IDEAS home Printed from https://ideas.repec.org/a/spr/aphecp/v20y2022i2d10.1007_s40258-021-00695-9.html
   My bibliography  Save this article

Episcissors-60 for Mediolateral Episiotomy: Evaluation of Clinical and Economic Evidence to Inform NICE Medical Technologies Guidance

Author

Listed:
  • Susan O’Connell

    (Cardiff and Vale University Health Board)

  • Megan Dale

    (Cardiff and Vale University Health Board)

  • Helen Morgan

    (Cardiff University)

  • Bernice Dillon

    (National Institute for Health and Care Excellence)

  • Andrew Cleves

    (Cardiff and Vale University Health Board)

  • Rhys Morris

    (Cardiff and Vale University Health Board)

  • Grace Carolan-Rees

    (Cardiff and Vale University Health Board)

Abstract

Obstetric anal sphincter injury (OASI) occurs in 2.9% of all vaginal births in the UK and can result in faecal incontinence. Where there is a clinical need for episiotomy, OASI can be minimised by accurate selection of the optimum angle of mediolateral episiotomy. Episcissors-60 are adapted surgical scissors incorporating a guide-limb to help achieve an accurate angle of mediolateral episiotomy. The ability of Episcissors-60 to reduce OASI by preventing inaccurate visual estimates of episiotomy angles was considered by the National Institute of Health and Care Excellence (NICE) as part of the Medical Technologies Evaluation Programme (MTEP). NICE concluded that Episcissors-60 shows promise for mediolateral episiotomy both in terms of clinical effectiveness and potential cost savings, but that there was not enough evidence to support routine adoption into the NHS at this time. NICE MTG47 recommends that key gaps in the evidence including patient-reported outcomes and the addition of Episcissors-60 to care bundles be addressed through research with specific focus on potential equality considerations.

Suggested Citation

  • Susan O’Connell & Megan Dale & Helen Morgan & Bernice Dillon & Andrew Cleves & Rhys Morris & Grace Carolan-Rees, 2022. "Episcissors-60 for Mediolateral Episiotomy: Evaluation of Clinical and Economic Evidence to Inform NICE Medical Technologies Guidance," Applied Health Economics and Health Policy, Springer, vol. 20(2), pages 159-169, March.
    • Handle: RePEc:spr:aphecp:v:20:y:2022:i:2:d:10.1007_s40258-021-00695-9
    DOI: 10.1007/s40258-021-00695-9
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s40258-021-00695-9
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s40258-021-00695-9?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:spr:aphecp:v:20:y:2022:i:2:d:10.1007_s40258-021-00695-9. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.