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April 2026: We have withdrawn this quality standard following the launch of the updated NICE guideline on suspected cancer: recognition and referral. An updated NICE quality standard for suspected cancer is being developed. For any queries, please contact qualitystandards@nice.org.uk.
This guidance has been updated and replaced by NICE HealthTech guidance 733.
Sodium zirconium cyclosilicate for treating hyperkalaemia (TA599)
This guidance has been updated and replaced by NICE's technology appraisal guidance on sodium zirconium cyclosilicate for treating hyperkalaemia (TA1148).
L-Dex U400 for lymphoedema after breast cancer treatment (MIB111)
April 2026: This Medtech innovation briefing has been withdrawn because the L-Dex U400 device is no longer available in the UK.
This guidance has been withdrawn because Cartiva Synthetic Cartilage Implant (SCI) has been recalled, and the evidence for this guidance was based solely on Cartiva SCI. More information is available in the field safety notice issued by Stryker. Surgeons are advised not to implant this device, to return any unused devices to Stryker and to consider reviewing any patients who have had Cartiva SCI. NICE will consider issuing new guidance on synthetic cartilage implant insertion for first metatarsophalangeal joint osteoarthritis (hallux rigidus) if evidence using an appropriately CE-marked device becomes available.
Leadless cardiac pacemaker implantation for bradyarrhythmias (HTG484)
This guidance has been updated and replaced by NICE HealthTech guidance 770.
Anaphylaxis: assessment and referral after emergency treatment (CG134)
This guideline has been updated and replaced by NICE guideline NG258.
This guidance has been updated and replaced by NICE's technology appraisal guidance 1159 (TA1159).
This guidance has been updated and replaced by NICE's technology appraisal guidance on nusinersen and risdiplam for treating spinal muscular atrophy (TA1162).
This guidance has been updated and replaced by NICE's technology appraisal guidance on nusinersen and risdiplam for treating spinal muscular atrophy (TA1162).
Cemiplimab for treating recurrent or metastatic cervical cancer (terminated appraisal) (TA901)
This guidance has been updated and replaced by NICE technology appraisal guidance on cemiplimab for treating recurrent or metastatic cervical cancer that has progressed on or after platinum-based chemotherapy (TA1174).
Sabatolimab with azacitidine for untreated high-risk myelodysplastic syndromes [ID3996]
Discontinued Reference number: GID-TA10897
Discontinued Reference number: GID-TA10926