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

More documents

Recommendations

Info

Contents Appendix 6 Adult patient-based outcomes studies............................................ 147 Appendix 7 Paediatric patient-based outcomes studies............................................ 159 Appendix 8 Characteristics of cost or economic comparisons of anaesthetic agents.............................................................. 163 Appendix 9 Quality of cost or economic comparisons of anaesthetic agents .............. 165 Appendix 10 Studies excluded from the literature review ............................................ 175 Appendix 11 National survey of anaesthetic practice ...................................... 181 Appendix 12 The scientific advisory group .............................................................. 189 Appendix 13 Development of the contingent valuation tool .............................. 191 Appendix 14 Contingent valuation scenario for induction of anaesthesia .......... 195 Appendix 15 Contingent valuation scenario for maintenance of anaesthesia .... 197 Appendix 16 Patients’ views, experiences and preferences for day-case anaesthesia .... 199 Appendix 17 Calculating variable costs .... 211 Appendix 18 Determining the quantity of the volatile anaesthetic agents used ........ 215 Appendix 19 Calculating semi-fixed costs ................................................................ 223 Appendix 20 NHS staff unit costs .............. 227 Appendix 21 Calculating fixed costs .......... 229 Appendix 22 Quality control procedures .. 231 Appendix 23 Reasons for refusing to participate in and for withdrawal from the empirical study ........................................ 233 Appendix 24 Profile of the adult trial........ 235 Appendix 25 Surgical procedure coding and summarised groups ................................ 237 Appendix 26 Analysis of confounding factors for PONV in the adult study ............ 241 Appendix 27 Adverse events in the adult study ...................................................... 247 Appendix 28 Profile of the paediatric trial.................................................................. 249 Appendix 29 Analysis of confounding factors for PONV in the paediatric study .... 251 Appendix 30 Adverse events in the paediatric study .............................................. 253 Health Technology Assessment reports published to date ........................................ 255 Health Technology Assessment Programme .................................................. 261
ANOVA analysis of variance ASA American Society of Anesthesiologists CESA cost-effectiveness study in anaesthesia CFQ Cognitive Failure Questionnaire CI confidence interval CV contingent valuation df degrees of freedom D&C dilatation and curettage DSST Digit Symbol Substitution Test ENT ear, nose and throat GHQ General Health Questionnaire GP general practitioner ICER incremental cost-effectiveness ratio i.m. intramuscular IPPV intermittent positive pressure ventilation IUD intrauterine device i.v. intravenous LMA laryngeal mask airway MAC minimum alveolar concentration MACL Mood Adjective Checklist MIR minimum infusion rate © Queen’s Printer and Controller of HMSO 2002. All rights reserved. List of abbreviations Health Technology Assessment 2002; Vol. 6: No. 30 NA not available NEC not elsewhere classified N 2O nitrous oxide NS not significant NSAID non-steroidal anti-inflammatory drug OR odds ratio PAT Perceptive Accuracy Test PHBQ Post Hospital Behaviour Questionnaire PONV postoperative nausea and vomiting QALY quality-adjusted life-year QoR-40 quality of recovery score RCT randomised controlled trial RRR relative risk reduction SD standard deviation SF-36 Short Form with 36 items STAI State–Trait Anxiety Inventory TAS Tactile Scale TIVA total intravenous anaesthesia TPPPS Toddler–Preschooler Postoperative Pain Scale VAS visual analogue scale All abbreviations that have been used in this report are listed here unless the abbreviation is well known (e.g. NHS), or it has been used only once, or it is a non-standard abbreviation used only in figures/tables/appendices in which case the abbreviation is defined in the figure legend or at the end of the table. i
Page 1 and 2: Which anaesthetic agents are costef
Page 3: Which anaesthetic agents are costef
Page 6 and 7: NHS R&D HTA Programme The NHS R&D H
Page 11 and 12: Background The aim of the project w
Page 13: • The incidence of PONV was low d
Page 16 and 17: 2 Introduction dizziness or disorie
Page 18 and 19: 4 Introduction a reduced incidence
Page 20 and 21: 6 Introduction willingness to pay f
Page 22 and 23: 8 Literature review included in the
Page 24 and 25: 10 Literature review TABLE 1 Compar
Page 26 and 27: 12 Literature review intermediate a
Page 32 and 33: 18 Literature review Patient-based
Page 34 and 35: 20 Literature review TABLE 5 contd
Page 36 and 37: 22 Literature review No studies fol
Page 38 and 39: 24 Literature review (30%) and meth
Page 40 and 41: 26 Literature review • There are
Page 42 and 43: 28 National survey of anaesthetic p
Page 50 and 51: 36 Economic evaluation methods (inc
Page 52 and 53: 38 Economic evaluation methods The
Page 54 and 55: 40 Economic evaluation methods Tabl
Page 56 and 57: 42 Economic evaluation methods simi
Page 58 and 59:
44 Economic evaluation methods Prob
Page 61 and 62:
Recruitment to the CESA RCT The stu
Page 63 and 64:
Clinical outcome data PONV by anaes
Page 65 and 66:
The findings from the logistic regr
Page 67 and 68:
TABLE 29 The length of stay and pri
Page 69 and 70:
140 120 100 80 60 40 20 0 No. of pa
Page 71 and 72:
250 200 150 100 50 0 No. of patient
Page 73 and 74:
TABLE 37 Deterministic sensitivity
Page 75 and 76:
20 15 10 5 0 -5 Difference in varia
Page 77 and 78:
Patient admitted for day surgery an
Page 79 and 80:
500 400 300 200 100 0 -100 -200 -30
Page 81 and 82:
Recruitment to the CESA RCT The stu
Page 83 and 84:
TABLE 49 The occurrence of any PONV
Page 85 and 86:
60 50 40 30 20 10 0 No. of patients
Page 87 and 88:
a scale effect for scenario A, but
Page 89 and 90:
The mean CVs for avoidance of PONV
Page 91 and 92:
1.80 The new variable cost and tota
Page 93 and 94:
100 90 80 70 60 50 40 30 20 10 0 Su
Page 95 and 96:
The structure and content of this d
Page 97 and 98:
nurses to have an in-depth knowledg
Page 99 and 100:
agent used (see appendix 18). It wa
Page 101 and 102:
Furthermore, anaesthetists operate
Page 103 and 104:
The CESA project was designed to as
Page 105:
practice, such as the use of midazo
Page 109 and 110:
1. Royal College of Surgeons of Eng
Page 111 and 112:
60. Cheng KI, Chu KS, Fang YR, Su K
Page 113 and 114:
112. Raeder J, Gupta A, Pedersen FM
Page 115 and 116:
162. Viitanen H, Baer G, Annila P.
Page 117 and 118:
220. Rosenberg KM, Bridge P, Brown
Page 119 and 120:
The range of databases interrogated
Page 121:
24. preferen$.mp. [mp=title, abstra
Page 124 and 125:
110 Appendix 2 TABLE 65 contd Summa
Page 126 and 127:
112 Appendix 3 Quality assessment o
Page 128 and 129:
Page 130 and 131:
Page 132 and 133:
Page 134 and 135:
Page 136 and 137:
Page 138 and 139:
Page 140 and 141:
Page 142 and 143:
Page 144 and 145:
Page 146 and 147:
Page 148 and 149:
Page 150 and 151:
Page 152 and 153:
Page 154 and 155:
Page 156 and 157:
Page 158 and 159:
Page 160 and 161:
Page 162 and 163:
Page 164 and 165:
Page 166 and 167:
Page 168 and 169:
Page 170 and 171:
Page 173 and 174:
TABLE 69 Summary of paediatric pati
Page 175 and 176:
TABLE 69 contd Summary of paediatri
Page 177 and 178:
TABLE 70 Characteristics of cost or
Page 179 and 180:
TABLE 71 Quality of cost or economi
Page 181 and 182:
TABLE 71 contd Quality of cost or e
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Abbott J, Abbott P. Psychological a
Page 191 and 192:
Hall JE, Stewart JIM, Harmer M. Sin
Page 193:
Struys M, Versichelen L, Thas O, He
Page 196 and 197:
182 Appendix 11
Page 198 and 199:
184 Appendix 11
Page 200 and 201:
186 Appendix 11
Page 202 and 203:
188 Appendix 11
Page 205 and 206:
The aim of this study was to develo
Page 207 and 208:
anaesthetics in day surgery, using
Page 209:
© Queen’s Printer and Controller
Page 213 and 214:
Background The empirical study quan
Page 215 and 216:
Satisfaction with care Nearly all (
Page 217 and 218:
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
Page 235:
15 10 5 0 -5 -10 True weight - Dion
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 and 270:
262 Health Technology Assessment Pr
Page 271:
264 Health Technology Assessment Pr
show all

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

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?