MedTech-related health technology assessments from NIHR in October 2023

The National Institute for Health and Care Research (NIHR) funds valuable independent research for health and social care decision-makers in England. Reports from the Health Technology Assessment (HTA) Programme are published in the NIHR HTA Journal and inform NICE guidance. 

In October 2023, NIHR released an assessment of posterior cervical foraminotomy versus anterior cervical discectomy for cervical brachialgia. The assessment was based on the Phase III, unblinded, prospective, United Kingdom multicenter, parallel-group, individually randomized controlled superiority trial (FORVAD RCT). The target recruitment was 252 participants. However, the trial recruited slowly and closed early (after randomizing 23 participants). Consequently, the trial is underpowered, and definitive conclusions cannot be drawn. A large prospective multicenter trial comparing anterior cervical discectomy and posterior cervical foraminotomy in the treatment of cervical brachialgia is still needed.

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