Sunday, April 14, 2024

NICE Issues New Guidelines and Recommendations for Medical Procedures and Health Technologies

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The National Institute for Health and Care Excellence (NICE) has recently released a set of Interventional Procedures Guidance (IPG) and Health Technology Evaluations (HTEs), offering insights into the utilization of novel medical interventions and health technologies in the English healthcare system.

In September 2023, NICE introduced three IPGs:

Transurethral Water-Jet Ablation: This procedure for alleviating lower urinary tract symptoms linked to benign prostatic hyperplasia (BPH) has received the green light for use under standard clinical arrangements. Supported by substantial evidence, it has been deemed safe and effective.
Ovarian Tissue Restoration: NICE suggests this method for restoring fertility after gonadotoxic treatment can be employed with appropriate clinical governance and consent structures in place. Safety concerns have been minimal.
Cryotherapy for Chronic Rhinitis: Although short-term evidence shows promise, the procedure’s effectiveness remains uncertain. NICE recommends its use exclusively for research purposes, emphasizing the need for further investigation.

Moreover, NICE has introduced Health Technology Evaluations (HTEs) that assess emerging health technologies using the Early Value Assessment (EVA) approach:

AI-Assisted Contouring: AI technologies for radiotherapy treatment planning can be used with healthcare professional review of contours, pending Digital Technology Assessment Criteria (DTAC) approval.
KardiaMobile 6L: Approved for measuring cardiac QT intervals in psychiatric services for specific clinical indications.
AI-Derived Software for Lung Cancer Diagnosis: Further research is required before employing AI-derived software for chest X-rays in clinical decision-making within the NHS.

Additionally, NICE has published new clinical guidelines on intrapartum care and spinal metastases, alongside updates to existing guidelines, including those on Caesarean birth, cirrhosis management, acute kidney injury, and COVID-19 guidelines for hematopoietic stem cell transplantation.

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