet: Guidance for GPs Subject: Policy Number Ratified By: Patients with
More informationNICE guidelines. Flu vaccination: increasing uptake in clinical risk groups and health and social care workers
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE NICE guidelines Equality impact assessment Flu vaccination: increasing uptake in clinical risk groups and health and social care workers The impact on
More informationDiabetes. Ref HSCW 024
Diabetes Ref HSCW 024 Why is it important? Diabetes is an increasingly common, life-long, progressive but largely preventable health condition affecting children and adults, causing a heavy burden on health
More informationAlcohol interventions in secondary and further education
National Institute for Health and Care Excellence Guideline version (Draft for Consultation) Alcohol interventions in secondary and further education NICE guideline: methods NICE guideline Methods
More informationSevere Maternal Morbidity, New York City
Severe Maternal Morbidity, New York City 2008-2012 Wendy C. Wilcox, MD, MPH Bureau of Maternal, Infant and Reproductive Health NYC Department of Health and Mental Hygiene NYC Health + Hospitals/Kings County
More informationLAC-USC Cardiology Consult Service
LAC-USC Cardiology Consult Service RESIDENT ORIENTATION First Day of Rotation: Report to 1 st day at LAC + USC Hospital 4 th floor Cardiology units Page Fellow day before rotation for more information
More informationNational Institute for Health and Clinical Excellence
National Institute for Health and Clinical Excellence CG54: Urinary Tract Infections in children Guideline Review Consultation Comments Table 18 vember 1 December 2010 Stakeholder GDG member NO The algorithm
More informationAcutely Painful testes
2.0 FINAL Guideline adopted from the Bedside Clinical Guideline Partnership EQUALITY IMPACT The Trust strives to ensure equality of opportunity for all both as a major employer and as a provider of health
More informationNational Drug and Alcohol Treatment Waiting Times Report
Publication Report National Drug and Alcohol Treatment Waiting Times Report October December 2011 27 March 2012 A National Statistics Publication for Scotland Contents Contents... 1 About ISD... 2 Official
More informationScottish Diabetes Survey
Scottish Diabetes Survey 2008 Scottish Diabetes Survey Monitoring Group Foreword The information presented in this 2008 Scottish Diabetes Survey demonstrates a large body of work carried out by health
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE
Appendix B: Scope NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE SCOPE Post publication note: The title of this guideline changed during development. This scope was published before the guideline
More informationCosting Report: atrial fibrillation Implementing the NICE guideline on atrial fibrillation (CG180)
Putting NICE guidance into practice Costing Report: atrial fibrillation Implementing the NICE guideline on atrial fibrillation (CG180) Published: June 2014 This costing report accompanies the clinical
More informationCanadian Society of Internal Medicine Annual Meeting 2016 Montreal, QC. DO's and DON'Ts: Reducing unnecessary perioperative investigations
Canadian Society of Internal Medicine Annual Meeting 2016 Montreal, QC DO's and DON'Ts: Reducing unnecessary perioperative investigations Emmanuelle Duceppe, MD FRCPC General Internal Medicine University
More informationInsulin pumps. Norman Waugh Warwick Medical School.
Insulin pumps Norman Waugh Warwick Medical School norman.waugh@warwick.ac.uk Insulin pumps Small device to support continuous subcutaneous insulin infusion Alternative to multiple daily injections (MDI)
More informationNATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice
NATIONAL INSTITUTE FOR HEALTH AND CLINICAL EXCELLENCE Centre for Clinical Practice Review of Clinical Guideline (CG75) Metastatic spinal cord compression: diagnosis and management of adults at risk of
More informationLahey Clinic Internal Medicine Residency Program: Curriculum for Cardiovascular Medicine Rotation
Lahey Clinic Internal Medicine Residency Program: Curriculum for Cardiovascular Medicine Rotation Faculty representative: David Venesy, MD Resident representative: David Kahan, MD Revision date: June 29,
More informationStop Delirium! A complex intervention for delirium in care homes for older people
Stop Delirium! A complex intervention for delirium in care homes for older people Final report Summary September 2009 1 Contents Abstract...3 Lay Summary...4 1. Background...6 2. Objectives...6 3. Methods...7
More informationNHS England Impact Analysis of implementing NHS Diabetes Prevention Programme, 2016 to 2021
NHS England Impact Analysis of implementing NHS Diabetes Prevention Programme, 2016 to 2021 1. Purpose The purpose of this document is to describe both the estimated resource implications to NHS England
More informationThe cost-effectiveness of omega-3 supplements for prevention of secondary coronary events Schmier J K, Rachman N J, Halpern M T
The cost-effectiveness of omega-3 supplements for prevention of secondary coronary events Schmier J K, Rachman N J, Halpern M T Record Status This is a critical abstract of an economic evaluation that
More informationLaparoscopic gastric bypass results in decreased prescription medication costs within 6 months Gould J C, Garren M J, Starling J R
Laparoscopic gastric bypass results in decreased prescription medication costs within 6 months Gould J C, Garren M J, Starling J R Record Status This is a critical abstract of an economic evaluation that
More information