3 Committee considerations

3 Committee considerations

The evidence

3.1 NICE did a rapid review of the published literature on the efficacy and safety of this procedure. This comprised a comprehensive literature search and detailed review of the evidence from 2 sources, which was discussed by the committee. The evidence included 2 case series. It is presented in table 2 of the interventional procedures overview. Other relevant literature is in the appendix of the overview.

3.2 The specialist advisers and the committee considered the key efficacy outcomes to be: relief of pain, restoration of wrist function, and patient-reported outcome measures, including quality of life.

3.3 The specialist advisers and the committee considered the key safety outcomes to be: pain, infection, loss of function and loosening of the prosthesis.

3.4 Patient commentary was sought but none was received.

Committee comments

3.5 The committee noted that the evidence it reviewed came from 2 small case series. It was informed that only 1 surgeon at 1 centre is doing the procedure in the UK.

ISBN: 978-1-4731-3562-8

  • National Institute for Health and Care Excellence (NICE)