Aanesthetic Agents for Day Surgery - NIHR Health Technology ...

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Members Chair, Professor Bruce Campbell, Consultant Vascular & General Surgeon, Royal Devon & Exeter Hospital Professor John Bond, Professor of Health Services Research, Centre for Health Services Research, University of Newcastleupon-Tyne Ms Judith Brodie, Head of Cancer Support Service, Cancer BACUP, London Ms Tracy Bury, Head of Research & Development, Chartered Society of Physiotherapy, London Mr Michael Clancy, Consultant in A & E Medicine, Southampton General Hospital Professor Collette Clifford, Professor of Nursing & Head of Research, School of Health Sciences, University of Birmingham © Queen’s Printer and Controller of HMSO 2002. All rights reserved. Therapeutic Procedures Panel Dr Carl E Counsell, Senior Lecturer in Neurology, University of Aberdeen Dr Keith Dodd, Consultant Paediatrician, Derbyshire Children's Hospital, Derby Mr John Dunning, Consultant Cardiothoracic Surgeon, Papworth Hospital NHS Trust, Cambridge Mr Jonothan Earnshaw, Consultant Vascular Surgeon, Gloucestershire Royal Hospital, Gloucester Professor Gene Feder, Professor of Primary Care R&D, St Bartholomew’s & the London, Queen Mary's School of Medicine & Dentistry, University of London Professor Richard Johanson, Consultant & Senior Lecturer, North Staffordshire Infirmary NHS Trust, Stoke-on-Trent (deceased Feb 2002) Health Technology Assessment 2002; Vol. 6: No. 30 Dr Duncan Keeley, General Practitioner, Thame, Oxon Dr Phillip Leech, Principal Medical Officer for Primary Care, Department of Health, London Mr George Levvy, Chief Executive, Motor Neurone Disease Association, Northampton Professor James Lindesay, Professor of Psychiatry for the Elderly, University of Leicester Professor Rajan Madhok, Medical Director & Director of Public Health, North & East Yorkshire & Northern Lincolnshire Strategic Health Authority, York Dr Mike McGovern, Senior Medical Officer, Heart Team, Department of Health, London Dr John C Pounsford, Consultant Physician, Frenchay Healthcare Trust, Bristol Professor Mark Sculpher, Professor of Health Economics, Institute for Research in the Social Services, University of York Dr Ken Stein, Senior Lecturer in Public Health, Peninsular Technology Assessment Group, University of Exeter Current and past membership details of all HTA ‘committees’ are available from the HTA website (see inside front cover for details) continued 263
264 Health Technology Assessment Programme continued Members Mr Gordon Aylward, Chief Executive, Association of British Health-Care Industries, London Mr Shaun Brogan, Chief Executive, Ridgeway Primary Care Group, Aylesbury, Bucks Mr John A Cairns, Reader in Health Economics, Health Economics Research Unit, University of Aberdeen Professor Nicky Cullum, Director of Centre for Evidence-Based Nursing, University of York Dr Katherine Darton, Information Unit, MIND -- The Mental Health Charity, London Professor Carol Dezateux, Professor of Paediatric Epidemiology, Institute of Child Health, London Professor Pam Enderby, Dean of Faculty of Medicine Institute of General Practice & Primary Care, University of Sheffield Mr Leonard R Fenwick, Chief Executive, Freeman Hospital, Newcastle-upon-Tyne Professor David Field, Professor of Neonatal Medicine, The Leicester Royal Infirmary NHS Trust Mrs Gillian Fletcher, Antenatal Teacher & Tutor & President, National Childbirth Trust, Henfield, West Sussex Expert Advisory Network Ms Grace Gibbs, Deputy Chief Executive Director for Nursing, Midwifery & Clinical Support Services, West Middlesex University Hospital, Isleworth, Middlesex Dr Neville Goodman, Consultant Anaesthetist, Southmead Hospital, Bristol Professor Robert E Hawkins, CRC Professor & Director of Medical Oncology, Christie Hospital NHS Trust, Manchester Professor F D Richard Hobbs, Professor of Primary Care & General Practice, University of Birmingham Professor Allen Hutchinson, Director of Public Health & Deputy Dean of ScHARR, University of Sheffield Professor David Mant, Professor of General Practice, Institute of Health Sciences, University of Oxford Professor Alexander Markham, Director, Molecular Medicine Unit, St James's University Hospital, Leeds Dr Chris McCall, General Practitioner, The Hadleigh Practice, Corfe Mullen, Dorset Professor Alistair McGuire, Professor of Health Economics, London School of Economics, University of London Dr Peter Moore, Freelance Science Writer, Ashtead, Surrey Dr Andrew Mortimore, Consultant in Public Health Medicine, Southampton City Primary Care Trust Dr Sue Moss, Associate Director, Cancer Screening Evaluation Unit, Institute of Cancer Research, Sutton, Surrey Mrs Julietta Patnick, National Coordinator, NHS Cancer Screening Programmes, Sheffield Professor Chris Price, Director of Clinical Research, Bayer Diagnostics Europe, Stoke Poges, Berks Ms Marianne Rigge, Director, College of Health, London Dr William Rosenberg, Senior Lecturer & Consultant in Medicine, University of Southampton Professor Ala Szczepura, Director, Centre for Health Services Studies, University of Warwick Dr Ross Taylor, Senior Lecturer, Department of General Practice & Primary Care, University of Aberdeen Mrs Joan Webster, Consumer member, HTA -- Expert Advisory Network Current and past membership details of all HTA ‘committees’ are available from the HTA website (see inside front cover for details)
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Which anaesthetic agents are costef
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Which anaesthetic agents are costef
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NHS R&D HTA Programme The NHS R&D H
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Contents Appendix 6 Adult patient-b
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Background The aim of the project w
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• The incidence of PONV was low d
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2 Introduction dizziness or disorie
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4 Introduction a reduced incidence
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6 Introduction willingness to pay f
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8 Literature review included in the
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10 Literature review TABLE 1 Compar
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12 Literature review intermediate a
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18 Literature review Patient-based
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20 Literature review TABLE 5 contd
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22 Literature review No studies fol
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24 Literature review (30%) and meth
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26 Literature review • There are
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28 National survey of anaesthetic p
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36 Economic evaluation methods (inc
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38 Economic evaluation methods The
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40 Economic evaluation methods Tabl
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42 Economic evaluation methods simi
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44 Economic evaluation methods Prob
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Recruitment to the CESA RCT The stu
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Clinical outcome data PONV by anaes
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The findings from the logistic regr
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TABLE 29 The length of stay and pri
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140 120 100 80 60 40 20 0 No. of pa
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250 200 150 100 50 0 No. of patient
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TABLE 37 Deterministic sensitivity
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20 15 10 5 0 -5 Difference in varia
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Patient admitted for day surgery an
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500 400 300 200 100 0 -100 -200 -30
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Recruitment to the CESA RCT The stu
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TABLE 49 The occurrence of any PONV
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60 50 40 30 20 10 0 No. of patients
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a scale effect for scenario A, but
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The mean CVs for avoidance of PONV
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1.80 The new variable cost and tota
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100 90 80 70 60 50 40 30 20 10 0 Su
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The structure and content of this d
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nurses to have an in-depth knowledg
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agent used (see appendix 18). It wa
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Furthermore, anaesthetists operate
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The CESA project was designed to as
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practice, such as the use of midazo
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1. Royal College of Surgeons of Eng
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60. Cheng KI, Chu KS, Fang YR, Su K
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112. Raeder J, Gupta A, Pedersen FM
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162. Viitanen H, Baer G, Annila P.
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220. Rosenberg KM, Bridge P, Brown
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The range of databases interrogated
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24. preferen$.mp. [mp=title, abstra
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110 Appendix 2 TABLE 65 contd Summa
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112 Appendix 3 Quality assessment o
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TABLE 69 Summary of paediatric pati
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TABLE 69 contd Summary of paediatri
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TABLE 70 Characteristics of cost or
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TABLE 71 Quality of cost or economi
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TABLE 71 contd Quality of cost or e
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Abbott J, Abbott P. Psychological a
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Hall JE, Stewart JIM, Harmer M. Sin
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Struys M, Versichelen L, Thas O, He
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182 Appendix 11
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184 Appendix 11
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186 Appendix 11
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188 Appendix 11
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The aim of this study was to develo
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anaesthetics in day surgery, using
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© Queen’s Printer and Controller
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Background The empirical study quan
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Satisfaction with care Nearly all (
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TABLE 76 Reason given for preferenc
Page 219 and 220: TABLE 79 Comparisons with previous
Page 221 and 222: TABLE 80 Reason given for preferenc
Page 223 and 224: TABLE 81 Reason given for willingne
Page 225 and 226: Background Variable costs account f
Page 227 and 228: TABLE 85 Unit costs for the purchas
Page 229 and 230: Background The empirical study requ
Page 231 and 232: Ethical approval This was covered b
Page 233 and 234: 20 15 10 5 0 -5 -10 -15 True weight
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Page 238 and 239: 224 Appendix 19 • patients aged o
Page 241 and 242: All staff unit costs were for the y
Page 243: Background Fixed costs account for
Page 246 and 247: 232 Appendix 22 March, Tuesday 15 A
Page 248 and 249: 234 Appendix 23 TABLE 96 Reasons fo
Page 251 and 252: Patients were coded using the OPCS
Page 253 and 254: Q03.4 punch biopsy of cervix Q03.5
Page 255 and 256: This section displays the associati
Page 257 and 258: given in Table 103 confirm the age
Page 259: TABLE 107 Occurrence of PONV by dur
Page 262 and 263: 248 Appendix 27 TABLE 113 Frequency
Page 265 and 266: This section displays the associati
Page 267 and 268: The adverse events observed in the
Page 269: 262 Health Technology Assessment Pr
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