Medical Technology Directory

health technology evaluations at your fingertips

Hayes Medical Technology Directory is a comprehensive collection of in-depth health technology assessment reports designed to support evidence-based policies, guideline development, and technology acquisition. Below is a brief sampling of our Directory publications.

View a sampling of our Directory reports.

Antibiotic-Impregnated Bone Cement for Knee Arthroplasty

February 16, 2017 Medical Technology Directory

Purpose of Technology: Antibiotic bone cement (ABC) is a type of curable polymethylmethacrylate preparation created by adding various antibiotic medications to plain, nonmedicated bone cement. Most commonly, ABC is used to treat infected total joint prostheses as part of a revision arthroplasty, but its use as antibiotic prophylaxis in primary joint arthroplasty is increasing. Rationale: The usage of ABC at the arthroplasty site may be useful in maintaining a locally high level of antibiotic drug concentration. Controversy: Controversial issues related to the clinical use of ABCs in TKA include the safety and effectiveness of ABCs compared with other fixation methods, optimal antibiotic...

Coronary Artery Calcium Scoring for Risk Assessment and Stratification of Coronary Artery Disease in Asymptomatic Adults

February 9, 2017 Medical Technology Directory

Purpose of Technology: Coronary artery calcium (CAC) scoring uses computed tomography scanning to detect and assess the extent of atherosclerosis and quantifies the findings using a scoring system to assess and stratify risk of coronary artery disease in asymptomatic adults. Rationale: A large proportion of people are categorized in the “intermediate risk” category of global assessment instruments, for which treatment guidance is less clear than for low-risk or high-risk categories. Further, these instruments are not perfect. CAC, used in conjunction with global assessments, is intended to improve the accuracy of risk assessment and to reduce the number of patients classified as intermediate...

Radiofrequency Ablation for Sacroiliac Joint Denervation for Chronic Low Back Pain

February 9, 2017 Medical Technology Directory

Purpose of Technology: Radiofrequency ablation (RFA) is a percutaneous treatment for chronic low back pain (LBP), including pain originating in the sacroiliac joint (SIJ), using radiowave-induced heat to create a lesion in a spinal sensory nerve. Following a diagnostic blockade to target the affected nerve(s), radiofrequency (RF) current is applied for several minutes via a needle electrode to denervate the targeted nerve(s) under image guidance. In the SIJ, RFA procedures typically target branches of the S1-S3 lateral sensory nerves, as well as the L5 dorsal ramus, with the overall aim of preventing transmission of pain signals to the central nervous...

Proton Beam Therapy for Non-Small Cell Lung Cancer

January 19, 2017 Medical Technology Directory

Purpose of Technology: Proton beam therapy (PBT) is a type of external radiation treatment in which positively charged subatomic particles (protons) are precisely targeted to a specific tissue mass using a sophisticated stereotaxic planning and delivery system. In comparison with conventional photon or electron irradiation, proton beam radiation may deliver a higher dose to the target tissue, while minimizing exposure to surrounding healthy tissue. Rationale: The physical properties of proton beams can be used to improve the targeting of radiation therapy relative to conventional photon or electron beam radiation therapy, potentially reducing the undesirable adverse events that can occur during and...

Comparative Effectiveness of Sugammadex Versus Neostigmine for Reversal of Neuromuscular Blockade Following Surgery in Adult Patients

December 29, 2016 Medical Technology Directory

Purpose of Technology: Sugammadex (SUG) is indicated for the reversal of neuromuscular blockade (NMB) induced by rocuronium bromide and vecuronium bromide during surgery. SUG selectively binds to neuromuscular blocking agents, thereby preventing further attachment of the NMB agents to acetylcholine receptors and facilitating the return of muscle function. SUG may provide complete reversal of NMB regardless of the level of blockade. Controversy: The comparative effectiveness and safety of SUG relative to NEO has not yet been established, and questions remain regarding whether use of SUG results in improvements in quality-of-life (QOL) and functional outcomes. In addition, the potential benefits of SUG may...