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  • Question on Consultation

    Do you agree on the proposal for withdrawing this technology appraisal? If not, please can you state why you disagree.

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    Are you aware of any implications for UK clinical practice on withdrawing this technology appraisal? If so, please describe.

2025 surveillance of electroconvulsive therapy (technology appraisal guidanceTA59, NICE guideline NG222, NICE guideline CG178, NICE guideline CG185, NICE guideline CG192)

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Relevant NICE guidelines

Guidance on the use of electroconvulsive therapy. NICE Technology appraisal guidance TA59. Published 26 April 2003. Last updated: 01 October 2009 (the focus of this surveillance review).

Depression in adults: treatment and management. NICE Guideline NG222. Issued: Published: 29 June 2022 (the focus of this surveillance review)

Psychosis and schizophrenia in adults: prevention and management. NICE Guideline CG187. Published: 12 February 2014. This guideline refers to NICE guidance TA59 on the use of ECT for managing schizophrenia.

Psychosis with coexisting substance misuse: Assessment and management in adults and young people. NICE Guideline CG120. Published: March 2011. This guideline does not include recommendations on the use of ECT for managing psychosis with coexisting substance misuse.

Antenatal and postnatal mental health: Clinical management and service guidance. Clinical Guideline CG192. Published: 17 December 2014. Last updated: 11 February 2020. This guideline recommends considering ECT for pregnant women with severe depression, severe mixed affective states, mania, or catatonia when there is a serious risk to their health or that of the fetus. The guideline was developed in 2007 and updated in 2014, the recommendation remained unchanged aside from NICE style modifications. With limited evidence, the 2007 recommendation was generally based on GDG's clinical judgement. Updates in 2014 and 2018 found no new eligible studies on ECT in pregnancy.

Bipolar disorder: assessment and management. NICE Guideline CG185. Published: 24 September 2014 Last updated: 21 December 2023. This guideline refers to NICE guidance TA59 for the use of ECT in treating severe mania that has not responded to other interventions.