Health Technology Assessments

Health Technology Assessments (HTAs) are a comprehensive systematic review and critical analysis of available evidence for A SINGLE medical technology for which there are several published clinical trials and a substantial body of evidence. This report details an entire technology class for which there are one or more indications or patient populations in use.

Our analysts evaluate clinical trial data, along with information regarding safety issues, coverage policies from the private and public sectors, regulatory approvals, consensus statements, and an overall projection of the potential clinical efficacy and economic impact of the technology. Reports are reviewed annually up to 5 years post publication to determine if there is new literature or evidence that would impact a change in rating and warrant an updated report.

Phacocanaloplasty for Concomitant Cataract and Open-Angle Glaucoma

Focus of the Report: The focus of this report is phacocanaloplasty (P-CP) for the treatment of concomitant open-angle glaucoma (OAG) and cataract in adult patients.

Technology Description: P-CP combines phacoemulsification (phaco), the standard care cataract extraction and intraocular …

Laser Interstitial Thermal Therapy for Refractory Temporal Lobe Epilepsy

Focus of Report: Laser interstitial thermal therapy (LITT) with real-time magnetic resonance imaging thermography is being investigated as a minimally invasive surgical alternative for treatment of mesial refractory temporal lobe epilepsy (MTLE).

Technology Description: LITT delivers …

Subtalar Arthroereisis for the Treatment of Pediatric Flatfoot

Health Problem: Flatfoot (FF) refers to a progressive developmental or acquired deformity characterized by plantar medial rotation of the talus, decrease in medial arch height, and abduction of the forefoot. In children, FF may be an isolated clinical entity or it may be found with neuromuscular disorders (e.g., cerebral palsy [CP]). Untreate…

Intense Pulsed Light Therapy for Dry Eye Disease

Health Problem: Dry eye disease (DED) is a type of ocular surface disorder. Meibomian gland dysfunction (MGD) contributes to DED in approximately 60% of patients. The meibomian glands (MGs) are present in the upper and lower eyelids and they secrete lipids that are an important component of tears. The oily lipids float to the surface of tear …

Canaloplasty for Open-Angle Glaucoma

Health Problem: Glaucoma is a disease of the optic nerve characterized by loss of retinal ganglion cells; remodeling of the lamina cribrosa; structural changes to the nerve; elevated intraocular pressure (IOP); and progressive, irreversible loss of vision leading to blindness. Open-angle glaucoma (OAG) is associated with partial blockage of t…

Proton Beam Therapy for Treatment of Chordoma and Chondrosarcoma of the Skull Base

Health Problem: Chordomas are rare primary bone tumors originating from remnants of the embryonic notochord and most commonly arising in the skull base (32%), mobile spine (33%), and sacrum (29%). Chondrosarcomas, which arise from cartilage, are usually low-grade, indolent, invasive tumors that cause morbidity by compressing skull base neurov…