Full reports

HTA of MDs
Health Technology Assessment of Medical Devices

HTA is multi-disciplinary field of policy analysis that examines the medical, economic, social and ethical implications of the incremental value, diffusion and use of a health technology in health care.

The term Health Technology refers to application of organised knowledge and skills in the form of devices, medicines, vaccines, procedures and systems developed to solve a health problem and improve quality of life.

Library of Assessments on MDs (1999-2020)

70 Entries into category "full-reports"

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Auditory Brainstem Implantation for Adults With Neurofibromatosis 2 or Severe Inner Ear Abnormalities: A Health Technology Assessment

Abstract Background Neurofibromatosis 2 (NF2) is a rare genetic disorder that causes vestibular schwannomas to develop in both eighth cranial nerves. Almost all people with NF2 eventually become completely deaf as a result of progressive tumour enlargement or following surgical or radiotherapy treatment. Other rare abnormal conditions in the inner ears can also cause complete deafness. […]

Implantable Devices for Single-Sided Deafness and Conductive or Mixed Hearing Loss: A Health Technology Assessment

Abstract Background Single-sided deafness refers to profound sensorineural hearing loss or non-functional hearing in one ear, with normal or near-normal hearing in the other ear. Its hallmark is the inability to localize sound and hear in noisy environments. Conductive hearing loss occurs when there is a mechanical problem with the conduction of sound vibrations. Mixed hearing […]

Transcatheter Aortic Valve Implantation in Patients With Severe, Symptomatic Aortic Valve Stenosis at Intermediate Surgical Risk: A Health Technology Assessment

Abstract Background Surgical aortic valve replacement (SAVR) is the conventional treatment in patients at low or intermediate surgical risk. Transcatheter aortic valve implantation (TAVI) is a less invasive procedure, originally developed as an alternative for patients at high or prohibitive surgical risk. Methods We conducted a health technology assessment of TAVI versus SAVR in patients with […]

Portable Normothermic Cardiac Perfusion System in Donation After Cardiocirculatory Death: A Health Technology Assessment

Abstract Background Heart transplantation is the most effective treatment for people experiencing end-stage heart failure whose quality of life and life expectancy are unacceptable. However, there is a chronic shortage of donor hearts to meet the demand, so it is essential to expand the donor pool and increase supply. Heart donation mainly occurs after brain death […]

Cervical Artificial Disc Replacement Versus Fusion for Cervical Degenerative Disc Disease: A Health Technology Assessment

Cervical degenerative disc disease occurs in the cervical spine (the part of the spine in the neck) when the discs between the vertebrae (the bones of the spine) start to deteriorate. It causes painful and disabling symptoms that impact people’s quality of life and ability to function. When treatments such as medication and physical therapy are insufficient, surgery […]

Intermittent Catheters for Chronic Urinary Retention: A Health Technology Assessment

People who cannot empty their bladder on their own may develop chronic urinary retention. If not managed, this condition can lead to serious health problems. Urine that remains in the bladder for too long increases the risk of developing urinary tract infection, bladder damage, and kidney disease. To prevent such problems, children and adults with chronic urinary retention learn […]

Strengthening the Central Procurement System in the Greek Health Sector

INTRODUCTION Procurement of medical devices (MDs) on a national level, is a quite challenging task since it -at the same- time aims in guaranteeing high quality of products and assuring patient safety, with the lowest possible cost for the health care system. The vast variety of MDs, the accelerated pace of appearance of new technologies, the shorter life cycle, […]

Bioresorbable Stents for the Treatment of Cardiovascular Indications (Coronary Artery Disease)

Fully bioresorbable stents or scaffolds (BRS) represent the latest generation of devices for myocardial revascularisation strategies. They comprise a degradable material, most commonly a polymer, such as poly(L-lactic acid) (PLLA) or a magnesium alloy, and are either drug coated or drug free. They are mainly built to overcome the risk of late complications, such as scaffold thrombosis or restenosis, which […]

Cardiovascular health technology assessment: recommendations to improve the quality of evidence

The aim of this article is to review the role of Health Technology Assessment (HTA) organisations in appraising and recommending innovative cardiovascular technologies. We consider how bias impairs the quality of evidence from clinical trials involving cardiovascular healthcare technologies. Finally, we provide recommendations to HTA organisations to take account of bias when making guideline recommendations. Clinical research studies of medical devices, diagnostics and interventions in […]

Magnetic Resonance-Guided Focused Ultrasound Neurosurgery for Essential Tremor: A Health Technology Assessment

Essential tremor is the most common movement disorder and most often affects the dominant hand and arm. As the tremor gets worse, it can negatively impact quality of life. Medication is the first treatment, but it does not work for many people. The next treatment option is neurosurgery (brain surgery). Presently in Ontario, the neurosurgery options […]