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 6 sources, which was discussed by the committee. The evidence included 6 case series. It is presented in the summary of key evidence section in the interventional procedures overview. Other relevant literature is in the appendix of the overview.

3.2 The professional experts and the committee considered the key efficacy outcomes to be: pain reduction, improved mobility and activities of daily living, and improved quality of life.

3.3 The professional experts and the committee considered the key safety outcomes to be: reoperation rates, device failure, and infection.

3.4 Patient commentary was sought but none was received.

Committee comments

3.5 The evidence considered by the committee included studies using different devices.

3.6 The committee was informed that the procedure does not preclude revision to total elbow replacement if necessary.

3.7 The committee was informed that, in selected patients, this procedure can markedly improve quality of life with respect to elbow function.

3.8 The committee was pleased to receive a consultation comment from a patient who reported a benefit from the procedure.

ISBN: 978-1-4731-4260-2

  • National Institute for Health and Care Excellence (NICE)