CLINICAL PRACTICE GUIDELINES COMMITTEE AT WORK – First task: Hyperbaric therapy for DFU

The UHMS CPG Oversight Committee, chaired by Dr. Enoch Huang, is at work on the first clinical practice guideline for the UHMS:  Clinical practice guideline for the use of hyperbaric oxygen therapy as adjunctive treatment of diabetic foot ulcers.

The UHMS recently posted the public comment draft of the document on the UHMS website http://www.uhms.org and this blog, along with a companion file with all of the Figures and Tables. The public comment period remained open until the end of the day on October 31, 2014. The original draft and accompanying tables are still accessible; the new draft will be announced when it is received.

At this point, the CPG Oversight Committee is addressing suggestions and refining the text.

“We’d like to thank those of you who took the time to submit public comments,” said Dr. Huang, who is serving as the lead reviewer on this CPG. “We are working hard to address all of the great points that were brought up.”

Some background: The goal of the project is to perform systematic meta-analyses of the hyperbaric literature for UHMS-approved indications and create clinical guidelines that will be readily available on the UHMS website.

In addition to having this information available on the Society website, the UHMS plans to post CPGs relating to hyperbaric oxygen therapy on http://www.guideline.gov, the National Guideline Clearinghouse, a public resource for evidence-based medicine under the aegis of the Agency for Healthcare Research and Quality and the U.S. Department of Health and Human Services.

“With the evidence-based support for hyperbaric oxygen available on http://www.guideline.gov, we believe that we can adequately refute insurance denials for reimbursement and provide guidance to our colleagues in other specialties on the appropriate request for hyperbaric medicine consultation,” noted Immediate Past President Dr. John Feldmeier in his Pressure column a year ago. Pressure is the bimonthly electronic newsletter for UHMS members.

The completion and publication of these guidelines is a complex and time-consuming effort. The UHMS has targeted these indications for initial work:

• diabetic foot ulcers;

• radiation soft tissue and bony necrosis;

• carbon monoxide poisoning; and

• compromised flaps and grafts.

CPGs for our other indications will follow. Watch for updates on this CPG in Pressure and UHMS social media.

With reports from:

Enoch Huang, M.D., Chair, CPG Oversight Committee, Lead Reviewer, Clinical Practice Guideline on Hyperbaric Oxygen Therapy for Diabetic Foot Ulcers

DFU CPG Public Comment TextDFU CPG rev Combined Figures and Tables

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