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HTA of Scheduled Procedures Phase II

Status: Published on
Foreward

The Authority undertook a series (currently four phases) of health technology assessments (HTAs) of scheduled surgical procedures at the request of the Health Service Executive. A scheduled surgical procedure is a pre-planned procedure where the patient has their admission and surgery at a predetermined time.

  • Release of carpal tunnel

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  • Surgery for adult degenerative lumbar spine disease

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  • Surgery for Dupuytren’s contracture

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  • Ganglion cyst surgery

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  • Ethical Analysis

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  • Radiofrequency lesioning for chronic spinal pain

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  • Spinal cord stimulation for chronic pain

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  • Spinal injections for pain due to degenerative lumbar spine disease

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  • Surgery for trigger finger/thumb

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  • Vertebroplasty and kyphoplasty for osteoporotic vertebral compression fracture

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Purpose

The aim of these HTAs is to ensure a more efficient referral process, standardise the care provided and ultimately improve patient access to beneficial surgery. The HTAs make recommendations on referral and, or treatment thresholds for scheduled procedures following an extensive review of international best practice, consultation with an expert panel, and a public consultation by HIQA.

Background

This series of HTAs is one of a number of initiatives in progress to tackle waiting lists and to provide access to services in a governed manner. The completed reports have been submitted as advice to the HSE and to the Minister for Health. Full copies of all reports are available through the links above.

Methodology

This phase in the series of HTAs focused on nine scheduled procedures to treat common hand,back, and chronic pain conditions, such as chronic spinal pain, trigger finger and carpal tunnel syndrome. The reports set out the minimum criteria a patient should meet before being referred for treatment. Use of these thresholds should lead to a more streamlined referral process, standardise the care provided and ultimately improve patient access to beneficial interventions.
The HTA reports for this phase of the project were reviewed and approved by the Executive of the Authority after a period of public consultation. Originally requested by the Director General of the Health Service Executive (HSE), the completed evaluations were submitted to the HSE and to the Minister for Health for consideration.