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Part 3 Information and Data Resources

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Part 3: Information and Data Resources This part has three sections: a categorical chart of information and data resources beginning on page 501, the 73 resource descriptions beginning on page 504, and a subject index to the resource descriptions beginning on page 551. The categorical chart indicates which of three broad types of descriptors, i.e. file type, format, and access, characterizes each resource. The descriptions of each of the 73 information and data resources are arranged alphabetically by name of resource; each is described in terms of source, subject, content, compilation, and access. The subject index is for identifying information and data resources relevant to particular topics. BOO

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INFORMATION AND DATA RESOURCES Categories of Infonnation and Data Resources I doe .~ 1_ A ~e,~ 39- ~ Aid\ fit ~ /~ Abstracts of Health Care Machine-Readable Data Files ADAMHA Publications and Data AMA/NET Baseline Reports BIOETHICSLINE Birth Defects and Developmental Disabilities Reports BMEDSS Boston Collaborative Drug Surveillance Program BPS/SEARCH CANCERLIT CASSIS CCC Bibliography on Regional Variations in Health Care Center for Health Promotion and Education CLINPROT COLLEAGUE COMPASS, DURbase Compendium of HHS Evaluations and Relevant Other Studies CPHA Files CRISP Current Assessments New Technology Abstracts ~4 . . _ continued ~%,~9 501

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Categories of Information and Data Resources \ Device Experience Network DIALOG Directory of Health Services and Research Organizations DIRLINE Drug Product Problem Reporting Program Duke Comprehensive Cancer Center Database Environmental Hazards and Health Effects Reports Environmental Health Laboratory Sciences Reports FDA Bulletin Board F-D-C Reports Futures Program HEALTH Health Devices Alerts Health Devices Sourcebook Health Information Resources in the Federal Government HEALTHLAWYER HECLINET HIAA Medical Appropriateness Compilation High Blood Pressure Information Center IMPAC IMS Audits International Market Research Studies INTERNIST- 1/ QUICK MEDICAL REFERENCE Market Research Reports Market/Technology Reports Medical Device and Laboratory Product Problem Reporting Program Medical Device Register 502 \ ~ ~ Ace' , ~_ -, ~ ~ ~ ~ .+ \,~9

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INFORMATION AND DATA RESOURCES Categories of Information and Data Resources  .^ MEDLINE MEDLINK Multi-Client Reports NAHDO Resource Manual NCHS Publications and Data National Cholesterol Educ Prog/ NHLBI Smoking Educ Prog Info Ctr National Reference File NTIS Publications and Data NEXIS NHLBI Publications Oxford Database of Perinatal Trials PDQ Pharmaprojects POPLINE Product Development Directory Product SOS Randomized Controlled Clinical Trials Report Collection Report on Cost-Effective Products and Technologies Scrip SEER SPRILINE Technical Data Center U.S. Industrial Outlook WHO/LINFO Database on Health Technology Assessment WHO Publications Cal An' Medical Device Reporting l | | | | | :~ 1 :41 ~4 503

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Abstracts of Health Care Machine-Readable Data Files Source: Hospital Data Center, Department of Special Studies, American Hospital Association (AHA), 840 North Lake Shore Drive, Chicago, IL 60611, 312-280-6520 Subject: Machine-readable databases related to health care that are national in scope and are available to users outside the source organizations, with or without restrictions on use or conditions of release. Content: The 1986 version contains 137 abstracts of non-bibliographic machine-read- able files. Each abstract includes the file citation, brief narrative description, descriptors based on NLM controlled vocabulary MeSH, geographic coverage, time coverage, technical notes, information about related files, availability, and contact person. The abstracts are arranged alphabetically by title and are indexed by source and by MeSH. The 1986 version is an expansion and updating of shorter descriptions of 257 data- bases contained in the 1984 version. The forthcoming version will be an expansion and update of the two earlier documents. Compilation: All versions were compiled by the AHA from survey forms sent to source organizations. Databases listed include data pertaining to periods later than January 1, 1970. Access: The 1 986 volume Abstracts of Health Care Machine-Readable Data Files ( 157 pages) is available from the AHA Hospital Data Center; price to be set by AHA. Its predecessor, the 1984 Inventory of U.S. Health Care Data Bases 1976-1983, was originally published by HRSA, and is available from NTIS (order HRP0906300LP) for $18.95 plus $3 handling. An updated version, Inventory of Machine-Readable Healthcare Data Bases will be available in 1988; price to be set by AHA. Alcohol, Drug Abuse, and Mental Health Administration Publications and Data Source: Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), Park- lawn Building, Room 13C-05, 5600 Fishers Lane, Rockville, MD 20857, 301-443-3820 Subject: Alcohol, drug abuse, and mental health (ADM) disorders. Content: Publications and data cover statistical, epidemiological and services research information pertaining to substance abuse and mental health disorders and their public health implications. Includes ADM client/patient data, research findings on ADM disorders, facility service and resources information, and financial data. Also available: directory of organizations involved in ADM research, treatment, and related issues. 504

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INFORMATION AND DATA RESOURCES Compilation: Most ADAMHA activities initiated in 1972. Information gathered from clients in treatment; facilities providing alcohol, drug abuse, and mental health treat- ment and prevention services in U.S., Puerto Rico, and six territories. Publications issued periodically. Access: Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA' publi- cations are available free of charge by contacting individual institutes within ADAMHA, i.e., National Institute on Drug Abuse (NIDA) 301-443-4577, National Institute on Mental Health (NIMH) 301-443-4515, National Institute on Alcohol Abuse and Alcoholism (NIAAA) 301-443-2954. Studies independently conducted for use by NIAAA, NIDA, NIMH; IBM-compatible data tapes available from sponsoring Institute, price to be determined. Sample formats of particular data collections or surveys are available from sponsoring Institutes. AMA/NET v Source: SoftSearch, Inc., 1560 Broadway, Suite 900, Denver, CO 80202, 303-832- 7111, 800-426-2873. Sponsored by the American Medical Association (AMA). Subject: Medicine and health care delivery; designed for health care professionals. Content: AMA/NET provides the following databases. AP MEDICAL NEWS SERV- ICE is a compendium of health care-related articles selected from Associated Press news wires and U.S. newspapers. EMPIRES CURRENT AWARENESS provides ac- cess to specialty specific citations; contains references to articles from over 300 interna- tional medical and scientific journals covering some 65 medical specialties and subspe- cialties. DISEASE INFORMATION is a reference summary of more than 3,500 ct~st~nct diseases, disorders, and conditions; provides synopsis of classic signs and symptoms as well as laboratory and radiologic findings of the entities. MEDICAL PR(~(:EDURE CODING & NOMENCLATURE, based on AMA publication Physi- cians' Current Procedural Terminology includes descriptive terms and billing codes for more than 6,000 medical procedures and services performed by physicians. SOCIO/ ECONOMIC BIBLIOGRAPHIC INFORMATION contains over 5,500 citations to documents pertaining to health care delivery and economic issues in medicine. Also available are electronic communications services, including electronic mail and bulletin boards; public information services providing direct access to such government organizations as the Centers for Disease Control, the Surgeon General's Office, and the National Library of Medicine/National Institutes of Health; AMA; literature ordering service providing reprints of articles referenced in either the SOCIO/ECONOMIC BIBLIOGRAPHIC INFORMATION or EMPIRES databases; interactive, computer- based continuing medical education courses developed at the Massachusetts General Hospital Laboratory of Computer Science. ~ 1 ' Compilation: Databases compiled from journal articles, legislative reports, books, wire services, and newspapers. AP MEDICAL NEWS SERVICE updated daily; EMPIRES updated weekly. Access: Online databases and other services available at any time; accessible via modem from remote terminal. Subscription required. One-time subscription fee ($30 for AMA members, $50 for non-members) includes one user name and introductory materials. Registration fee for each additional user $15. Basic service charge $14/hour peak time; $10/hour off-peak. Information service charge varies with service used. 505

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Baseline Reports Source: Massachusetts Health Data Consortium, Inc., 400-1 Totten Pond Road, Wal- tham, MA 02154, 617-890-6040 Subject: Diagnosis, treatment, costs, and outcomes of all patients discharged from acute care hospitals in Massachusetts. Content: Database covers information on hospital utilization, hospital charges, patient socio-demographic characteristics, clinical status including principle diagnoses and procedures, and discharge status. The following types of reports and data sets are available. Patient origin report sets identify hospital service areas and community dependency for pediatrics, medical/surgical, obstetrics/gynecology, and psychiatry. Market position reports analyze market penetration by town, age, and payer. Market position trend analyses chart market share changes over time by hospital for 24 clinical specialties. Statewide summary charge data reports rank top 100 diagnosis-related groups (DRGs) by payers, hospital bed size, patient discharge status, sex, and age. Hospital-specific charge data reports highlight charges and length of stay by DRGs. Case mix profiles display a case mix adjustment factor and length-of-stay performance measures. Per diem charge profiles provide case mix adjusted per diem charges for Blue Cross and commercially insured patients. Payer mix trend analyses display changes in payer mix for 24 clinical specialties. Community use rate reports contain population-based discharge and use rates. DRG outlier and mortality reports include hospital-specific length of stay, deaths, and outliers by DRG. Data express service provides custom reports in response to special requests for data or analyses. Compilation: Information gathered from data tapes supplied by 109 acute care hospi- tals and two Veterans Administration hospitals in Massachusetts and surrounding communities. Coverage from 1978 to present; updated annually. Access: Free catalog of publications available upon request. Report prices range from $75 to $1,850. Database available online; accessible via modem from remote terminal. BIOETHICSLINE Source: Bioethics Information Retrieval Project, Kennedy Institute of Ethics, George- town University, Washington, DC 20057, 202-687-3885 Subject: Multidisciplinary coverage of the ethical, legal, and public policy aspects of medicine, health care, and biomedical and behavioral research. Content: Database includes bibliographic citations to documents relating to euthanasia, organ donation and transplantation, allocation of health care resources, patients' rights, codes of professional ethics, in vitro fertilization and other reproductive technol- ogies, genetic intervention, abortion, behavior control and mental health therapies, and human experimentation. About 20 percent of citations include abstracts. Approxi- mately 80 percent of database keywords are mapped to terms in NLM controlled vocabulary MeSH, making it possible to search BIOETHICSLINE using MeSH. See MEDLINE description for listing of NLM MEDLARS databases. 506

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INFORMATION AND DATA RESOURCES Compilation: Compiled from journal articles, monographs, newspaper articles, court decisions, bills, laws, audiovisual materials, and unpublished documents. Coverage from 1973 to present. Updated bimonthly with approximately 2,000 citations added annually. Access: Available online at any time through NLM MEDLARS computer system to more than 6,000 online centers in hospitals, medical schools, universities, government agencies, commercial firms, and other organizations throughout U.S., as well as MED- LARS centers located in 13 other countries. Also accessible via modem from remote terminal through TELENET, TYMNET, direct dial. To contact MEDLARS Manage- ment Division call 800-638-8480 or 301-496-6193 in Maryland. Call source for search strategies and further information about Bibliography of Bioethics and related services. Connect cost averages $22/hour peak time, $15/hour off-peak. Individual searches available free of charge from the affiliated National Reference Center for Bioethics Literature 800-633-3849; citations are printed offline and arrive in about one week. Printed bibliographies on selected topics are available bimonthly ($10/topic, $60/complete package). BIOETHICSLINE citations Nor in print form in the annual Bibliography of Bioethics ($25~. Birth Defects and Developmental Disabilities Reports err -~- Source: Division of Birth Defects and Developmental Disabilities (BDDD), Center for Environmental Health, Centers for Disease Control, 1600 Clifton Road, Atlanta, GA 30333, 404-454-4706 Subject: Adverse reproductive outcomes, congenital malformations, genetic diseases, and other diseases or conditions that originate before birth or that develop during childhood. Content: BDDD surveillance activities include the following programs. Metropolitan Atlanta Congenital Defects Program (MACDP) monitors occurrence of congenital malformations (e.g., structural, chromosomal, or biochemical abnormalities) in Atlan- ta-area hospitals and maintains a case registry for epidemiologic and genetic studies. Birth Defects Monitoring Program (BDMP) monitors U.S. incidence of birth defects; functions primarily as an early warning system for correlating incidence patterns with temporal and geographic distribution of drugs, chemicals, other possible human te- ratogens. Developmental Disabilities Surveillance Program collects and analyzes data on developmental disabilities in 10 year-olds in Atlanta area. Data include statistical information for trend analysis and selected regional comparisons. Compilation: MACDP initiated in 1967; BDMP initiated in 1975; Developmental Disabilities Surveillance initiated in 1985. BDMP data gathered from hospital discharge data on newborns. MACDP drawn from Atlanta-area hospital records. Disabilities Surveillance Program drawn from educational and health care providers records. MACDP updated monthly; BDMP updated quarterly. Surveillance reports published . . Intermittent Y Access: Copies of Congenital Malformations Surveillance reports available upon request. All data maintained in computer files is for access by CDC staff; no public use data tapes available. Staff may prepare documents or data sets in response to justified individual requests made directly to BDDD for specific data or information. 507

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY BMEDSS (Biomedical Engineering Decision Support Services) Source: Medical Engineering Department, Akron City Hospital, 525 East Market Street, Akron, OH 44309-2090, 216-375-3501 Subject: Pharmaceuticals, medical devices and equipment. Designed primarily for biomedical engineers, device/equipment manufacturers, purchasing agents, materiel managers, biomedical research and teaching professionals. Content: BMEDSS databases include FDA ENFORCEMENT REPORTS on medical devices and lab reagents, FDA RECALL REPORTS on pharmaceuticals, FDA TALK PAPERS, FDA MEDICAL DEVICE BULLETIN, FDA DEN (Device Experience Network) and MDR (Medical Device Reporting) as formatted and coded by ECRI, abstracts from Journal of Clinical Engineering from 1976 to present, abstracts of AAMI (Association for the Advancement of Medical Instrumentation) publications including National Standards and Recommended Practices, Technology Assessment Reports, Updates and Information Reports, and Medical Instrumentation; ECRI databases including HDA (Health Devices Alerts), abstracts and indexes of ECRI publications. Other services include User Report Forum that allows device experiences to be entered onto FDA DEN; Inventory Comparison Program permits in-house medical device inventories to be compared to current FDA recall file and ECRI's HDA and DEN files and automati cally flags recalled equipment; electronic mail and bulletin board. Compilation: Information gathered from FDA sources, ECRI publications and data- bases, professional journals, and other relevant publications. Databases updated monthly. BMEDSS initiated in 1984. Access: Databases available online through COMPUSERVE 800-848-8990; accessible via modem from remote terminal. Charges are $50 subscription fee plus approximate- ly $35/month and $35/connect hour, adjusted for usage. Special group rates available. Connect cost varies with service used. Reprints of abstracts are available; contact BMEDSS for further information. Boston Collaborative Drug Surveillance Program Source: Boston University Medical Center, 400 Totten Pond Road, Waltham, MA 02154, 617-890-1300. Supported by the FDA and the pharmaceutical industry. Subject: Postmarketing drug surveillance. Content: Program monitors clinical effects of drugs routinely prescribed to hospital- ized and ambulatory-care patients. Database includes information on frequency and importance of adverse drug reactions, adverse reaction rates, adverse reaction causa- tion, assessment of adverse drug interactions, unsuspected drug side effects, drug efficacy, and evaluation of the role of certain patient characteristics in influencing clinical drug effects. Information is also available regarding drug utilization and pre- vailing practices in drug therapy such as magnitude of drug use, frequencies of various indications, utilization of specific drugs, and variability of utilization patterns by hospi- tal and geographic area. 508

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INFORMATION AND DATA RESOURCES Compilation: Program implemented in 1966. Studies use data from two primary sources: drug use experience of 50,000 people hospitalized in one of eight hospitals in the U.S., Canada, and Israel; and members of Group Health Cooperative of Puget Sound (GHC) in Seattle, Washington. Hospital data include records of all drug expo- sures and all adverse events at the selected hospitals. Automated data files received from GHC on annual basis include all prescriptions and refills filled by GHC members at one GHC pharmacy, hospitalizations of GHC members, and routine information on GHC members. Access: Boston Collaborative Drug Surveillance Program (BCDSP) computer tapes are not in the public domain. Contact BCDSP regarding access to data resources in collaboration with BCDSP. Over 200 articles describing past BCDSP studies have been published in various medical and professional journals. Reprints are available upon request. Listing of publications is available in: Cohen, M.R. A Compilation of Abstracts and Index Published by the Boston Collaborative Drug Surveillance Program 1966-1985. Hospital Pharmacy 21:497-559, 1986. BPS/SEARCH Source: BRS Information Technologies, 1200 Route 7, Latham, NY 12110, 800-345- 4277 Subject: Health, medicine, pharmacology, biosciences, science and technology, educa- tion, business and finance, social sciences, politics, humanities. Content: BPS/SEARCH Service includes over 90 multidisciplinary databases. Among those relevant to medical technology are MEDLINE, HEALTH, PDQ, HEALTHLAWYER, DRUG INFORMATION FULL TEXT (full-text information on current and investigational drugs, including research, treatment, and pharmacolog- ical practice), INTERNATIONAL PHARMACEUTICAL ABSTRACTS (indexes and abstracts from international pharmaceutical and health-related journals, covering drug development, use, and professional pharmaceutical practice), DIOGENES (FDA Medical Device Reporting, other regulatory information), EMBASE (from Excerpta Medica; references and summaries of international medical literature covering bio- medicine, health, and health care management), IRCS MEDICAL SCIENCE DATA- BASE (full-text articles on biomedical research). Many databases provide bibliographic citations, many include abstracts; others provide complete document texts; most are indexed by title, subject, author, publication date. Monthly BRS Bulletin provides information on new databases, developments, and features. Compilation: Databases are compiled from journal articles, books, periodicals, disser- tations, monographs, government reports, corporate reports, newspaper articles. Most references are updated monthly; newspaper files are updated daily. Access: Databases available online; accessible via modem from remote terminal through TELENET, TYMNET, OCLC GATEWAY, IN-WATS, direct dial. Outside U.S. and Canada, accessed through BRSNET. Online or offline document printing. Subscription required. Two basic subscription plans offered: ( 1 ) basic plan allows access to BRS on an as-needed basis; annual password fee ($751; connect cost ($25/hour plus database royalties), telecommunications, and document charges; (2) advance purchase plan provides volume discounts; a variety of subscription levels available. User manual ($45), database guides ($5 each), database summaries, and catalog available to subscrib- ers. Training seminars offered in BPS/SEARCH features and search procedures. 509

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Access: Annual subscription for printed versions is $2,525 from U.S. office; subscrip- tions elsewhere available from Head office. PHARMAPROJECTS ONLINE available in U.S. on Data-Star via modem from remote terminal through TELENET, TYM- NET, AS-NET; available on other networks in other countries. Online access cost approximately $-110/hour plus $0.55/record for printed version subscribers and $30/ record for nonsubscribers; discounts available. Call 800-221-7754 for further informa- tion about access and use of Data-Star. POPLINE (Population information Online) Source: MEDLARS Management Section, National Library of Medicine (NLM), Build- ing 38, Room 4N421, 8600 Rockville Pike, Bethesda, MD 20894, 800-638-8480, 301- 496-6193 in Maryland. Subject: Population issues and family planning. Content: Database includes bibliographic citations and abstracts to documents relevant to human fertility, contraceptive methods, community-based services, program evalua- tion, demography, censuses, vital statistics, and related health, law and policy issues. See MEDLINE description for listing of NLM MEDLARS databases. Compilation: Compiled from journal articles, monographs, technical reports, and unpublished works. Coverage 1970 to present; selected citations date back to 1886. Updated monthly with approximately 10,000 citations added annually. POPLINE produced in cooperation with the Johns Hopkins University Population Information Program, Columbia University Center for Population and Family Health, Princeton University Population Index Library/Information Program, and the University of North Carolina at Chapel Hill Carolina Population Center; supported by U.S. Agency for International Development and National Institute of Child Health and Human Development. Access: Available online at any time through NLM MEDLARS computer system to more than 6,000 online centers in hospitals, medical schools, universities, government agencies, commercial firms, and other organizations throughout U.S., as well as MED- LARS centers located in 13 other countries. Also accessible via modem from remote terminal through TELENET, TYMNET, direct dial. Connect cost averages $22/hour peak time, $15/hour off-peak. Product Development Directory, Product SOS Source: Medical Device Register, Inc., 655 Washington Boulevard, Stamford, CT 06901, 800-222-3045, 203-348-6319 in Connecticut Subject: Non-drug medical products and product safety problems. Content: Product Development Directory indexes 40,000 510(k) filings on medical prod- ucts approved by the FDA since 1976, organized by product category. Product approv- als arranged historically within product category by FDA approval date; manufacturer and name of product approved are listed. Product SOS (Situation Occurrence Service) presents information on medical product problem reports. 1986 edition includes more than 3,000 user reports from DEN (Device Experience Network of FDA) for 1985 and 544

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INFORMATION AND DATA RESOURCES 22,000 reports from MDR (Medical Device Reporting regulations of FDA) from begin- ning of MDR in December 1984 through first quarter of 1987. Included with 1986 edition are bimonthly alerts on new problems as they are reported. Compilation: information is gathered primarily from FDA sources, which delete certain confidential trade, commercial, financial, personnel, medical, and patient infor- mation. Product Development Directory was first issued in [anuary 1987. Product SOS updated regularly. Access: Product Development Directory price $87; Product SOS (1986 edition) price $360. Detailed documents, FDA 5 lO(k) filings on each product may be obtained from Medi- cal Device Register or FDA. Randomized Controlled Clinical Trials Report Collection Source: Thomas C. Chalmers, M.D., Harvard School of Public Health, 677 Hunting- ton Avenue, Kresge 4th Floor, Boston, MA 021 15, 617-732-1090 Subject: Randomized controlled clinical trials (RCTs) and meta-analyses of RCTs. Content: Database contains approximately 8,000 articles describing RCTs, quality assessments and meta-analyses in various fields, and methodological books and articles. Contents partially indexed. Compilation: Collection activities initiated in 1973. Information gathered through published and unpublished literature searches. Five to ten papers or abstracts based on the collection published yearly. Access: Collection partially supported by NLM. Database currently not machine- readable. Contact source for further information about access to collection. Report on Cost-Effective Products and Technologies Source: Friedman, Eisenstein, Raemer, and Schwartz (FER&S', Certified Public Ac- countants/Business and Personal Consultants, 401 North Michigan Avenue, Chicago, IL 6061 1, 312-644-6000 Subject: Cost-effectiveness of medical devices, pharmaceuticals, medical services, and other health care products. Designed for hospital administrators, medical directors, and other health care facility and industry managers. Content: Each report provides synopses of cost-effectiveness analyses of up to five medical products. Each synopsis describes the product, how it is used, and applicable diagnosis-related group (DRG) where appropriate. Study results and analysis are presented. Features of analysis discussed are product orientation (beneficiary of prod- uct's cost-effectiveness), study objectives, study methodology, production relationships (impact of product application on other labor, supply, equipment, and overhead resources), cost identification, differential benefit identification (product's cost-effec- tiveness versus alternative product-type or technique), and factors affecting study's scope and validity. Independent organization conducting or reviewing study and contact person at medical product company are identified. 545

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Compilation: Medical product and pharmaceutical companies submit cost-effective- ness analyses of their products to FERNS. Studies to be included in report are reviewed to determine whether they are methodologically valid, were conducted or reviewed by an independent third party, and involve an FDA-approved product. First report issued in October 1986; subsequent reports published quarterly. Access: Reports routinely distributed to selected hospital administrators nationwide. Copies of reports available upon request. S. crlp Source: U.S. Office: Scrip World Pharmaceutical News, 1775 Broadway, Suite 511, New York, NY, 10019, 212-262-8230. Head of rice: Scrip 18/20 Hill Rise, Richmond, Surrey, TWIG 6UA, United Kingdom, (44-1) 94-83-26-2 Subject: Pharmaceutical industry news, ~nc~uc~ng International industry, regulatory environment, development of new products, and company affairs. Content: 20-28 page newsletter on pharmaceutical products, finance, world news and markets, company news, advertising. Among other Scrip reports are Scrip Yearbook; Scrap's Pharmaceutical Company League Tables; New Product Reviews; monographs on such subjects as biotechnology companies, product liability, European drug registration, Japanese companies; and monographs on product types such as cardiovascular, che- motherapy, thrombolytics, and asthma. Scrip provides copies of selected FDA Summa- ry Bases of Approval reports, and recent FDA guidelines for new drug applications. The Scrip database PHIND (Pharmaceutical and Healthcare Industries News Data- base) is available online. It includes the text from Scrip and other publications in two files; PHID is updated daily, and PHIN contains Scrip archival material up to three weeks prior to the current date. Compilation: Scrip is published twice a week; 100 issues/year. PHIND is updated daily. Compiled from medical and scientific publications, brokers' reports, company annual reports, conference papers, and direct contacts with companies. Access: Annual Scrip subscription $523; $282 for additional copies sent in same envelope. PHIND is available in U.S. on Data-Star via modem from personal computer through TELENET, TYMNET, AS-NET; available on other networks in other coun- tries. PHIND online access costs approximately $ 110/hour, $ 1.55/current article, $0.35/ back article. Call 800-221-7754 for further information about access and use of Data- Star. SEER (SurveilIance, Epidemiology, and End Results Program) Source: Surveillance and Operations Research Branch, Blair Building, Room 532, National Cancer Institute (NCI), National Institutes of Health, Bethesda, MD 20892- 4200, 301-427-8829 Subject: Cancer surveillance and epidemiology. 546

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INFORMATION AND DATA RESOURCES Content: Database provides statistical data on cancer incidence, mortality, and survival in about 10 percent of the U.S. population; based on several defined geographic areas: Connecticut, Iowa, Detroit, Atlanta and four rural counties in Georgia, Utah, Hawaii, New Mexico and Arizona Native Americans, San Francisco, Seattle, New Jersey, and Puerto Rico. Serves as basis for cancer research, cancer prevention and control research program evaluation. Data include cancer site, year of diagnosis, diagnostic procedures, histology, staging, treatment regimen and date initiated, follow up, i.e., date and cause of death or vital status, patient demographics. SEER issues Annual Cancer Statistics Review and reprints of monographs and numerous journal articles that detail research findings and examine other relevant topics. Compilation: Program activities initiated in 1973; 1 million records are on file. Infor- mation gathered from hospital/medical records and pathology reports of cancer cases. Access: Published SEER reports are available from source upon request; some are also available from U.S. Government Printing Office 202-783-3238. Requests for public use data tapes and for special data runs must be justified in writing. Online access to database is available to NIH users only. SPRILINE Source: Library and Research Report Bank, Swedish Planning and Rationalization Institute for the Health Services (SARI), Box 27310, S- 102 54, Stockholm, Sweden, (46- 8) 63-05-60 Subject: Health services administration and planning, health economics, health per- sonnel, health statistics, hospital construction, hospital equipment, hospital supplies, medical ethics, medical technology, nursing, social services. Content: Interactive online bibliographic database and library system includes refer- ences to literature, reports, organizations, and individuals; Swedish health services data; information on surveys and pilot projects. SPRILINE database includes 13,000 records of books, journal articles, and unpublished research reports on Swedish health care from Research Report Bank. About 15 percent of the records are from English language sources. All records for journal articles and research reports contain an abstract; searches can be made using free-text technique or controlled terms from thesaurus, which covers 1,200 Swedish indexing terms. Author, title, abstract, keywords, corporative author, publication year, serial title, and language fields may be searched. Printed products include indexes of books and journals, unpublished re- search reports, annual catalog of research report bank holdings, bibliography of pri- mary care. Subject-coded references of recently acquired books and journal articles are mailed 10 times/year to public health agencies and medical libraries in Sweden and abroad, including the American Hospital Association and the National Library of Medicine. Information about new acquisitions is published in news bulletin Spry Infor merar. Compilation: More than 3,000 records are added each year, including 1,300 books, 1,000 journal articles, and 700 research reports. System is linked to other libraries in Sweden, and participates in the HECLINET (Health Care Literature Information Network) European documentation service. SPRILINE has been available for online searching since 1984. 547

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Access: User ID and password are available from source. SPRILINE is available online via modem from remote terminals all hours except 2am-4am Wednesdays and Fridays. Telephone inquiries accepted 9am-3pm weekdays. Document delivery service supplies copies of journal articles and lends books and reports; document requests can be made online via electronic mailbox, mail, and telephone. Except for a nominal fee for multiple photocopies, SPRILINE has no access charges. Technical Data Center Source: Occupational Safety and Health Administration (OSHA), U.S. Department of Labor, 200 Constitution Avenue, NW, Room N2439, Washington, DC 20210,202-523- 9700 Subject: Occupational safety and health, including biochemistry, analytical chemistry, biology, physiology, industrial toxicology, sampling and analysis, ergonomics, engi- neering, health physics, radiology, industrial medicine and health, environmental health, industrial hygiene, sanitation, and safety. Content: TDC collection contains books and monographs (approximately 5,000), ency- clopedias, subject and language dictionaries, various specialized guides, and approxi- mately 250 technical journals; complete list of journals and years covered is available. Available on microfiche: dissertations, abstracts, standards material, product catalogs, back issues of the Federal Register, technical papers, reports, publications, material safety data sheets, and numerous publications from government agencies, e.g., National Bureau of Standards, National Institute for Occupational Safety and Health. TDC docket office maintains collection of OSHA rulemaking files, as well as transcripts of advisory committee meetings and impact statements. In-house computerized database, Technical Information Retrieval System includes docket office files, TDC collection, and card catalog. TDC distributes monthly compendium of table of contents of recent journals and publishes quarterly TDC Information and Insight Bulletin. Subject bibliogra- phies prepared through manual and online searches available upon written request. Compilation: TDC established in 1972. Collection compiled of published and unpub- lished documents acquired from various federal agencies, private industry, research organizations, and private standards setting organizations. Technical Information Re- trieval System created in 1983; updated continuously. Subject bibliographies updated quarterly. Access: Information regarding the use of Technical Data Center (TDC) reference materials and services is available upon request. In-house database may be used free of charge. TDC resources committed primarily to meeting needs of OSHA program activities in national office and field offices; however, non-government personnel may use center during office hours for reference purposes. U.S. Industrial Outlook Source: Industry Publications Division, Office of Industrial Assessment, International Trade Administration, Trade Development, U.S. Department of Commerce, 14th Street and Constitution Avenue, NW, Washington, DC 20230, 202-377-4356 548

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INFORMATION AND DATA RESOURCES Subject: Economic data and analyses of specific U.S. industries, including drugs, medical and dental instruments and supplies, and health and medical services. Content: Each of nearly 70 chapters in this annual volume covers one or more Stan- dard Industrial Classifications (SICs) of industry types. Chapters generally address each SIC's current situation, outlook for that year, and long-term prospects. Historical trends are given for each industry and type of product, and for international trade. Chapters relevant to medical technology include drugs (covering SICs for biologicals, medicinals and botanicals, and pharmaceutical preparations), medical and dental in- struments and supplies (x-ray and electromedical equipment, surgical and medical instruments, surgical appliances and supplies, and dental equipment and supplies), and health and medical services. Chapters address such topics as industry production levels, domestic and foreign-based R&D expenditures, levels of innovation, international competition, areas of new product development, and impact of government regula- tions and policies. Compilation: Published annually. The edition for any given year is written during the third quarter of the previous year, based on data that are generally two years old. Data for the intervening years are estimated, and data for the current year are forecasts. Data are compiled from Bureau of the Census sources, as well as other government and private sector sources appropriate for each industry. Access: Can be purchased for $24 from U.S. Government Printing Office 202-783- 3238, (order 003-008-00200-51; U.S. Department of Commerce federal bookstore; or local Commerce district offices. Inquiries about the content of the volume may be directed to the industry specialist whose name and telephone number appears at the end of each chapter or section. WHO/:~INFO Database on Health Technology Assessment Source: joint effort of Department of Computer and Information Science and Center for Medical Technology Assessment, Linkoping University, S-581 83 Linkoping, Swe- den, (46-13) 28-19-69; and Regional Office for Europe, Hospital Programme, World Health Organization, 8 Scherf~gsvej, DK-2100 Copenhagen, Denmark, (45- 1) 29-06- 1-9 . Subject: Organizational based information about health technology assessment activi- ties and reports. Content: Information collected from more than 140 primarily European organiza- tions. Records for descriptions of each assessment program include program name, contact person, address, telephone number, electronic mail address, type of institution (university, research institute, professional association, etc.), staff size, how assessments are initiated, types of technologies assessed (e.g., drugs, devices, procedures, etc.), list of assessments carried out, means of report dissemination, other services, organizational databases and means of accessing them, and availability of annual report. First product of information base is WHOILINFO Directory, in which program descriptions are ar- ranged by country and by type of technology usually assessed. Assessment reports records to include author, title, keywords or other indexing terms, abstract, and other bibliographic information. 549

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Compilation: Database compiled by surveys of health related programs in Europe, Australia, Canada, and U.S. Planning and organizational based information collection initiated in late 1986; collection of bibliographic information for assessment reports initiated in 1987. Planning underway to initiate WHO/LINNET, a user network based on WHO/LINFO database. Access: WHO/LINFO directory available from Linkping sources. World Health Organization Publications Source: World Health Organization (WHO), 1211 Geneva 27, Switzerland, (41-21) 91- 21-1 1 Subject: Public health, including epidemiological data and statistical indicators. Content: Books, reports, monographs, periodicals covering such topics as biologicals, pharmaceuticals, radiation and health, laboratories, health systems development, hos- pitals and health care facilities, human rights and medical ethics, immunology and immunization, health economics and expenditures, health statistics, cancer, cardiovas- cular diseases, chronic diseases, environmental health, health of the elderly. Public Health Papers focuses on modern trends and changing concepts in public health, Technical Report Series covers consensus findings and recommendations on medical and public health issues, quarterly journal World Health Forum presents new concepts in public health and new approaches to health problems, bimonthly Bulletin of the World Health Organization reviews progress in medical and related scientific research, World Health Statistics Quarterly assesses health situation worldwide and projects future trends, Weekly Epidemiolog~cal Record contains notifications of diseases and epidemiological data on diseases of international importance. Others include numerous regional publica- tions, publications of the International Agency for Research on Cancer, and publica- tions of the Council for International Organizations of Medical Sciences. Catalog contains author and subject index. Compilation: WEIO activities initiated in 1948. Information gathered from WHO programs, activities, and consensus reports of international groups of experts. WHO reports published continuously; new books featured in catalog issued every six months. Access: Catalog of publications available upon request. 55O

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INFORMATION AND DATA RESOURCES SUBJECT INDEX TO INFORMATION AND DATA RESOURCES Academic health services Directory of Health Services Research Organi- zations Alcohol Alcohol, Drug Abuse, and Mental Health Ad- ministration Publications and Data Ambulatory medical care National Center for Health Statistics Publica- tions and Data Behavioral risk factors Center for Health Promotion and Education Biomedical engineering BMEDSS Market Research Reports Multi-Client Reports Bioethics BIOETHICSLINE SPRILINE Birth defects Birth Defects and Developmental Disabilities Reports Blood diseases NHLBI Publications Blood resources NHLBI Publications Cancer CANCERLIT CLINPROT Duke Comprehensive Cancer Center Database PDQ SEER Cardiovascular diseases NHLBI Publications Chronic diseases Environmental Health Laboratory Sciences Re- ports Cholesterol National Cholesterol Education Program/ NHLBI Smoking Education Program Infor- mation Center Clinical trials CLINPROT Oxford Database of Perinatal Trials PDQ Randomized Controlled Clinical Trials Report Collection Cost effectiveness Report on Cost-Effective Products and Tech- nologies CPT-4 codes AMA/NET Current awareness services AMA/NET BRS FDA Bulletin Board F-D-C Reports Futures Program Health Devices Alerts MEDLINE NEXIS Scrip 551

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Database utilities BRS COLLEAGUE DIALOG MEDLINK Developmental disabilities Birth Defects and Developmental Disabilities Reports Diagnosis INTERNIST 1/Quick Medical Reference Disasters Environmental Hazards and Health Effects Re ports DRGs Baseline Reports Drug abuse Alcohol, Drug Abuse, and Mental Health Ad ministration Publications and Data Drug utilization review SEE Pharmaceuticals Environmental health Environmental Hazards and Health Effects Re ports Health planning Environmental Health Laboratory Sciences Re- HEALTH ports Technical Data Center Evaluation studies Compendium of HHS Evaluations and Rele vant Other Studies Expert systems INTERNIST 1/Quick Medical Reference Family planning National Center for Health Statistics Publica tions and Data POPLINE Genetic diseases Birth Defects and Developmental Disabilities Report 552 Health administration HEALTH SPRILINE Health care delivery AMA/NET HEALTH National Reference File Health care data SEE ALSO Hospital data, Patient data Abstracts of Health Care Machine-Readable Data Files NAHDO Resource Manual National Reference File Health care economics Baseline Reports National Center for Health Statistics Publica- tions and Data Health care product manufacturers Health Devices Sourcebook Medical Device Register National Reference File Pharmaprojects Help U.S. Industrial Outlook Health policy BIOETHICSLINE Current Assessments, New Technology Ab- stracts Directory of University-Based Health Services and Policy Research Centers Health promotion Center for Health Promotion and Education HEALTH High Blood Pressure Information Center National Cholesterol Education Program/ NHLBI Smoking Education Program Information Center Health services research Current Assessments, New Technology Ab- stracts Directory of Health Services Research Organizations

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INFORMATION AND DATA RESOURCES Health statistics National Center for Health Statistics Publica- tions and Data World Health Organization Publications High blood pressure High Blood Pressure Information Center Hospital data SEE ALSO Health care data, Patient data Baseline Reports CHPA Files NAHDO Resource Manual National Center for Health Statistics Publica- tions and Data Hospital supplies IMS Audits SP1lILINE Hospitals HEALTH HECLINET National Center for Health Statistics Publica- tions and Data SPRILINE Internal medicine INTERNIST 1/Quick Medical Reference International health World Health Organization Publications Laboratory products BMEDSS Device Experience Network IMS Audits Market Research Reports Medical Device and Laboratory Product Prob- lem Reporting Program Medical Device Reporting Report on Cost-Effective Products and Tech- nologies Legal issues BIOETHICSLINE HEALTHLAWYER Market research Futures Program IMS Audits International Market Research Studies Market Research Reports Market/Technology Reports Multi-Client Reports fed - ~crlp U.S. Industrial Outlook Medical appropriateness HIAA Medical Appropriateness Compilation National Reference File Medical devices BMEDSS Device Experience Network FDA Bulletin Board Health Devices Alerts Health Devices Sourcebook Market Research Reports Medical Device and Laboratory Product Prob- lem Reporting Program Medical Device Register Product Development Directory/Product SOS Report on Cost-Effective Products and Tech- nologies Medical practice variations CCC Bibliography on Regional Variations in Health Care IMS Audits National Reference File Medical technology assessments Current Assessments, New Technolgy Abstracts WHO/LINFO Database on Health Technology Assessment Medicine (General) AMA/NET BRS COLLEAGUE DIALOG MEDIS MEDLINE Mental health Alcohol, Drug Abuse, and Mental Health Ad- ministration Publications and Data 553

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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY Nutrition Center for Health Promotion and Education National Center for Health Statistics Publica tions and Data Occupational safety and health Technical Data Center Organizational directories Directory of Health Services Research Organizations DIRLINE Health Devices Sourcebook Pulmonary diseases Health Information Resources in the Federal NHLBI Publications Government Patents CASSIS Patient data SEE ALSO Health care data, Hospital data Baseline Reports CPHA Files Patient discharge SEE Hospital data Perinatal medicine Oxford Database of Perinatal Trials Pharmaceuticals BMEDSS Boston Collaborative Drug Surveillance Pro gram COMPASS Drug Problem Reporting Program FDA Bulletin Board F-D-C Reports IMS Audits Market Research Reports Pharmaprojects Report on Cost-Effective Products and Tech nologies ~ . scalp Population POPLINE Postmarketing surveillance BMEDSS Boston Collaborative Drug Surveillance Pro gram 554 COMPASS Device Experience Network Drug Product Reporting Program Health Devices Alerts Medical Device and Laboratory Product Prob- lem Reporting Program Medical Device Reporting Product Development Directory/Product SOS Public health World Health Organization Publications Registries Birth Defects and Developmental Disabilities Reports Duke Comprehensive Cancer Center Database Reproductive health Center for Health Promotion and Education Research programs CRISP Current Assessments, New Technology Ab- stracts IMPAC National Technical Information Service Publi- cations and Data Smoking National Cholesterol Education Program/ NHLBI Smoking Education Program In- formation Center Toxic agents Environmental Hazards and Health Effects Re- ports Environmental Health Laboratory Sciences Re- ports Technical Data Center Vital statistics National Center for Health Statistics Publica- tions and Data