Medical Technology Directory

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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.

Percutaneous Mechanical Thrombectomy and Ultrasound-Assisted Thrombolysis for Deep Vein Thrombosis

August 9, 2018 Medical Technology Directory

Health Problem: Venous thromboembolism (VTE) occurs when a blood clot blocks blood circulation. Deep vein thrombosis (DVT) is a blood clot that forms in a deep vein, usually the leg or pelvis, although sometimes in the arm. DVT causes serious morbidity and mortality, with a 1-month mortality rate of 6%. Technology Description: Percutaneous mechanical thrombectomy (PMT) and ultrasound-assisted thrombolysis (UAT) involve the mechanical or ultrasound-facilitated removal of a thrombus or embolism from the venous system using percutaneous access. PMT and UAT devices utilize various mechanisms to disrupt and remove thromboembolisms, including rheolytic, rotational, and ultrasound-assisted systems. PMT and UAT are often...

Comparative Effectiveness Review of Bupivacaine Liposome Injectable Suspension for Relief of Postoperative Pain Following Total Knee Arthroplasty: A Review of Reviews

August 2, 2018 Medical Technology Directory

Health Problem: More than 70 million surgical procedures are performed annually in the United States. Fewer than half of patients who undergo surgery report adequate postoperative pain relief. Controlling postoperative pain increases patient mobility, permits earlier return to activities of daily living, and reduces the risk for postoperative complications. According to 2010 statistics, the prevalence of total knee arthroplasty (TKA) in the United States has been estimated to be 1.52% in the overall population and 4.55% among adults ≥ 50 years of age. This represents approximately 4.7 million individuals treated by TKA (3.0 million women, 1.7 million men). Technology Description: Liposomal...

Sex Reassignment Surgery for the Treatment of Gender Dysphoria

August 1, 2018 Medical Technology Directory

Health Problem: In people with gender identity disorder (GID), formerly called transsexualism, there is severe incongruity between anatomical sex and gender identity. Individuals with GID have persistent discomfort with his or her anatomical sex, usually beginning in childhood. The discomfort or stress caused by this incongruity is gender dysphoria (GD). Technology Description: Sex reassignment surgery (SRS) is any procedure designed to allow a person to resemble the opposite sex to which they were born. Strictly speaking, SRS involves modification of the genitalia. Experts also consider breast and chest surgery a very important option in gender reassignment strategies. Controversy: Intense debate regarding the...

Comparative Effectiveness Review of Acupuncture for the Treatment of Knee Osteoarthritis: Review of Reviews

July 24, 2018 Medical Technology Directory

Health Problem: Osteoarthritis (OA) of the knee is a common, debilitating, painful condition with few treatment options. The cartilage between the bones degenerates, no longer providing a smooth, gliding surface for motion or adequate cushioning. Damaged articular cartilage does not tend to heal and may progressively worsen and cause focal lesions, eventually leading to OA. Because OA damages the cartilage and may ultimately damage the bone, it disrupts how components work together, resulting in pain, swelling, inflammation, muscle weakness, impaired quality of life (QOL), and reduced function. Technology Description: The technique of acupuncture involves percutaneous insertion of very fine needles to...

Fetal Surgery for Myelomeningocele

July 23, 2018 Medical Technology Directory

Health Problem: Myelomeningocele (MMC) is the most severe form of spina bifida, in which the neural tube does not completely close and a sac of fluid, including cerebrospinal fluid, meninges, and possibly damaged parts of the spinal cord and nerves, protrudes through an opening in the baby’s back. Moderate-to-severe disabilities accompany MMC, including impaired cognition, urinary and fecal incontinence, loss of feeling in legs or feet, and leg paralysis. Common related serious conditions include hydrocephalus (excessive cerebrospinal fluid in the head), Chiari II malformations (due to faulted formation of the back of the brain, e.g., hindbrain herniation), and impaired cognitive...