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Resultados de RecomendacionesRegistros :  6737

DuraGraft improves the patency of vein grafts and minimises vein graft damage during coronary artery bypass graft (CABG)


NICE

NICE


It was noted that a retrospective study in the USA has seen a reduction in vein graft dysfunction in people having CABG in the short term. Also it could improve flow pattern in the short term (4 to 6 weeks) after CABG, and may potentially reduce the need for repeat revascularisations in the long term. Most of the experts agreed that the technology would be of most benefit for patients having CABG using saphenous vein conduits, and especially patients who are prone to early graft failure as 2 ...

ver más ... 2019

Darvadstrocel is not recommended, within its marketing authorisation, for previously treated complex perianal fistulas in adults with non-active or mildly active luminal Crohn's disease.


NICE

National Institute for Health and Clinical Excellence (NICE)


In a single clinical trial comparing remission rates for darvadstrocel and placebo, only an additional 14% of people showed a beneficial effect from darvadstrocel over and above placebo. Reliable follow‑up results are only available for up to 1 year during which time more than 50% of patients who had remission subsequently relapsed in both the darvadstrocel and placebo arms, so it is unclear how long the treatment benefit will last. The additional evidence submitted after consultation did not ...

ver más ... 2019

Reinforcement of a permanent stoma with biological or synthetic mesh is not recommended for the prevention of peristomal hernia.


NICE

National Institute for Health and Clinical Excellence (NICE)


The evidence on the safety of reinforcement of a permanent stoma with a synthetic or biological mesh to prevent a parastomal hernia shows there are serious but well-recognised complications. The evidence on efficacy is limited in quantity and quality. Therefore, this procedure should not be used unless special arrangements are in place for clinical governance, consent, and audit or research. 1.2 Clinicians wishing to do reinforcement of a permanent stoma with a synthetic or biological mesh to ...

ver más ... 2019

Fluocinolone acetonide intravitreal implant is not recommended as an option for treating chronic diabetic macular oedema that is insufficiently responsive to available therapies in an eye with a ...


NICE

National Institute for Health and Clinical Excellence (NICE)


This recommendation is not intended to affect treatment with fluocinolone acetonide intravitreal implant that was started in the NHS before this guidance was published. People having treatment outside this recommendation may continue without change to the funding arrangements in place for them before this guidance was published, until they and their NHS clinician consider it appropriate to stop. Treatments for untreated chronic diabetic macular oedema include laser therapy and anti-vascular ...

ver más ... 2019

It is recommended to offer aspirin (300 mg daily), unless contraindicated, to people who have had a suspected TIA, to be started immediately.


Prasad, et al. article A Decade of Reversal: An Analysis of 146 Contradicted Medical Practices

National Institute for Health and Clinical Excellence (NICE)


Refer immediately people who have had a suspected TIA for specialist assessment and investigation, to be seen within 24 hours of onset of symptoms. Do not use scoring systems, such as ABCD2, to assess risk of subsequent stroke or to inform urgency of referral for people who have had a suspected or confirmed TIA. Offer secondary prevention, in addition to aspirin, as soon as possible after the diagnosis of TIA is confirmed. Do not offer CT brain scanning to people with a suspected TIA unless ...

ver más ... 2019