EBH Group reports

The Evidence Based Healthcare (EBH) Group produces several different kinds of reports for ACC.

Evidence based reviews

Including links to accompanying considered judgement forms or CJFs

In-depth assessments of the effectiveness and safety of:

  • treatments
  • products
  • other health interventions.

They are based on a systematic search of the literature and evaluation of existing research evidence carried out according to a robust methodology.

Topic

Report

Autologous platelet rich plasma (CJF)

Efficacy of autologous platelet rich plasma in bone healing (PDF 161K) – June 2007

Bioptron light therapy (CJF)

Bioptron light therapy (PDF 221K) – November 2006

Bone morphogenetic proteins (CJF)

Bone morphogenetic proteins 2 and 7 (PDF 208K) – April 2006

Coumarin (CJF)

Coumarin for lymphoedema following cancer treatment – effectiveness and safety (PDF 312K) – March 2005

Dental implants*

Dental implants: patient selection, patient satisfaction and cost factors (PDF 743K) – May 2004

*See also ACC dental implant guidelines (September 2006)

Driving assessment

Computerised off-road driving assessment (PDF 500K) – August 2004

Ergys electrical stimulation device (CJF)

The effectiveness of Ergys – a functional electrical stimulation device used to improve the health and well-being of persons with spinal cord injuries (PDF 220K) – June 2005

Extracorporeal shock wave therapy (2008 CJF)

 

 

 

 

 

 

 

(2004 CJF)

Extracorporeal shock wave therapy (ESWT) in the treatment of selected musculoskeletal conditions – March 2008.

Note:
The 2008 work made recommendations on the use of ESWT in the treatment of a range of conditions including tendinopathies and fracture healing:

The effectiveness of extracorporeal shock wave therapy (ESWT) in the treatment of specific musculoskeletal disorders (PDF 454K) – November 2004.

Note:
The 2004 work made recommendations on the use of ESWT in the treatment of plantar fasciitis.

Hip arthroscopy (CJF)

Hip arthroscopy: an update of effectiveness, indications and diagnostic alternatives (PDF 380K) – October 2007

Hyperbaric oxygen therapy (CJF)

Hyperbaric oxygen therapy - evidence of effectiveness (PDF 1.2M) – September 2004

Intensive exercise programmes (CJF)

Intensive exercise programmes for spinal cord-injured individuals (PDF 356K) – August 2008

Music therapy

Music therapy (PDF 463K) – July 2005

Pemetrexed (CJF)

The effectiveness of Pemetrexed in the treatment of mesothelioma (PDF 92K) – October 2004

Sexual dysfunction medicines (CJF)

Evidence based review of medicines for sexual dysfunction in females: a report commissioned by the New Zealand Accident Compensation Corporation (ACC) (PDF 217K) – August 2004

Evidence based review of medicines for sexual dysfunction in men: a report commissioned by the New Zealand Accident Compensation Corporation (ACC) (PDF 955K) – August 2004

Spinal disc replacement (CJFs)

Intervertebral disc replacement (PDF 1.5M) – June 2007

Tramadol (CJFs)

The effectiveness of oral Tramadol in chronic non-malignant pain management (PDF 239K) – August 2004

The effectiveness of Tramadol in acute pain management (PDF 479K) – June 2005

Vibration training (CJF)

Whole body vibration (WBV) training (PDF 696K) – August 2008

Vitamin D

Vitamin D supplementation for fracture prevention in older people (PDF 1.2M) – September 2007

Weight loss medicines (CJF)

Evidence based rapid review of weight loss medicines (PDF 879K) – August 2004

Brief reports

Including links to accompanying considered judgement forms or CJFs, if available

Concise and straightforward summaries of the main issues relating to a particular health intervention. Brief reports tend to focus on interventions on which published research is limited.

Topic

Report

Arginaid® Extra (nutritional supplement)

Resource® Arginaid® Extra (PDF 47K) – October 2006

Eye movement desensitisation and reprocessing (EMDR)

Eye movement desensitisation and reprocessing (EMDR) in treatment of post-traumatic stress disorder (PTSD) (PDF 51K) – January 2008

Fenzian treatment

Fenzian treatment (PDF 50K) – December 2007

Mediflow® water pillow

Mediflow® water pillow (PDF 57K) – May 2007

Optometric vision therapy

Optometric vision therapy in rehabilitation of cognitive deficit secondary to traumatic brain injury (PDF 59K) – July 2007

Project Walk (CJF)

Project Walk (PDF 93K) – September 2004

Stem cell transplantation

Stem cell transplantation for spinal cord injury (PDF 148K) – February 2007

Purchasing guidance

Considered judgement forms (CJF)

Reports that focus on whether ACC should fund the intervention in question. They are usually produced to accompany an evidence based review or brief report. The EBH group works with ACC’s Purchasing Guidance Advisory Group (PGAG) to make recommendations on what interventions ACC should purchase. Purchasing recommendations are developed through a considered judgement process that involves evaluating evidence and consulting with clinical experts. The process is documented in considered judgement forms.

Topic

Report

Anticonvulsant drugs

CJF: anticonvulsants for neuropathic pain (PDF 89K) – August 2007

Autologous platelet rich plasma

CJF: effectiveness of autologous platelet rich plasma (PRP) in bone healing (PDF 48K) – August 2007

Bioptron light therapy

CJF: Bioptron light therapy (PDF 44K) – August 2007

Bone morphogenetic proteins

CJF: a review of the efficacy of bone morphogenetic proteins (BMPs) in spinal fusion (PDF 49K) – June 2006

Coumarin

CJF: Coumarin for lymphoedema following cancer treatment – effectiveness and safety (PDF 47K) – August 2005

Ergys electrical stimulation device

CJF: The effectiveness of Ergys – a functional electrical stimulation device used to improve the health and well-being of persons with spinal cord injuries (PDF 41K) – August 2005

Extracorporeal shock wave therapy

CJF: Extracorporeal shock wave therapy (ESWT) in the treatment of selected musculoskeletal conditions (PDF 57K) – May 2008 (revised August 2008)

CJF: The effectiveness of extracorporeal shock wave therapy (ESWT) in the treatment of specific musculoskeletal conditions (PDF 48K) – December 2004

Hip arthroscopy

CJF: Hip arthroscopy update (PDF 78K) – November 2007

Hyperbaric oxygen therapy

CJF: Hyperbaric oxygen therapy (PDF 176K) – December 2004

Intensive exercise programmes

CJF: Intensive exercise programmes for spinal cord-injured individuals (PDF 139K) – September 2008

Interventional pain management procedures

See separate table

Pemetrexed

CJF: Effectiveness of Pemetrexed in the treatment of mesothelioma (PDF 53K) – May 2005

Project Walk

CJF: Project Walk (PDF 73K) – March 2005

Sexual dysfunction medicines

CJF: Evidence based review of medicines for sexual dysfunction in females (PDF 63K) – March 2005

CJF: Evidence based review of medicines for sexual (erectile) dysfunction in men (PDF 109K) – March 2005

Spinal disc replacement

CJF: Intervertebral disc replacements – cervical total disc replacement (PDF 88K) – February 2008

CJF: Intervertebral disc replacements – lumbar total disc replacement (PDF 97K) – February 2008

Tramadol

CJF: The effectiveness of oral Tramadol in chronic non-malignant pain management (PDF 53K) – August 2004 (revised October 2005)

CJF: The effectiveness of Tramadol in acute pain management (PDF 75K) – October 2005

Vibration training

CJF: Whole body vibration training (PDF 129K) – September 2008

Weight loss medicines

CJF: evidence based review of weight loss medicines (PDF 162K) – October 2005 (revised September 2006)

Purchasing guidance on interventional pain management procedures

Following the launch of ACC’s web based clinical guideline on interventional pain management, purchasing guidance was developed for a range of pain management procedures that ACC is sometimes asked to fund. The following documents were finalised in October 2006:

 

Intra-discal electrothermal therapy (IDET) (PDF 68K)

Infusions

Epidural opioids (PDF 64K)

Intrathecal baclofen (PDF 62K)

Intrathecal opioids (PDF 70K)

Intravenous colchicine (PDF 64K)

Intravenous ketamine (PDF 66K)

Injections

Botulinum toxin for headache (PDF 60K)

Botulinum toxin for myofascial pain (PDF 57K)

Chemonucleolysis (PDF 63K)

Epidural clonidine (lumbar) (PDF 64K)

Epidural steroid (caudal/sacral) (PDF 85K)

Epidural steroid (lumbar) (PDF 92K)

Glucosamine (PDF 63K)

Hyaluronic acid for TMJ pain (PDF 56K)

Knee joint lavage (PDF 73K)

Prolotherapy injections (PDF 69K)

Steroid for heel pain (PDF 67K)

Steroid for lumbar z-joint pain (PDF 58K)

Steroid for cervical z-joint pain (PDF 58K)

Trigger point injection (PDF 74K)

Nerve blocking procedures

Common peroneal nerve block (PDF 56K)

Greater occipital nerve block (PDF 67K)

Intravenous regional sympathetic block (PDF 79K)

Spinal nerve block (PDF 61K)

Sympathetic ganglion block (PDF 70K)

Therapeutic lumbar medial branch block (PDF 61K)

Trigeminal nerve block (PDF 61K)

Neuroablation

Radiofrequency neurotomy: cervical medial branch (PDF 128K)

Radiofrequency neurotomy: lumbar medial branch (PDF 68K)

Radiofrequency neurotomy: lumbosacral dorsal root ganglion (PDF 57K)

Neuromodulation

Spinal cord stimulation (PDF 68K)

 

Clinical guidelines

Guidelines completed September 2002 – July 2009

Guidance to help the following groups make informed decisions about health care:

  • health professionals
  • funding organisations
  • patients.

Guideline development is a systematic process that involves reviewing evidence, consulting clinical experts and working with multidisciplinary advisory groups. This process is often contracted out to external groups who specialise in guideline development.

Please note that only clinical practice guidelines developed or managed by ACC’s Evidence Based Healthcare (EBH) group are listed here. Links to other ACC guidelines can be found on the clinical best practice and publications (clinical guidelines) pages.

Topic

Report

Ankle injuries

Managing soft tissue ankle injuries: a summary of recent research [ACC898] (PDF 557K) – September 2002

Back pain

New Zealand acute low back pain guide, incorporating the guide to assessing psychosocial yellow flags in acute low back pain [ACC1038] (PDF 418K) – October 2004

Burns

Management of burns and scalds in primary care [ACC4046] (PDF 2.1M) – June 2007

Management of burns and scalds in primary care: guideline summary [ACC4047] (PDF 928K) – June 2007

Dental implants

ACC dental implant guidelines [ACC2458] (PDF 69K) – September 2006

Distal upper limb disorders

Distal upper limb: guidelines for management of some common musculoskeletal disorders – May 2009

The guidelines advise on the clinical management of a range of disorders affecting the forearm and hand, including carpal tunnel syndrome, epicondylitis and de Quervain’s disease.

Summary [ACC5123] (PDF 2.7M)

Concise [ACC5124] (PDF 7.3M)

Comprehensive (PDF 3.6M)

Printed copies of the summary version (with the concise version on CD inserted) can be ordered from the publications (clinical guidelines) page. The comprehensive version is only available as a PDF.

Knee injuries

The diagnosis and management of soft tissue knee injuries: internal derangements [ACC1331] (PDF 2.95M) – July 2003

The diagnosis and management of soft tissue knee injuries: internal derangements: key messages [ACC1332] (PDF 236K) – July 2003

Pain assessment

Persistent pain assessment instruments: a compendium – April 2008

ACC has compiled a handbook of instruments used to assess persistent pain. It covers the following areas: pain assessment; psychological instruments; functional assessment; and general health/quality of life. The CD version (ACC4606) can be ordered from the publications (pain management) page.

Pain management

Interventional pain management (IPM) - web based clinical guidance on a wide range of interventions for persistent pain was launched in October 2005.

Purchasing guidance for some of the interventions that ACC has been asked to fund is available in the table above.

A summary of the key recommendations of the IPM guidance is available: Interventional pain management clinical guidance: summary document [ACC2350] (PDF 752K) – April 2006

Sexual abuse

Sexual abuse and mental injury: practice guidelines for Aotearoa New Zealand [ACC4451] (PDF 1.1M) – March 2008

Shoulder injuries

The diagnosis and management of soft tissue shoulder injuries and related disorders [ACC1617] (PDF 1.8M) – June 2004

The diagnosis and management of soft tissue shoulder injuries and related disorders: key messages [ACC1616] (PDF 203K) – July 2004

Traumatic brain injury

Traumatic brain injury: diagnosis, acute management and rehabilitation [ACC2404] (PDF 2.5M) – July 2006

Traumatic brain injury: diagnosis, acute management and rehabilitation – guideline summary [ACC2610] (PDF 1.2M) – March 2007

This guideline was developed for ACC by the New Zealand Guidelines Group (NZGG). Additional resources are available from the NZGG website.

Guidelines in progress

Hearing loss

ACC is developing a best practice guideline on the diagnosis of occupational noise-induced hearing loss. The guideline will evaluate the evidence base in order to improve the accuracy and consistency of clinical decision making.

The guideline will be released in May 2010.

Contact details

Please direct any enquiries about the EBH Group to:

ebh@acc.co.nz

 

 

Last updated: 28 July 2009