Hyperbaric Oxygen Therapy - Hyperbaric Chamber Information ...

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Appendix A MSAC terms of reference and membership The terms of reference of MSAC are to advise the Commonwealth Minister for Health and Aged Care on: • the strength of evidence pertaining to new and emerging medical technologies and procedures in relation to their safety, effectiveness and cost-effectiveness and under what circumstances public funding should be supported; • which new medical technologies and procedures should be funded on an interim basis to allow data to be assembled to determine their safety, effectiveness and costeffectiveness; • references related either to new and/or existing medical technologies and procedures; and, • undertake health technology assessment work referred by the Australian Health Ministers’ Advisory Council (AHMAC) and report its findings to AHMAC. The membership of MSAC comprises a mix of clinical expertise covering pathology, nuclear medicine, surgery, specialist medicine and general practice, plus clinical epidemiology and clinical trials, health economics, consumers, and health administration and planning. Member Expertise Professor David Weedon (Chair) pathology Ms Hilda Bastian consumer health issues Dr Ross Blair vascular surgery (New Zealand) Mr Stephen Blamey general surgery Dr Paul Hemming general practice Dr Terri Jackson health economics Professor Brendon Kearney health administration and planning Mr Alan Keith Assistant Secretary, Diagnostics and Technology Branch, Commonwealth Department of Health and Aged Care Dr Richard King gastroenterology Dr Michael Kitchener nuclear medicine Professor Peter Phelan paediatrics Dr David Robinson plastic surgery Associate Professor John Simes clinical epidemiology and clinical trials Professor Bryant Stokes neurological surgery, representing the Australian Health Ministers’ Advisory Council 94 Hyperbaric oxygen therapy
Appendix B Supporting committee Supporting committee for MSAC application 1018-1020 Hyperbaric oxygen therapy for adjunctive care Professor Peter Phelan (Chair) BSc, MBBS, MRACP, MD, FRACP Emeritus Professor of Paediatrics University of Melbourne Dr Michael Bennet MBBS, DA (Eng), FFARCSI, FANZCA, MM (Clin Epi) Medical Director, Department of Diving and Hyperbaric Medicine, Staff Specialist Anaesthetist, Prince of Wales Hospital, Sydney Dr Paul McCrory MBBS, FRACP, FACSP, FACSM, FASMF, FRSM Director, Olympic Park Sports Medicine Centre, Melbourne Consultant Neurologist, Box Hill Hospital, Melbourne Research Fellow, University of Melbourne, Austin & Repatriation Medical Centre Dr John Primrose MBBS (Hons), FRACR Senior Medical Adviser Health Access and Financing Division Department of Health and Aged Care Dr David Robinson MBBS, FRACS, FRCS President of Senior Medical Staff Association, Princess Alexandra Hospital, Brisbane Dr Ross Taylor MBBS, FRACGP, DDU, GDTh General Practitioner, Brisbane Mrs Robin Toohey Chair, Illawarra Consumer Health Council National Council of Women, Australia Co-ordinator, Status of Women Adviser, Rural and Urban Women MSAC member nominated by the Australian and New Zealand Hyperbaric MedicineGroup nominated by the Australian College of Sports Physicians advisor to MSAC MSAC member nominated by the Royal Australian College of General Practitioners nominated by the Consumers Health Forum Hyperbaric oxygen therapy 95
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Hyperbaric Oxygen Therapy November
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Contents Executive summary.........
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Tables Table 1 Measures of disease
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Table 45 Functional neurologic scor
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Figures Figure 1. Outline of search
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Effectiveness Published guidelines
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evidence that exposure to HBO may b
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No available evidence No evidence w
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Introduction The Medicare Services
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Multiplace chambers can accommodate
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Marketing status of the device The
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Table 3 1998 - 1999 self-reported d
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Table 6 retrieval. Indication-speci
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Phase of Search Initial Search Ful
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Conduct of meta-analysis When the d
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early as 1995. The guidelines - kno
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Table 10 Minimum staff qualificatio
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Is it effective? The review assesse
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Table 14 Patient criteria of includ
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offered ample details. The remainin
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characteristics compared to the tre
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Assessment of heterogeneity All the
Page 45 and 46:
Odds ratio 10 1 0.1 0.01 A sensitiv
Page 47 and 48:
Wound healing Two of the five ident
Page 49 and 50:
Studies of necrotising soft tissue
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Summary Table 25 Survival in patien
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Table 29 Therapeutic protocols used
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Osteomyelitis The study by Esterhai
Page 57 and 58:
Summary The HBO group showed a stat
Page 59 and 60: Summary These results are difficult
Page 61 and 62: outcomes or that decreased the risk
Page 63 and 64: Anderson et al 80 recruited non-pre
Page 65 and 66: Summary The collected evidence exam
Page 67 and 68: Table 46 Major outcomes following t
Page 69 and 70: Table 50 Therapeutic protocols used
Page 71 and 72: Table 53 Patient criteria of includ
Page 73 and 74: Thirty-seven subjects (comparison g
Page 75 and 76: whose hearing loss was not secondar
Page 77 and 78: tinnitus (6 versus 3 subjects). Non
Page 79 and 80: assume that all participants knew o
Page 83 and 84: Table 65 Descriptive characteristic
Page 87 and 88: These contrasted with the conclusio
Page 89 and 90: Table 73 Patient criteria of includ
Page 91 and 92: Summary There are conflicting resul
Page 93 and 94: Summary separate and previously-stu
Page 95 and 96: need to insulate patients from outs
Page 97 and 98: Reactive effects A reactive effect
Page 99 and 100: Cost of major amputation The hospit
Page 101 and 102: Sensitivity analysis Table 79 shows
Page 103 and 104: Table 80 Estimation of incremental
Page 105 and 106: Sensitivity analysis Table 83 shows
Page 107 and 108: Conclusions Safety Potential risks
Page 109: Recommendations MSAC recommended th
Page 113 and 114: Appendix C Studies included in this
Page 115 and 116: Necrotising soft tissue infections:
Page 117 and 118: Soft tissue injuries: crush injurie
Page 119 and 120: Cancer: cervix First Author and Yea
Page 121 and 122: Appendix D Studies excluded in this
Page 123 and 124: 2. Shandling AH, Ellestad MH, Hart
Page 125 and 126: 5. Woo TCS, Joseph D, Oxer H. Hyper
Page 127 and 128: 22. Kunkler PB, Boulis-Wassif S, Sh
Page 129 and 130: 45. Wiernik G, Perrins D. The radio
Page 131 and 132: Appendix E Calculation of monoplace
Page 133 and 134: Hence, the total operating costs of
Page 135 and 136: Appendix G Reviews received from ot
Page 137 and 138: Sechrist Industries -- Hyperbaric O
Page 139 and 140: References 1. Hampson N. Hyperbaric
Page 141 and 142: 31. L'Abbe K, Detsky A, O'Rourke K.
Page 143 and 144: 61. Perrins DJ. Influence of hyperb
Page 145 and 146: 89. DiSabato F, Giacovazzo M, Crist
Page 147: 117.Plenk HP. Hyperbaric radiation
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