PMID- 10645107
OWN - NLM
STAT- MEDLINE
DCOM- 20000207
LR  - 20181130
IS  - 0266-4623 (Print)
IS  - 0266-4623 (Linking)
VI  - 15
IP  - 4
DP  - 1999 Fall
TI  - Health technology assessment and policy decisions on hyperbaric oxygen treatment.
PG  - 661-70
AB  - OBJECTIVES: To provide information to health authorities and others on the 
      effectiveness of hyperbaric oxygen treatment (HBOT) and the impact on health 
      services should an additional HBOT facility be established in the provincial 
      health care system. METHODS: A literature review on the clinical use of HBOT was 
      conducted, drawing on MEDLINE, EMBASE, and HealthSTAR. For each of 13 conditions, 
      the effectiveness of HBOT was assessed, with reference to a widely used 
      classification of level of evidence. Cost implications were considered for each 
      condition for which there was sufficient evidence of effectiveness. The 
      perspective was that of the payer. RESULTS: Good evidence of effectiveness exists 
      for HBOT for four conditions and HBOT is established as the clinical standard of 
      care for two others. Available evidence did not support the routine use of HBOT 
      for a further seven indications. An additional 59-87 patients per year would be 
      eligible for HBOT if a second facility were established in the province. 
      Improvement in quality of life could be expected for 30-60 persons per year. A 
      new facility would result in identified additional annual expenditure of 
      $108,000. Capital costs could exceed $600,000. CONCLUSIONS: On the basis of the 
      available evidence on benefits and costs to routine health care, there did not 
      seem to be a particularly strong case for establishing a second HBOT center in 
      the province. Following the assessment, the health authority made a decision not 
      to provide funding for this additional service.
FAU - Mitton, C
AU  - Mitton C
AD  - University of Calgary Health Economics Program.
FAU - Hailey, D
AU  - Hailey D
LA  - eng
PT  - Journal Article
PT  - Review
PL  - England
TA  - Int J Technol Assess Health Care
JT  - International journal of technology assessment in health care
JID - 8508113
SB  - IM
MH  - Alberta
MH  - Cost-Benefit Analysis
MH  - *Decision Making, Organizational
MH  - Evidence-Based Medicine
MH  - Health Care Costs/statistics & numerical data
MH  - Health Expenditures/statistics & numerical data
MH  - *Health Policy
MH  - Humans
MH  - Hyperbaric Oxygenation/economics/*standards/statistics & numerical data
MH  - Patient Selection
MH  - Reproducibility of Results
MH  - Technology Assessment, Biomedical/*organization & administration
RF  - 33
EDAT- 2000/01/25 00:00
MHDA- 2000/01/25 00:01
CRDT- 2000/01/25 00:00
PHST- 2000/01/25 00:00 [pubmed]
PHST- 2000/01/25 00:01 [medline]
PHST- 2000/01/25 00:00 [entrez]
PST - ppublish
SO  - Int J Technol Assess Health Care. 1999 Fall;15(4):661-70.