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Showing 4441 to 4455 of 7680 results

  1. Evidence on the safety and efficacy of radiofrequency ablation for palliation of painful spinal metastases is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG758/1 Question Evidence on the safety and efficacy of radiofrequency ablation for palliation of painful spinal metastases

    Research recommendation
    Published
    5 May 2023

  2. Evidence on the safety and efficacy of YAG laser vitreolysis for symptomatic vitreous floaters is inadequate in quality and quantity. Therefore, this procedure should only be used in the context of research. Find out what only in research means on the NICE interventional procedures guidance page.

    Recommendation ID IPG741/01 Question Evidence on the safety and efficacy of YAG laser vitreolysis for symptomatic vitreous floaters is

    Research recommendation
    Published
    7 November 2022

  3. Evidence on the safety of ab interno canaloplasty for open-angle glaucoma shows no major safety concerns. Evidence on the efficacy is limited in quality and quantity, particularly in the long term. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG745/01 Question Evidence on the safety of ab interno canaloplasty for open-angle glaucoma shows no major safety concerns

    Research recommendation
    Published
    12 December 2022

  4. Evidence on the safety of endoluminal gastroplication for gastro-oesophageal reflux disease is adequate. However, evidence on its efficacy is inadequate in quality, particularly in terms of patient selection and long-term outcomes. Therefore, this procedure should be used only in research. Find out what only in research means on the NICE interventional procedures guidance page.

    Recommendation ID IPG753/1 Question Evidence on the safety of endoluminal gastroplication for gastro-oesophageal reflux disease is adequate

    Research recommendation
    Published
    27 April 2023

  5. Evidence on the safety of endoscopic balloon dilation for subglottic or tracheal stenosis is adequate. The most serious complication related to the procedure, independent of age, is tracheal laceration but this is well recognised. For adults, evidence on the efficacy of the procedure is limited. So, it should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG179/01 Question Evidence on the safety of endoscopic balloon dilation for subglottic or tracheal stenosis is adequate

    Research recommendation
    Published
    8 April 2022

  6. Evidence on the safety of focal therapy using high-intensity focused ultrasound for localised prostate cancer is adequate, but evidence on its efficacy is limited. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG756/1 Question Evidence on the safety of focal therapy using high-intensity focused ultrasound for localised prostate

    Research recommendation
    Published
    5 May 2023

  7. Evidence on the safety of genicular artery embolisation for pain from knee osteoarthritis shows no major safety concerns in the short term. Evidence on its efficacy and long-term safety is inadequate in quality and quantity. Therefore, this procedure should only be used in the context of research. Find out what only in research means on the NICE interventional procedures guidance page. Research should preferably be randomised controlled trials against sham and current best practice. It should report details of patient selection and identify those who would most benefit from this procedure. It should also report details of the technique used, long-term safety, and patient-reported outcomes. The procedure should only be done by interventional radiologists with specific training in this technique.

    Recommendation ID IPG708/01 Question Evidence on the safety of genicular artery embolisation for pain from knee osteoarthritis shows no

    Research recommendation
    Published
    5 November 2021

  8. Evidence on the safety of laparoscopic removal of uterine fibroids with power morcellation shows potentially serious complications. In particular there is a risk of spreading undiagnosed malignant tissue, which has higher prevalence in people who are postmenopausal or over 50. Evidence on the procedure's efficacy is limited in quantity. Therefore, further research should report details of patient selection, surgical technique (including any containment system used) and long-term outcomes.

    Recommendation ID IPG703/1 Question Evidence on the safety of laparoscopic removal of uterine fibroids with power morcellation shows potentially

    Research recommendation
    Published
    30 September 2021

  9. Evidence on the safety of liposuction for chronic lipoedema is inadequate but raises concerns of major adverse events such as fluid imbalance, fat embolism, deep vein thrombosis, and toxicity from local anaesthetic agents. Evidence on the efficacy is also inadequate, based mainly on retrospective studies with methodological limitations. Therefore, this procedure should only be used in the context of research. Find out what only in research means on the NICE interventional procedures guidance page.

    Recommendation ID IPG721/01 Question Evidence on the safety of liposuction for chronic lipoedema is inadequate but raises concerns of major

    Research recommendation
    Published
    8 April 2022

  10. Evidence on the safety of long-term tunnelled peritoneal drainage catheter insertion for refractory ascites in cirrhosis is limited but shows well-recognised complications. Evidence on the efficacy is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG746/01 Question Evidence on the safety of long-term tunnelled peritoneal drainage catheter insertion for refractory

    Research recommendation
    Published
    12 December 2022

  11. Evidence on the safety of magnetic resonance therapy for knee osteoarthritis shows no major safety concerns. Evidence on efficacy is inadequate in quality and quantity and shows no benefit over placebo. Therefore, this procedure should not be used unless it is part of a research study. Further research should be in the form of appropriately powered randomised  controlled trials comparing the procedure with placebo. It should report patient  selection and treatment protocols, including the number of sessions and  magnetic field strength.

    Recommendation ID IPG702/1 Question Evidence on the safety of magnetic resonance therapy for knee osteoarthritis shows no major safety

    Research recommendation
    Published
    30 September 2021

  12. Evidence on the safety of transcutaneous electrical neuromuscular stimulation for urinary incontinence raises no major safety concerns. Evidence on its efficacy is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page.

    Recommendation ID IPG735/01 Question Evidence on the safety of transcutaneous electrical neuromuscular stimulation for urinary incontinence

    Research recommendation
    Published
    7 September 2022

  13. Evidence on the safety of microwave ablation for treating primary lung cancer and metastases in the lung is adequate but shows it can cause infrequent serious complications. Evidence on its efficacy shows it reduces tumour size. But the evidence on improvement in survival, long-term outcomes and quality of life is limited in quantity and quality. Therefore, this procedure should only be used with special arrangements for clinical governance, consent, and audit or research. Find out what special arrangements mean on the NICE interventional procedures guidance page. Further research should be randomised controlled trials or disease registry studies. It should report patient selection, disease progression and quality of life, and take account of the effectiveness of managing oligometastatic disease in patients.

    Recommendation ID IPG716/01 Question Evidence on the safety of microwave ablation for treating primary lung cancer and metastases in the

    Research recommendation
    Published
    24 March 2022

  14. Expectant management before IVF:- What is the optimum period of expectant management for women of different age groups before invasive treatment such as IVF is considered?

    Recommendation ID CG156/1 Question Expectant management before IVF:- What is the optimum period of expectant management for women of different

    Research recommendation
    Published
    9 June 2015

  15. Evidence on the safety of repetitive short-pulse transscleral cyclophotocoagulation for glaucoma shows no major safety concerns. Evidence on efficacy is inadequate in quality. Therefore, this procedure should only be used in the context of research. Find out what only in research means on the NICE website.

    Recommendation ID IPG692/1 Question Evidence on the safety of repetitive short-pulse transscleral cyclophotocoagulation for glaucoma shows

    Research recommendation
    Published
    16 August 2021