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  • Question on Consultation

    Has all of the relevant evidence been taken into account?

  • Question on Consultation

    Are the summaries of clinical and and cost effectiveness reasonable interpretations of the evidence?

  • Question on Consultation

    Are the recommendations sound and a suitable basis for guidance to the NHS?

  • Question on Consultation

    Are there any equality issues that need special consideration and are not covered in the medical technology consultation document?

  • Question on Document

    Are there any other relevant ongoing studies that address the evidence gaps?

Evidence generation plan

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5 Minimum evidence standards

There is some clinical evidence that suggests that the Online Remote Behavioural Intervention for Tics (ORBIT) technology may improve symptoms of tic disorders and Tourette syndrome in children under 12 years. The company did not report any safety concerns when using the digital technologies to support treatment of tic disorders and Tourette syndrome.

For new technologies, the committee has indicated that it may in the future be able to recommend technologies in this topic area that have evidence for: 

  • a beneficial impact of the digital technologies compared with standard care for treating tic disorders and Tourette syndrome without digital technologies 

  • a clinical improvement in tic disorders and Tourette syndrome using the Yale Global Tic Severity Rating Scale total scores 

  • improvements in overall patient quality of life

  • resource use associated with the technologies and NHS standard care 

  • intervention acceptance, completion rates, patient preference, and uptake rates 

  • the safe use of the technology (including all adverse events).