Accessed through the Hayes Knowledge Center, the Evidence Analysis Solution addresses the following fundamental questions to help our clients determine coverage positions:
Health Problem: In women, breast cancer is the second most common type of cancer and second most common cause of cancer death. Conventional mammography provides 2-dimensional (2D) views of the breasts with notable tissue overlap, in some cases obscuring lesions that may be cancerous or giving a false impression that lesions are present.
Technology Description:
Health Problem: Varicose veins, also known as varicosities, are a common manifestation of chronic venous insufficiency (CVI), a category of chronic venous disease (CVD). Varicose veins are enlarged and tortuous vessels (≥ 3 millimeters [mm] in diameter) that develop when the thin flaps of the venous valves no longer meet in the midline, thereby allowing blood to reflux, or flo…
Health Problem: Patients undergoing percutaneous coronary intervention (PCI) may be considered high risk based on a variety of factors, including advanced age, comorbidities, and lesion-specific characteristics. Patients undergoing high-risk PCI (HRPCI) may require mechanical circulatory support (MCS) during the PCI procedure to prevent adverse events and improve clinical outc…
Rationale: Targeted magnetic resonance imaging (MRI)-guided biopsy techniques, such as MRI-guided in-bore (MRI-IB) biopsy, have been developed to increase identification of clinically significant prostate cancer without increasing the detection of clinically nonsignificant tumors.
Technology Description: MRI-IB biopsy is a technique that uses MRI images…
Rationale: Diabetes mellitus can damage blood vessels, compromising blood flow and oxygen circulation. Resulting tissue hypoxia may contribute to failure of wounds to heal. Hyperbaric oxygen therapy (HBOT) has been proposed as a treatment adjunct to wound care to improve oxygenation and promote healing when a diabetic patient has chronic foot ulcers despite standard wound ther…
Rationale: Total disc replacement (TDR) was developed to relieve pain, restore disc height, and maintain the natural motion of the spine. Developers of artificial cervical discs sought to eliminate the problems associated with anterior cervical discectomy and fusion (ACDF) such as the need for a hip bone autograft, disease recurrence, adjacent segment…
The lymphatic system accepts fluid from the extracellular tissue and transports it into the cirulatory system. Lymphedema develops when this process is impaired, resulting in retention of fluid and proteins with consequent swelling and hardening in the tissue.
Technology Description: The Flexitouch System is a programmable pneumatic compression device that is designed t…
Rationale: For some patients with cervicogenic headache or occipital neuralgia, conservative medical treatments, including oral analgesics and physical therapy, may be sufficient to relieve pain. However, a population of patients with refractory pain may require more invasive treatments, including injection therapy or surgical interventions.
Rationale: Cognitive rehabilitation therapy (CRT) is a treatment approach used for patients with traumatic brain injury (TBI) that focuses on improving cognitive impairments on attention, memory and learning, affect and expression, problem solving, and executive function.
Technology Description: CRT is m…
Rationale: Skin preparation products are used prior to surgery to quickly eliminate a wide range of microbes and provide a continuously high level of antimicrobial action for an extended duration of time.
Technology Description: Skin preparation products are used prior to surgery to quickly eliminate a wide range of microbes and provide a continuously h…