Recommendation ID
IPG465/1
Question
NICE encourages further research into insertion of endobronchial valves for lung volume reduction in emphysema. Research should take the form of studies that allow comparison of the procedure with the natural history of the disease and other treatment options including surgery. The studies should define the criteria and techniques used for patient selection. Outcome measures should include lung function, dyspnoea score, exercise tolerance, quality of life and long-term safety.
Any explanatory notes
(if applicable)
Current evidence on the efficacy of insertion of endobronchial valves for lung volume reduction in emphysema shows some clinical and quality-of-life benefits. However, this evidence includes data from patients who have and those who have not had assessment of collateral ventilation, which specialists now advise as fundamental to selection for treatment. Evidence of safety in the short term is adequate but the evidence of safety in the longer term is inadequate in quantity. Therefore, this procedure should only be used with special arrangements for clinical governance, consent and audit or research.

Source guidance details

Comes from guidance
Insertion of endobronchial valves for lung volume reduction in emphysema
Number
IPG465
Date issued
September 2013

Other details

Is this a recommendation for the use of a technology only in the context of research? No  
Is it a recommendation that suggests collection of data or the establishment of a register?   No  
Last Reviewed 08/10/2013