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List of milestones

To view the meeting material and minutes mentioned on this blog, please visit the public meetings page.

Indications for Hyperbaric Oxygen Therapy

Next steps:
New evidence scan planned for 2016.

The HERC approved the draft coverage guidance as posted in the meeting materials. Coverage Guidance    Prioritization Changes   Public Comment Disposition 


VbBS reviewed the draft coverage guidance and recommended changes to the Prioritized List of Health Services.   Draft Coverage Guidance     Draft Prioritization Changes


HTAS reviewed public comments and heard public testimony on the draft coverage guidance, made revisions, and referred it to the VbBS and HERC for implementation and approval The VbBS will review the draft coverage guidance at its meeting on 8/14/2014.

Draft Coverage Guidance     Public Comment Disposition


HTAS 7-28-14 meeting materials update: The draft coverage guidance on Indications for Hyperbaric Oxygen Therapy and public comment disposition have been updated for clarity to list certain indications which were excluded from the scope of inquiry and to indicate the need for further discussion of the indication of Carbon Monoxide poisoning. Handout

The draft coverage guidance​ has been posted for public comment. The public comment period ends at 8 a.m. Pacific Time on June 9, 2014.
The HTAS reviewed the draft coverage guidance, and made revisions and requested that the draft be posted for public comment.
These additional sources will be added to the draft coverage guidance based on expert input (updated references):
Hampson, N.B., Piantadosi, C.A., Thom, S.R., & Weaver, L.K. (2012). Practice recommendations in the diagnosis, management, and prevention of carbon monoxide poisoning. American Journal of Respiratory and Critical Care Medicine, 186(11), 1095-1101.
Löndahl, M., Katzman, P., Nilsson, A., & Hammarlund, C. (2010). Hyperbaric oxygen therapy facilitates healing of chronic foot ulcers in patients with diabetes. Diabetes Care, 33(5), 998-1003. doi: 10.2337/dc09-1754
Murad, M.H., Altayar, O., Bennett, M., Wei, J.C., Claus, P.L., Asi, N., et al. (2013). Using GRADE for evaluating the quality of evidence in hyperbaric oxygen therapy clarifies evidence limitations. Journal of Clinical Epidemiology, 67(1), 65-72. doi: 10.1016/j.jclinepi.2013.08.004
Stachler, R.J., Chandrasekhar, S.S., Archer, S.M., Rosenfeld, R.M., Schwartz, S.R., Barrs, D.M., et al. (2012). Clinical practice guideline: sudden hearing loss. Otolaryngology -- Head and Neck Surgery, 146(3 Suppl), S1-S35. doi: 10.1177/0194599812436449
Undersea and Hyperbaric Medical Society. (2008). Hyperbaric oxygen therapy indications (12th ed.). L.B. Gesell (Ed.). Durham, NC: Undersea and Hyperbaric Medical Society.
Undersea and Hyperbaric Medical Society. (2014). Hyperbaric oxygen therapy indications (13th ed.). L.K. Weaver (Ed.). Durham, NC: Undersea and Hyperbaric Medical Society.
Weaver, L.K., Hopkins, R.O., Chan, K.J., Churchill, S., Elliott, C.G., Clemmer, T.P., et al. (2002). Hyperbaric oxygen for acute carbon monoxide poisoning. The New England Journal of Medicine, 347(14), 1057-1067.

The HTAS discussed the initial draft coverage guidance and requested additional staff research. A revised draft will be reviewed April 28, 2014.


Updated references

National Institute for Health and Clinical Excellence (NICE). (2012). Diabetic foot problems: Inpatient management of diabetic foot problems. NICE clinical guideline 119. London: NICE. Retrieved from www.nice.org.uk/guidance/CG119


A corrected list of references, along with abstract or citations for the coverage guidance are now available. We will add citations for the other sources if we are able to obtain the required permissions from the copyright holders.


2/6/14 Source materials removed due to copyright concerns; new sources pending.

Sources for a coverage guidance on hyperbaric oxygen therapy are now available. Citations from primary sources will be added as soon as they are available.