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OCR for page R1
MEDICAL
TECHNOLOGY ASSESSMENT
DIRECTORY
A Pilot Reference to Organizations,
Assessments, en c! Information Resources
Clifforct Goodman, Eclitor
COUNCIL ON HEALTH CARE TECHNOLOGY
INSTITUTE OF MEDICINE
NAnoNAL ACADEMY PRESS
Washington, D.C. ~ 98~3
OCR for page R2
NATIONAL ACADEMY PRESS 2101 Constitution Ave., NW Washington, DC 20418
NOTICE: This Directory, a project of the Council on Health Care Technology of the Institute of
Medicine, fulfills in part the provision in Section 309 of Public Law 98-551 that the council serve as a
clearinghouse for information on health care technologies and assessments.
Activities of the council are supported by private sector contributions and grants (see Appendix B
for a list of contributors) and federal matching grants provided by grant number HS 05526 from the
National Center for Health Services Research and Health Care Technology Assessment. Program
representatives who consider their program, or others, to be appropriate for future revisions of the
Directory should contact the Council on Health Care Technology, Institute of Medicine, 2101 Constitution
Ave., NW, Washington, DC 20418. Subscription to the council's quarterly newsletter, CHCTASSESSMENT,
may be obtained for $20 per year from the same address.
The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist
distinguished members of the appropriate professions in the examination of policy matters pertaining
to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional
charter responsibility to be an advisor to the federal government and its own initiative in identifying
issues of medical care, research, and education.
Library of Congress Cataloging-in-Publication Data
Medical technology assessment directory: a pilot reference to
organizations, assessments, and information resources / Clifford
Goodman, editor; Council on Health Care Technology, Institute of
Medicine.
p. cm.
Prepared by the Council on Health Care Technology's Information
Panel.
Includes bibliographies and indexes.
ISBN 0-309-03829-4
1. Medical technology-United States-Directories. 2. Medical
technology-Directories. I. Goodman, Clifford. II. Council on
Health Care Technology (Institute of Medicine). Information Panel.
[DNLM: 1. Technology Assessment, Biomedical-United States-
directories. W 22 AA1 M4916]
R855.3.M43 1988
610'.28~c19
DNLM/DLC
for Library of Congress
Copyright ~ 1988 by the National Academy of Sciences
88-5358
CIP
No part of this book may be reproduced by any mechanical, photographic, or electronic process or
in the form of a phonographic recording, nor may it be stored in a retrieval system, transmitted, or
otherwise copied for public or private use, without written permission from the publisher, except for
the purposes of official use by the United States Government.
Printed in the United States of America
OCR for page R3
INFORMATION PANEL OF THE
COUNCIL ON HEALTH CARE TECHNOLOGY
LAWRENCE C. MORRIS
Senior Vice President, Health Benefits
Management, Blue Cross and Blue Shield
Association, Chicago, Illinois (Chairman"
GAIL L. WARDEN
President and Chief Executive Officer, Group
Health Cooperative of Puget Sound, Seattle,
Washington (Co-Chairman)
MORRIS F. COLLEN
Consultant, Division of Research, Kaiser
Permanente Medical Care Program, Oakland,
California
RICHARD C. FARMER
Chairman, Division of Medicine, The Cleveland
Clinic Foundation, Cleveland, Ohio
MELVIN A. GLASSER
Director, Health Security Action Council,
Washington, D.C.
G. MAX K. HUGHES
Vice President, Systems and Communication,
Pfizer Pharmaceuticals, New York, New York
RICHARD J. JOHNS
Massey Professor and Director, Department of
Biomedical Engineering, Johns Hopkins
University and Hospital, Baltimore, Maryland
DONALD A.B. LINDBERG
Director, National Library of Medicine,
National Institutes of Health, Bethesda,
Maryland
WALTER B. MAHER
Director, Employee Benefits and Health
Services, Chrysler Corporation, Detroit,
Michigan
ROSIN H. MOXLEY, III
President, MetaMedical Inc., Beverly Hills,
California
C. THOMAS SMITH
President, Yale-New Haven Hospital, New
Haven, Connecticut
GEORGE E.T. STEBBING
Director, Professional Activities, Office of the
Secretary of Defense, Health Affairs,
Washington, D.C.
Project Staff
CLIFFORD S. GOODMAN, Staff Officer
LESLIE M. HARDY, Research Associate
PAMELA J. SIMERLY, Research Associate
·.-
111
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COUNCIL ON HEALTH CARE TECHNOLOGY
WILLIAM N. HUBBARD, JR.
former President, The Upjohn Company,
Hickory Corners, Michigan (Chairman)
JEREMIAH A. BARONDESS
.
Irene F. and I. Roy Psaty Distinguished
Professor of Clinical Medicine, Cornell
University Medical College, New York,
New York (Co-Chairman)
HERBERT L. ABRAMS
Professor of Radiology, Stanford University
School of Medicine, Stanford, California
RICHARD E. BEHRMAN
Dean, School of Medicine, Case Western
Reserve University, Cleveland, Ohio
PAUL A. EBERT
Director, American College of Surgeons,
Chicago, Illinois
PAUL S. ENTMACHER
Senior Vice President and Chief Medical
Director, Metropolitan Life Insurance
Company, New York, New York
MELVIN A. GLASSER
Director, Health Security Action Council,
Washington, D.C.
GERALD D. LAUBACH
President, Pfizer Inc., New York, New York
WALTER B. MAHER
Director, Employee Benefits and Health
Services, Chrysler Corporation, Detroit,
Michigan
ROBERT FI. McCAFFREY
Chairman and Chief Executive Officer, C.R.
Bard Inc., Murray Hill, New Jersey
iv
LAWRENCE C. MORRIS
Senior Vice President, Health Benefits
Management, Blue Cross and Blue Shield
Association, Chicago, Illinois
FREDERICK MOSTELLER
Roger I. Lee Professor, Harvard School of
Public Health, Boston, Massachusetts
MARY O. MUNDINGER
Dean, School of Nursing, Columbia University,
New York, New York
ANNE A. SCITOVSKY
Chief, Health Economics Department, Palo
Alto Medical Foundation, Palo Alto, California
C. THOMAS SMITH
President, Yale-New Haven Hospital, New
Haven, Connecticut
GAIL L. WARDEN
President and Chief Executive Officer, Group
Health Cooperative of Puget Sound, Seattle,
Washington
Stay
ENRIQUETA C. BOND, Director, Division of
Health Promotion and Disease Prevention
RICHARD A. RETTIG, Director
KATHLEEN N. LOHR, Senior Staff Officer
ROBIN WEISS, Senior Staff Officer
CLIFFORD S. GOODMAN, Staff Officer
LESLIE M. HARDY, Research Associate
PAMELA I. SIMERLY, Research Associate
BOBBIE I. ALEXANDER, Assistant to the
Director
ANNETINE C. GELIJNS, International Fellow
CHARLENE E. GREENE, Senior Secretary
PATRICIA M. O'NEAL, Senior Secretary
BRENDA E. PATTERSON, Senior Secretary
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ACKNOWLEDGMENTS
A novel effort to assemble information from diverse sources, this Directory called for a
blend of experience, original thinking, and resolve. We wish to acknowledge those who
contributed these qualities to the project.
O
We are grateful to the members of the Information Panel for lending their experience
in health plan and facility management, medicine, bioengineering, health care product
development, third party payment, medical informatics, and national health policy to
building a technology assessment information capacity. Of import to meeting this, the
first charge of the congressional mandate for the council, is the members' ability to
coalesce their sectorial interests into a group effort of needs assessment, systems design,
product development, strategic planning, and marketing.
Pamela Simerly deserves special recognition for her skill and perseverance in helping to
plan the project, and in assembling, reviewing, and processing information used for the
assessment program profiles. Leslie Hardy collected and organized descriptive infor-
mation for many of the entries in the information and data reso',rrec nary of the
~ . ~ . . ~
~rectory. Wallace Watertall and James Gormley provided advice on editorial matters
and layout.
Peter Goldschmidt's knowledge of information systems, medicine, and management
made him a worthy consultant to the project. He brought systematic thinking and
thoroughness to matters ranging from reviewing for relevance thousands of assess-
ment report citations to setting the project within a long range plan. Grace McCarn
provided insightful consultation regarding the needs and capabilities of the medical
information community relevant to this project, including technical aspects of such
matters as indexing, production, and market placement.
Since the early stages of the project, we have sought counsel from leading institutions in
management of health care information systems. The staff of the National Library of
Medicine has been consistently forthcoming with constructive advice. NLM's Betsy
Humphreys coordinated planning sessions with key library staff to share technological
expertise and to formulate strategies for development of a broadly integrated technol-
ogy assessment information base. The review undertaken by NLM staff of the Directory
provides encouraging evidence of the utility of this body of information. Guidance
concerning the design and implementation of information bases for the health commu-
nity was provided by Eloise Foster and staff of the American Ho.snit~1 A.csori~tion
Resource Center and by LeRoy Walters and stati of the K,~nneriv Inctir,,r`~ of Fthirc
Georgetown University.
HATE 1 __ 1 ·.1 .1 . ~ . ~ ~
~CAM ~ ·~V<~- · HAVE AA
~BAND ^~_~] ISAAC._ ~F1 ~1~111~
YY ~ "l C V~1 y I Witi} til~ work or Ine 1 K1 1 ~1N corporation, which was responsible
for assembling the information base of assessment program profiles and report cita-
tions, indexing of citation records, and preparing camera-ready copy of the Directory.
Meriting special recognition are Patricia President, who coordinated all aspects of the
contractor's effort, and Linda Malcom, who had a key role in indexing a disparate and
technical body of literature. This resourceful and adaptive group also included Patricia
Chang and Karen Inscoe, who were resnon.sible for nrn~r~mmin~ car] Bits ~~7
corporate officer Edsel Billingy.
--Rae rA~-~- ~
Finally, we thank the people associated with the organizations described in the Directory
who completed surveys and forwarded other material incorporated here. Many of
these individuals are shown as contact persons for the profiled assessment programs
and the resource organizations in the Directory.
Lawrence C. Morris, Chairman, Information Panel
Clifford S. Goodman, Staff Officer
v
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FOREWORD
The Medical Technology Assessment Directory is the first major published work of the
Council on Health Care Technology. The Directory is an introductory vehicle that
organizes recent and current assessment information from a broad though not com-
prehensive selection of assessment programs and related activities. With this edition,
the council makes an overture to those with interests in medical technology assessment
to become partners in building a wider and more integrated information network.
How users respond to the Directory will help to determine which among a variety of ways
this information capacity will evolve.
The council was mandated by the U.S. Congress in the Health Promotion and Disease
Prevention Amendments of 1984 (P.L. 98-551) and by technical amendments made in
1985 (P.L. 99-117~. The purpose of the council is to promote the development and
application of technology assessment in health care and to review health care technol-
ogies for their appropriate use.
Provision for the council in P.L. 98-551 was the culmination of two streams of activity
conducted under the auspices of the Institute of Medicine, National Academy of
Sciences. The first was the initiative to create an entity, supported jointly by the private
and public sectors, to enhance the assessment of medical technology. The second was a
comprehensive study of the state of medical technology assessment.
In December 1982, the Institute of Medicine established the Committee to Plan a
Private/Public Sector Entity to Assess Technology in Medical Care under the chairman-
ship of Jeremiah Barondess. The committee was charged with developing a plan for a
technology assessment organization that would be based in the private sector but
supported by both government and non-governmental parties~. This initiative grew
out of an exploratory meeting convened by the Institute on June 16, 1982, in response
to growing concerns in both the public and private sectors about the proliferation of
technologies in medical care. These concerns were characterized by pressures to elimi-
nate technologies that may be obsolete, harmful, or ineffective; desires to affirm the
benefits of other technologies; and stringencies of the need to slow the growth of costs
while maintaining and improving the quality of American medical care.
The committee completed its work on June 30, 1983. The final report, published in
November 1983, recommended the creation of a medical technology assessment con-
sortium within the Institute of Medicine. The consortium was conceived of as seeking
support divided approximately evenly between governmental and non-governmental
resources. It was not intended as a competitor or as a replacement for any existing
entity involved in assessing medical technologies. Rather, it was to be complementary
and facilitative of the efforts of others involved in responsible assessments. As a first
step, the consortium was to establish and maintain an information clearinghouse for
medical technology assessment. This clearinghouse function would help to build a
communication network among the principal parties to technology assessment, includ-
ing other technology assessment entities, third party payers, major health care provid-
ers, and others; serve to reduce unneeded or unrecognized redundancies in evalua-
tion; establish a source of information on completed and ongoing assessments; provide
a forum for all the parties at interest in the development and validation of technologies;
and facilitate the dissemination of information on medical technology assessments.
Subsequent to legislation enacting the ideas in the committee's report, the Council on
Health Care Technology was formed in March 1986. At its first meeting in April 1986,
the council created the Information Panel to plan and establish the clearinghouse. This
Directory is the Information Panel's first substantive product.
·.
V11
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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
Another Institute committee, the Committee for Evaluating Medical Technologies in
Clinical Use, under the chairmanship of Frederick Mosteller, was charged with examin-
ing the state of medical technology assessment. This study was begun following a 1980
Institute conference on linking the clinical use of biomedical technologies and the
collection of evaluative data. Major areas addressed in the committee's 1985 study
report, Assessing Medical Technologies2, included the scope of medical technology assess-
ment in the U.S., methods of assessment, effects of clinical evaluation on the diffusion
of medical technology, the relationship of assessment and reimbursement policy, as
sessment activities In other countries, and papers on such topics as clinical trials,
cost-effectiveness, and values and preferences in health care delivery. Also included
were detailed profiles of 20 technology assessment programs in the U.S. and topics of
their respective assessment reports. The work on the scope of medical technology
assessment and the program profiles constituted important groundwork for this Direc-
tory, just as the entire study report has been a touchstone for the deliberations of our
council.
On behalf of the Council on Health Care Technology, I trust you will find the Directory a
useful working document. The council plans to expand and update the Directory
periodically, and intends to make its information base available in a machine readable
format. If you think that your organization, or another organization, has an assessment
program that ought to be incorporated in an updated Directory, please let us know. We
welcome your comments.
William N. Hubbard, Jr., Chairman
References
1. Institute of Medicine Committee to Plan a Private/Public Sector Entity to Assess
Technology in Medical Care. Planning study report: a consortium for assessing medical
technology. Washington, D.C.: National Academy Press, 1983.
2. Institute of Medicine Committee for Evaluating Medical Technologies in Clinical
Use. Assessing medical technologies. Washington, D.C.: National Academy Press, 1985.
· ~ ~
vail
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PREFACE
During the last decade, various sectors of the health care enterprise have taken a con-
verging interest in determining the safety, effectiveness, cost-effectiveness, and social,
ethical, and legal impacts of health care technologies. Each of these sectors physicians
and other health professionals, patients and other consumers, biomedical researchers,
health product makers, third party payers, health plan managers, institutional adminis-
trators, academicians, public policy makers, and others tends to rely on some famil-
iar, though different. set of literature and information sources in an attempt to meet
assessment needs.
Although more of the health care community has taken explicit interest in medical
technology assessment, there remain inadequacies in the supply of good assessment
information and the manner in which existing information is organized and made
available to those who need it. I have learned as a committee member for the Institute
of Medicine study Assessing Medical Technologies and from the perspective of a health
care payer that the demand for assessment information is outstripping the aggregation
of well conducted clinical trials, authoritative group judgments, surveillance studies,
and other inquiries concerning medical technologies. Therefore, as we encourage an
increase in competent assessment activity, we seek to assemble what good assessment
findings there are, both from our traditional sources and from sources that are new to
us. As the emerging field of medical technology assessment becomes the shared prov-
ince of multiple health industry sectors, each one stands to benefit by gaining familiar-
ity with and access to new information resources. Further, we seek to identify a coher-
ent body of assessment literature from which all of us may benefit.
In authorizing the Council on Health Care Technology, Congress specified establish-
ment of a clearinghouse on medical technology assessment information. The Medical
Technology Assessment Directory is the first major step toward fulfilling this purpose. It
encompasses programs that produce medical technology assessments, information and
data resources, and other organizations to which inquiries about medical technology
can be directed. An important contribution of the Directory is to make a first attempt at
organizing certain valuable "gray" or "fugitive" literature, i.e. technology assessments
not published in widely circulated peer reviewed medicaljournals or accessible through
the better known citation bases such as the National Library of Medicine's (NLM) MED-
LARS (Medical Literature Analysis and Retrieval System). Thus, this Directory describes
relevant mainstream information sources, and complements them with its collection of
. .
pertinent gray literature.
Assessments cited in this first edition of the Directory are limited to those produced by
organizations with an ongoing medical technology assessment program. Future ver-
sions, whether in hard-copy or machine readable format, will expand coverage to in-
clude more and different sources of literature. For purposes of indexing the assess-
ment report citations, we have used NLM's MeSH (Medical Subject Headings) terms
wherever possible. In the technology thesaurus particularly, we have begun to craft a
controlled vocabulary that builds upon MeSH terms to make the indexing as relevant as
practical to the technology assessment community.
The Directory is intended to be a resource to the wider technology assessment communi-
ty. We hope that this edition, with alphabetical listings of organizations, contact infor-
mation, descriptions of activities, list of defined acronyms, indexes, and a thesaurus of
technology terms designed to lead different types of users to assessments of interest,
will be a worthy guide to this multidisciplinary field. Because it assembles and organizes
.
OCR for page R10
MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
a strong sample of assessment activity rather than being an exhaustive compendium,
we view it as a prototype for a more comprehensive, adaptive information base for
medical technology assessment.
The Directory is the first substantive product of the council's Information Panel. In
future months and years, the Information Panel plans to work with the NLM to aug-
ment the Library's MeSH vocabulary and certain files of organizational based informa-
tion, produce access guides to standard literature sources, enhance and update the
Directory, institute clearinghouse services, and establish online access to the Directory
information base. We hope that the Directory will enhance communication in the assess-
ment community, and will prompt greater participation in development of our clear
. . . .
ng. souse activities.
Lawrence C. Morris, Chairman, Information Panel
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CONTENTS
Introduction
Guide to the Directory's Contents xxix
Ways to Use the Directory
Glossary of Acronyms . . .
. .
... XV11
.............. xxxvii
Part 1: Assessment Program Profiles and Report Citations
American Academy of Neurology, Practice Committee 3
American Academy of Ophthalmology, Ophthalmic Procedures Assessment
Program
American Academy of Pediatrics
American College of Cardiology/American Heart Association, Task Force on
Assessment of Cardiovascular Procedures
American College of Obstetricians and Gynecologists, Committee Opinions
American College of Obstetricians and Gynecologists, Committee on
Technical Bulletins
American College of Physicians, Clinical Efficacy Assessment Project
American College of Radiology, Task Force on Breast Cancer
American Dental Association, Council on Dental Materials, Instruments, and
Equipment
American Dental Association, Council on Dental Therapeutics
American Diabetes Association
American Gastroenterological Association, Patient Care Committee
American Hospital Association, Hospital Technology Series Program
American Medical Association, Council on Scientific Affairs
American Medical Association, Diagnostic and Therapeutic Technology
Assessment Program
American Medical Association, Drug Evaluations
American Society for Gastrointestinal Endoscopy, Committee on
Technology Assessment ...............
Battelle Memorial Institute
Blue Cross and Blue Shield Association, Medical Necessity Program
Blue Cross and Blue Shield Association, Technology Evaluation and
Coverage Program
Brandeis University Health Policy Center, Organ Procurement Project
California Medical Association, Medical Practice Opinion Program
CBO National Organization for Quality Assurance in Hospitals, Consensus
Development Program (Netherlands)
College of American Pathologists, Surveys Program
Congress of the United States, Office of Technology Assessment Health
Program
Duke University, Center for Health Policy Research and Education
ECRI Health Devices Program
ECRI Technology Assessment Program
Food and Drug Administration (Overview) 93
Food and Drug Adminstration, Center for Devices and Radiological Health 94
Food and Drug Administration, Center for Drugs and Biologics 108
6
9
14
16
18
22
27
31
34
44
47
51
52
56
58
61
63
65
70
72
75
81
84
88
X1
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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
An information or data resource may be characterized by more than one descriptor for
each of the three main types. For instance, a resource may have bibliographic as well as
full text files, may appear in hard copy as well as online format, or may have both public
and limited access files.
The descriptions of each of the 73 information and data resources are arranged
alphabetically by name of resource. Each is described according to the following
common format.
Name of information or data resource.
Source gives the name, address, and telephone number of the organization that
produces or makes available the information or data.
Subject indicates the general subject matter covered by the information or data
resource.
Content describes the information or data contained in the resource, such as
scope of coverage, file format, and descriptions of subfiles.
Compilation describes how the information or data resource is assembled, such as
primary sources, when compilation began, and how often the resource is updat-
ed.
Access describes how to acquire the information or data, including subscription
and use charges, limitations to public access, need for computer hook-up, etc.
At the end of Part 3 is a subject index for identifying information and data resources
relevant to particular topics, e.g., market research.
PART 4: ORGANIZATIONAL RESOURCES
This part provides brief descriptions and contact information for 72 organizations that
are active in affairs related to medical technology and are stakeholders in medical
technology assessment. Although most of these organizations do not generate technol-
ogy assessment reports on a regular basis, they have memberships concerned with
medical technologies, conduct relevant meetings and symposiums, publish conference
proceedings and other documents of note, establish standards for technologies, or are
active in government, regulatory, or other policy affairs relevant to the field.
The organizational descriptions are arranged alphabetically by organization name.
Each includes name, address, and telephone number of the organization; contact
personas), and a narrative description of the organization in 300 words or less, includ-
ing discussion of medical technology related activities. At the end of Part 4 is a subject
index for identifying organizations involved in particular areas, e.g., biomedical engi-
neering.
PART 5: INDEX TO ORGANIZATIONS
This part includes an alphabetical listing with addresses and telephone numbers for all
organizations described in the Directory, as well as a page index to the organizations.
XXXV1
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WAYS TO USE THE DIRECTORY
DO YOU WANT TO SEE IF AN ORGANIZATION IS LISTED, OR WHAT IT
DOES?
Check the index to organizations in Part 5 to find the Dames on which or~ani7.~tion.c Are
described in the Directory.
r ; ~A ~ A _ ~ ~ ~ t~ ~ A ~ ~- ~ ~ ~4 Hi_ ~ ~ ~ ~ At_
DO YOU WANT TO FIND ASSESSMENT REPORTS ON A SPECIFIC
TECHNOLOGY?
Check the technology thesaurus at the beginning of Part 2 on page 313. The thesaurus
will inform you whether reports are listed under the technology term that you have in
mind, or under a synonym or related term. Once you have located the appropriate
term, you can find the pertinent report citations under that heading in Part 2.
YOU MAY BE INTERESTED IN REPORTS THAT HAVE TITLES REFERRING
TO TECHNOLOGY TERMS THAT ARE BROADER OR NARROWER THAN
THE ONE YOU HAVE IN MIND.
For example, if you are interested in reports about beta-blockers, you will find reports
under the heading Beta-blockers. But, as the thesaurus indicates, additional reports are
to be found under more specific names for beta-blockers, such as Propranolol. Except
for cases in which more than one technology is shown in the title of a report citation, a
citation is listed only once in Part 2, i.e. under the most specific technology heading. So,
it is important to refer to the thesaurus first to get the most out of the listing of
assessment report citations by technology in Part 2.
DO YOU WANT TO FIND REPORTS INDEXED BY NON-TECHNOLOGY
TERMS SUCH AS COST BENEFIT ANALYSIS, PARTICULAR DISEASES, OR
OTHER SUBJECTS?
Check under the desired term in the index to report citations at the end of Part 1, and
use the report codes found there to look up the assessments in the indicated program
profiles. Each code under that term has a two letter prefix indicating the assessment
program in Part 1, and a number indicating the report's placement in the program's list
of citations. A list of prefixes and their respective programs is shown immediately
preceding this subject index.
Under Cost benefit analysis, you would find the reference numbers BA2, CP3, CU62,
etc., which correspond to the numbered assessment report citations following the
profiles on Battelle Memorial Institute, College of American Pathologists, Congress of
the United States Office of Technology Assessment, etc. Similarly, under Asthma, you
would find AC110, MG14, and ND86; under Breast neoplasms are AE15, AH4, AH6,
etc.; under Hypertension are AGO, BAT, HN28, etc., and under Postmarketing surveil-
lance are CU56, HN79, MG9, and MG10.
Because each assessment report citation is indexed with from one to five terms, a
particular report citation may be shown under more than one term in the index to
report citations at the end of Part 1. For instance, the 1987 report by the Medical
Technology and Practice Patterns Institute, "Dialysis treatment for end stage renal
disease (outpatient)," is indexed under the terms Dialysis; Kidney failure, Chronic; and
· -
XXXV11
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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
Outpatients. This means that the code for that report, MT6, is shown under each of
these three terms.
For non-technology terms such as asthma, cost benefit analysis, or hypertension, the
subject index to report citations relies primarily upon MeSFI terminology. The actual
titles of the the aforementioned three reports indexed under Cost benefit analyses, i.e.
BA2, CP3, and CU62, include the phrases "cost-effectiveness analysis, "cost-effective,"
and "Allocating costs and benefits," respectively. Cost benefit analysis is the MeSH index-
ing term assigned for these. For technologies such as beta-blockers, coronary artery
bypass grafting, or chorionic villi sampling, this index relies primarily upon the terms
developed for the technology thesaurus in Part 2, which includes some MeSt[ terms.
Searching for reports by technologies is best done using the technology thesaurus at the
beginning of Part 2 because it shows cross-references, synonyms, and related terms.
DO YOU WANT TO FIND REPORTS THAT ADDRESS MORE THAN ONE
SUBJECT?
This involves locating the set of reports common to the multiple subjects of interest. For
instance, to find reports that address both cost benefit analysis and cervical cancer
screening, note the reports listed under Cost benefit analysts in the subject index at the
end of Part 1. Next, determine if any of these reports is also listed under Cancer
screening Cervical in the index at the end of Part 1 or the listing of assessment report
citations by technology in Part 2. Remember that the thesaurus at the beginning of Part
2 is the best guide in the Directory for locating reports by their technology subjects.
Among the reports found under both Cost benefit analyses and Cancer screening Cervical
is a report from the Congress of the U.S. Office of Technology Assessment, "Allocating
costs and benefits in disease prevention: an application to cervical cancer screening."
This manual approach of looking under two or more subject headings is necessary
given that the Directory information base is available only in hard-copy format at the
time of printing this first edition. In a computer format, the "and/or" operations of
Boolean algebra could be used more readily for searching reports involving such
constraints as multiple subjects.
DO YOU WANT TO OBTAIN A TECHNOLOGY ASSESSMENT REPORT?
Check the subject index to assessment report citations at the end of Part 1 or the listing
of assessment report citations by technology in Part 2 to find out which assessment
program produced it. Find the program's profile in the alphabetical listing of assess-
ment programs in Part 1, and see the section on Dissemination for ordering information.
The program's address, telephone number, and other contact information are shown
at the beginning of the profile.
DO YOU WANT TO GET IN TOUCH WITH AN ORGANIZATION THAT
DEALS WITH A CERTAIN TOPIC?
Use the subject indexes to the different parts of the Directory to identify organizations
active in certain areas. The index to report citations at the end in Part 1 and the listing
of assessment report citations by technology in Part 2 may be used to identify profiled
assessment programs, arranged alphabetically in Part 1, by the topics of their assess-
ment reports. The information and data resources in Part 3 and the organizational
resources in Part 4 are indexed by subject at the ends of those parts. For instance, under
· - -
XXXV111
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WAYS TO USE THE DIRECTORY
the heading Market research in the index to information and data resources in Part 3 are
listed IMS Audits, Scrip, Market/Technology Reports (Biomedical Business Interna-
tional), and other resources. Under the heading Biomedical engineering in the index to
organizational resources in Part 4 are listed the Alliance for Engineering in Medicine
and Biology, American Society of Mechanical Engineers, RESNA-Association for the
Advancement of Rehabilitation Technology, Institute of Electrical and Electronics
Engineers, and the International Federation for Medical and Biological Engineering.
Contact information and descriptions of these are arranged alphabetically.
xxx~x
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GLOSSARY OF ACRONYMS
AABB
AAD
AAFP
AAN
AAO
AATB
ACC
ACEP
ACG
ACNP
ACOG
ACP
ACPM
ACR
ACS
American Association of Blood ACT
Banks
American Academy of Derm- ADA
atology
American Academy of Family
Physicians
AAMC Association of American Medical
Colleges
AAMI Association for the Advancement of
Medical Instrumentation
AAMSI American Association for Medical
Systems and Informatics
American Academy of Neurology
American Academy of Ophthal
mology
AAOHNS American Academy of Otolaryn
gology-Head and Neck Surgery
AAOS American Academy of Orthopaedic
Surgeons
AAP American Academy of Pediatrics
AAPMR American Academy of Physical
Medicine and Rehabilitation
American Association of Tissue
Banks
American College of Cardiology
American College of Emergency
Physicians
American College of Gastro
enterology
American College of Nuclear
Physicians
American College of Obstetricians
and Gynecologists
American College of Physicians
American College of Preventive
Medicine
American College of Radiology
American Cancer Society or
American College of Surgeons
American Council on Transplan-
tation
American Dental Association or
American Diabetes Association
ADAMHA Alcohol, Drug Abuse, and Mental
Health Administration
ADM
AEMB
AGS
AHA
AHCI
AHSR
AIUM
alcohol, drug abuse, and mental
health
Alliance for Engineering in
Medicine and Biology
American Geriatrics Society
American Hospital Association or
American Heart Association
American Health Care Institute
Association for Health Services
Research
American Institute of Ultrasound
in Medicine
AMA American Medical Association
AMCRA American Medical Care and Review
Association
AMPRA American Medical Peer Review
Association
AAMRC American Medical Review Research
Center
American National Standards
Institute
Associated Press
American Psychiatric Association
American Public Health Association
American Rheumatism Association
American Society of Anesthe
SiOlO~StS
ASCP American Society of Clinical
Pathologists
ASCPT American Society for Clinical
Pharmacology and Therapeutics
ANSI
AP
APA
APHA
ARA
ASA
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ASGE
ASIM
ASTM
ASTP
ASTS
AUA
AZT
BCBS
BCDSP
BDDD
1BERC
American Society for
Gastrointestinal Endoscopy
American Society of Internal
Medicine
ASPEN American Society of Parenteral
and Enteral Nutrition
American Society of Testing and
Materials
American Society of Transplant
Physicians
American Society of Transplant
Surgeons
American Urological Association
azidothymidine
Blue Cross and Blue Shield
Boston Collaborative Drug
Surveillance Program
Division of Birth Defects and
Developmental Disabilities (CDC)
Bureau Eligibility, Reimbursement
and Coverage (HCFA)
BMEDSS Biomedical Engineering Decision
Support Services
BRS Bibliographic Retrieval Service
CABG coronary artery bypass grafting
CAMMD Canadian Association of Manu
facturers of Medical Devices
CAP College of American Pathologists
CASSIS Classification and Search Support
Information System (Patent and
Trademark Office)
CAT
CBO
CCC
CDB
CDC
,
X111
CPHA
CPT-4
computerized axial tomography
Centraal Begeleidingsorgaan voor
de Intercollegiate Toetsing
(The Netherlands)
Copenhagen Collaborating Center
(WHO)
Center for Drugs and Biologics
(FDA)
Centers for Disease Control
CRISP
CSDD
CSS
CT
CVS
MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
CDRH Center for Devices and Radiological
Health (FDA)
CEAP Clinical Efficacy Assessment Project
(ACP)
CFSAN Center for Food Safety and Applied
Nutrition (FDA)
CHA Center for Health Affairs (Project
HOPE)
CHAMPUS Civilian Health and Medical
Program of the Uniformed
Services
CHID Combined Health Information
Database
CHPE Center for Health Promotion and
Education (CDC)
CHPRE Center for Health Policy Research
and Education (Duke University)
CMA California Medical Association
CMSS Council of Medical Specialty
Societies
CMT Center for Medical Technology
Assessment (Linkoping
University)
COMPASS Computerized On-Line Medicaid
Pharmaceutical Analysis and
Surveillance System (Health
Information Designs, Inc.)
Commission on Professional-and
Hospital Activities
Current Procedural Terminology,
4th Edition
Computer Retrieval of Information
on Scientific Projects (NIH)
Center for the Study of Drug
Development (Tufts University)
Council of Subspecialty Societies
computed tomography
chorionic villi sampling
DATTA Diagnostic and Therapeutic
Technology Assessment Program
(AMA)
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DCCC Duke Comprehensive Cancer GFIC
Center Database
DEN Device Experience Network (FDA) GPIA
DHHS U.S. Department of Health and
Human Services
GPO
Department of Health and Social GWUMC
Security (United Kingdom)
DIMDI Deutsches Institut fur Medizinische HANES
Dokumentation und Information
(Germany) HBP
DIRLINE Directory of Information Resources HCFA
U.S. Department of Defense
Drug Product Problem Reporting
System (FDA, USP) HHS
diagnosis-related group or Division
of Research Grants (NIH)
DURbase Drug Utilization Review base
(Health Information Designs, HIMA
Inc.)
Employee Benefit Research
Institute
formerly Emergency Care Research
Institute
ECRI/HDP ECRI Health Devices Program HSR&D
ECRI/TAP ECRI Technology Assessment IAF
Program
Division of Environmental Health
Laboratory Sciences (CDC)
EMBASE Excerpta Medica Database
(Elsevier)
EPA Environmental Protection Agency IEEE
ERIC Educational Resources Information
Center
DHSS
DOD
DPPR
DRG
EBRI
ECRI
EHLS
Group Health Cooperative of Puget
Sound
Generic Pharmaceutical Industry
Association
U.S. Government Printing Off~ce
George Washington University
Medical Center
National Health and Nutrition
Examination Survey (NCHS)
high blood pressure
Health Care Financing
Administration (DHHS)
HECLINET Health Care Literature Infor
mation Network (DIMDI)
U.S. Department of Health and
Human Services
HIAA
HMO
HRSA
ESRD end stage renal disease
FAHS Federation of American Health
Systems
FDA Food and Drug Administration IFVHSF
GHAA Group Health Association of
America
Health Insurance Association of
America
Health Industry Manufacturers
Association
health maintenance organization
Health Resources and Services
Administration
Health Services Research and
Development Service (VA)
Institute for Alternative Futures
ICD-9-CM International Classification of
Diseases, 9th Revision, Clinical
Modification
IDE investigational device exemption
(FDA)
Institute of Electrical and
Electronics Engineers
IFMBE International Federation for
Medical and Biological
Engineering
Institute for the Future
IFTF
International Federation of
Voluntary Health Service Funds
,
x'~
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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
IHPS
IND
IOM
IRCS
MDR
NAM
Institute for Health Policy Studies
(UCSF)
IMPAC Information for Management
Planning Analysis and
Coordination (NIH)
investigational new drug (FDA)
Institute of Medicine (NAS)
International Research
Communications System
(Elsevier)
ISTAHC International Society of
Technology Assessment in
Health Care
Medical Device Reporting
regulation (FDA)
MEDITEC Medizinische Technik
MEDLARS Medical Literature Analysis and
Retrieval System (NLM)
MEDLINE MEDLARS online (NLM)
MeSH Medical Subject Headings (NLM)
MHA Maryland Hospital Association
MHRST Medical and Health Related
Sciences Thesaurus (NIH)
MRC Medical Research Council (Canada)
MTPPI Medical Technology and Practice
Patterns Institute
NAHDO National Association of Health Data
Organizations
National Association of Manu
facturers
NAS National Academy of Sciences
NASA National Aeronautics and Space
Administration
NCEP National Cholesterol Education
Program
NCHS National Center for Health
Statistics
NCHSR/ National Center for Health
HCTA Services Research and Health Care
Technology Assessment
xliv
NCI National Cancer Institute
NCQHC National Committee for Quality
Health Care
NDA new drug application (FDA)
Nd:YAG Neodymium:yttrium aluminum
garnet
NEMA
National Electrical Manufacturers
Association
NEMT Nordic Evaluation of Medical
Technology
NHC National Heart Council
NHLBI National Heart, Lung, and Blood
Institute
NHRDP National Health Research and
Development Program (Canada)
NHS National Health Service (United
Kingdom)
NHSPPS National Health Services and
Practice Patterns Survey
NIA National Institute on Aging
NIAAA National Institute on Alcohol Abuse
and Alcoholism
NICHD National Institute of Child Health
and Human Development
NIDA National Institute on Drug Abuse
NIH National Institutes of Health
(PHS, DHHS)
NIMH National Institute of Mental Health
NINCDS National Institute of Neurological
and Communicative Disorders
and Stroke
NIOSH National Institute for Occupational
Safety and Health
NLM
NMR
NSEP
National Library of Medicine
nuclear magnetic resonance
NHLBI Smoking and Education
Program
NTIS National Technical Information
Service
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GLOSSARY OF ACRONYMS
OASH Office of the Assistant Secretary for
Health (DHHS)
ODPHP Office of Disease Prevention and
Health Promotion (DHHS)
OHTA Office of Health Technology
Assessment (NCHSR)
OMAR Office of Medical Applications of
Research (NIH)
ONHIC ODPHP National Health
Information Center
Office of Planning and Evaluation
(NIH)
Organ Procurement and Trans
plantation Network (UNOS)
Office of Research and
Demonstrations (HCFA)
Occupational Safety and Health
Administration
Office of Technology Assessment
(U.S. Congress)
Pan American Health Organization
Physician Data Query (NCI)
U.S. Public Health Service (DHHS)
Pharmaceutical Manufacturers
Association
PPRC or Physician Payment Review
PhysPRC Commission
PPS Medicare Prospective Payment
System
PRO professional review organization
ProPAC Prospective Payment Assessment
Commission
Medical Device and Laboratory
Product Problem Reporting
Program (FDA, USP)
PTO U.S. Patent and Trademark Office
R&D research and development
RESNA Association for the Advancement of
Rehabilitation Technology,
formerly Rehabilitation
Engineering Society of North
America
OPE
OPTN
ORD
OSHA
OTA
PAHO
PDQ
PHS
PMA
PRP
RCT randomized (controlled) clinical
trial
RFA
RFP
SBA
SEER
SMD
request for application
request for proposal
RPA Renal Physicians Association
RTECS Registry of Toxic Effects of
Chemical Substances (NIOSH?
NLM)
Summary Basis of Approval (FDA)
Surveillance, Epidemiology, and
End Results Program (NCI)
Standard Industrial Classification
Society for Medical Decision
Making
SNM Society of Nuclear Medicine
SNIVT Society of Non-Invasive Vascular
Technology
Special Projects Office (VA)
Swedish Planning and Ration
alization Institute of the Health
Services
SPRILINE Swedish Planning and Ration
alization Institute of the Health
Services line
SPO
SPRI
SREPCIM Society for Research and Education
in Primary Care Internal
Medicine
SSED
TAF
TDC
TNO
UCSF
UHC
UNOS
USDA
Summaries of Safety and
Effectiveness Data (FDA)
Technology Assessment and
Forecast Program (PTO)
Technical Data Center (OSHA)
Medical Technology Unit,
Netherlands Organization for
Applied Scientific Research
University of California at San
~ .
ranasco
University Hospital Consortium
United Network for Organ Sharing
U.S. Department of Agriculture
xlv
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MEDICAL TECHNOLOGY ASSESSMENT DIRECTORY
USDHHS U.S. Department of Health and
Human Services
VA Veterans Administration
xlvi
WHO World Health Organization
YAG yttrium aluminum garnet
