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.

Medial Branch Nerve Block Injections for the Treatment of Chronic Nonmalignant Spinal Pain of Facet Joint Origin

January 18, 2018 Medical Technology Directory

Health Problem: Chronic pain is defined as persistent or episodic pain of a duration > 6 months of an intensity that adversely affects the function or well-being of an individual. Back and neck pain are very common conditions in the United States. Low back pain was the leading cause contributing to the most years lived with disability in 2010, both in the United States and globally. Although it may be less common than low back or neck pain, chronic persistent thoracic spinal pain can be disabling. One study estimated the prevalence of all spinal pain in the general population as...

Comparative Effectiveness Review of Platelet-Rich Plasma for Tendinopathies or Ligament Injuries of the Knee

December 29, 2017 Medical Technology Directory

Health Problem: Injury to the anterior cruciate ligament (ACL) occurs frequently among high-intensity athletes and treatment often requires surgical intervention due to the limited intrinsic capacity of the ligament for spontaneous healing. ACL injuries occur most frequently in sports that involve sudden stops or changes in direction. Patellar tendinopathy (also known as jumper’s knee) is characterized by anterior knee pain and is common among athletes that compete in sports with heavy use of the knee extensors, such as volleyball and basketball. Technology Description: Platelet-rich plasma (PRP) is blood plasma with a higher-than-usual concentration of platelets. The injection of autologous PRP is...

Comparative Effectiveness Review of Total Ankle Replacement: A Review of Reviews

December 28, 2017 Medical Technology Directory

Health Problem: End-stage ankle arthritis is characterized by severe arthritic ankle pain accompanied by a loss of ankle mobility and function that significantly interferes with daily activities and reduces quality of life. Technology Description: Total ankle replacement (TAR) is one treatment option that involves surgical removal of the dysfunctional, painful ankle joint and replacement with a prosthetic device. TAR was developed as a method to relieve pain and restore joint function in patients with intractable disease resulting from conditions such as osteoarthritis, posttraumatic osteoarthritis, or rheumatoid arthritis. Controversy: The significant drawbacks of ankle joint fusion led to the development of an alternative...

Impact of Preoperative Supervised Weight Loss Programs on Bariatric Surgery Outcomes

December 19, 2017 Medical Technology Directory

Health Problem: Patients eligible for bariatric surgery have excessive abdominal adipose tissue and enlarged and fatty livers. These conditions may complicate the technical performance of bariatric surgery and be associated with perioperative morbidity. Technology Description: In this technology assessment, preoperative supervised weight loss programs are defined as those supervised by a physician that include diet, exercise, and counseling components. This definition was adopted for consistency with definitions currently used in payer polices. Alternative terms for these programs include “medically” or “clinically” “managed” or “supervised” “weight management” or “weight loss programs.” Supervised programs generally last 4 to 6 months and require physician...

Comparative Effectiveness Review of Antimicrobial Versus Conventional Sutures

December 19, 2017 Medical Technology Directory

Health Problem: Surgical site infections (SSIs) contribute significant morbidity, mortality, and increased costs despite institutions often employing multiple interventions designed to reduce or eliminate SSI incidence. Technology Description: Triclosan-coated sutures were developed to prevent microbial adherence and colonization and have the same strength, durability, and ease of use as similar sutures without triclosan coating. Controversy: The use of triclosan in consumer products is not without controversy. The popularity of antibacterial products in the consumer market has been aided by the public perception that these products prevent infection. The widespread use of triclosan in consumer products and its detection in breast milk, urine,...