Health Technology Assessment Database


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Health Technology Assessment Database (INAHTA)
Technology Assessments

The NHS-CRD-HTA (INAHTA; Technology Assessments) database contains information on Health Technology Assessment (evaluation of medical procedures and technologies in health care). It is developed in cooperation with the international network of public HTA Agencies (International Network of Agencies for Health Technology Assessment - INAHTA). The database comprises information on current up-to-date HTA projects and on published HTA reports of the INAHTA-members as well as other HTA facilities. The Abstracts have a describing and not any evaluating character. There are most different documents which have been registered in the database. That means except from HTA reports the database contains as well as studies, survey results, economic appraisals, systematic reviews.

 

 

Database Content

Subject Coverage

Evaluation of medical procedures, medicine, health economics, social and ethical aspects.

TypeLiterature database
LanguageEnglish
Sources

Voluntary data input by HTA facilities

Superbases

There are predefined databases groups (superbase) for several subjects.

The database Health Technology Assessment Database is part of the following superbases:
XHTA, XMEDALL, XMEDPROD.

Database Resources

File Size11,176 (Status 06/2012)
File Data

You will find the number of database records in the current update status.

Update CycleQuarterly

Query

User Aids

Documentation of the Centre for Reviews and Dissemination: http://www.york.ac.uk/inst/crd/

Special Notes

With every update the whole file is reloaded. Therefore standing orders (SDI) are not possible.

Vocabulary

Controlled Terms (CT)

Language of vocabulary: English

Searchable Data Fields

The following document sections are considered with the free text search (FT):

Abstract (AB)
Author's Objective (AO)
Type of Intervention (TOI)
Study Design (STU)
Sources Searched (SRCS)
Cost Information (COST)
Result (RES)
Methodology (METH)
Author's Conclusions (AC)
Controlled Term (CT)
Status (STA)
Title (TI)

Search language(s) in the basic index:  English.

 

Data Fields, alphabetical

Explanation:

D = DISPLAY F = FIND S = SHOW
1 : front-end-masking recommended
2 : searchable word by word with field label
3 : searchable only selectively
(F): field is searchable only via basic index

Command Field name Examples Special features
(F) S AB Abstract F heart/AB The abstract field is available in 54 % and  consists of a summary of different fields (AC, AO, COST, METH, RES, SRCS, STU, TOI). All fields of this group can be requested individually as well as with FIND.
(F) S AC Author Conclusion F positive/AC Recommendations of the authors.
D AI Abstract Indicator F...AND AI= ?
D AI= ?
F AI= abstract online
Searches for documents with an online abstract.
(F) S AO Author Objective F aims/AO Question of the author.
D F S AU Author F AU=nhs?  
D2 F2 S CA Corporate Author F CA=dahta  
D F CC Controlled Code F CC= a01.378.610.450 Compatible with MESH. See CT as well.
S CNOTE Copyright Notice    
(F) S COST Cost Information F us/COST Information on charges is given here, if available.
D2 F2 S CS Coporate Source F CS=dahta Information on HTA facilities.
D F S CT Controlled Term F CT=ibuprofen
F assessment?/CT
D CT=ibupro?
Compatible with MESH.
F /QF= ... Qualifier F CT=breast neoplasms/QF=pa Search for Controlled Terms together with a Qualifier.
    D QF=a? List all QF.
D F S CY Country of Publication F CY=germany Country in which the information was provided.
D F S DOI Digital Object Identifier D DOI=?
F DOI="10.1002/14651858"
Must be set in quotation marks.
A DOI is a unique and persistent identification code for digital objects.
D F S LA Language F... AND LA=engl?
D LA=?
Language spellings are very different, therefore an end masking is recommended when searching.
(F) S METH; Methodology F review/METH Kind of investigation conducted.
D F S ND Number of Document F ND=HTA-31995000001  
S PAGE Page   Part of SO.
D2 F2 S PU Publishing Data F PU=nice City and name of the publishing institution.
D F S PY Publication Year F... AND PY>=2002 Year of the publication. Part of SO.
(F) S RES Result F positive/RES Results of the work.
S SO Source   Consisting of VOL, PAGE and PY.
(F) S SRCS Sources Searched F medline/SRCS Used data sources in the information.
D F S STA Status F STA=inahta?
F health technology assessment/STA
References to the current status of the information
(F) S STU Study Design F appraisal/STUD Kind of information.
(F) S TI Title F asthma/TI  
(F) S TOI Type of Intervention F treatment/TOI Names the area in which the procedure is used.
S URL; Internet Address   Internet address of the HTA facility and/or of the document.
S VOL Volume   Part of SO.
Output of Search Results

By means of the commands: SHOW (S) / MAIL / SDI.

Corresponding to the copyright rules use the parameter USE=DLOAD if necessary.

You may ask for all data fields, single data fields, or sets of data fields. If the output fields are not specified explicitly, the standard field set (F=STD) is used in all output commands.

Output field sets:

Command Field Set Associated Datafields
F=STD standard same as F=ALL
F=ALL all fields ND, AU, CA, TI, SO, PU, LA, CY, CS, CT, STA, CNOTE, AB, AO, TOI, STU, SRCS, METH, RES, COST, AC, URL 
F=BIB bibliographic fields ND, AU, CA, TI, SO, PU, LA, CY, CS
F=DES descriptors CT
Sample Search(es)

Subject: Review articles on fluorodeoxyglucose positron emission tomography (FDG-PET)

1. Search via DIMDI SmartSearch

Screenshot: INAHTA Sample Search 

2. Search via DIMDI ClassicSearch

Profile table:

Parameter Counter Number of Hits Query
C= 1 8908 INAHTA
S= 2 30 FDG-PET OR FLUORODEOXYGLUCOSE POSITRON EMISSION TOMOGRAPH###
  3 3302  REVIEW/STU
  4 22  2 AND 3
Sample Record(s)

DIMDI: Health Technology Assessment Database (INAHTA) © 2010 University of York. Published by John Wiley & Sons, Ltd.

ND: HTA-32006000201
AU: Myers ER; Bastian LA; Havrilesky LJ; Kulasingam SL; Terplan MS; Cline KE; Gray RN; McCrory DC
TI: Management of adnexal mass (Structured abstract)
SO: Rockville: Agency for Healthcare Research and Quality (AHRQ); p. 530; p. . Agency for Healthcare Research and Quality (AHRQ). /2006/
LA: English
CS: Center for Outcomes and Evidence Technology Assessment Program, 540 Gaither Road, Rockville, MD 20850, USA. Tel: +1 301 427 1610; Fax: +1 301 427 1639;
CT: Adnexal Diseases/diagnosis; Adnexal Diseases/ultrasonography; Adnexal Diseases/radiography
STA: This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database.
AO: The aim of this report is to assess diagnostic strategies for distinguishing benign from malignant adnexal masses.
TOI: Diagnosis; treatment
STU: Systematic review
METH: The major diagnostic methods evaluated were bimanual pelvic examination, ultrasound (morphology and Doppler velocimetry), magnetic resonance imaging (MRI), computed tomography (CT), fluorodeoxyglucose F18 positron emission tomography (FDG-PET), CA-125, and scoring systems that incorporated multiple clinical, laboratory, and radiologic findings. Meta-analysis using a random-effects model was used to estimate pooled sensitivity and specificity for discriminating benign from malignant. We reviewed evidence for followup strategies for masses considered benign, and for adverse outcomes of diagnostic surgery. We also reviewed published models of the natural history of ovarian cancer and compared the impact of assumptions about natural history on outcomes.
RES: The majority of studies did not describe whether patients presented with asymptomatic masses detected through screening or with symptoms. Prevalence of malignant masses in a U.S. postmenopausal screening population was approximately 0.1 percent, while benign masses were found in 0.8 to 1.8 percent of women. Pooled (a) sensitivity and (b) specificity were: bimanual exam (a) 0.45, (b) 0.90; ultrasound morphology scores (a) 0.86 to 0.91, (b) 0.68 to 0.83; Doppler resistive index (a) 0.72, (b) 0.90; pulsatility index (a) 0.80, (b) 0.73; maximum systolic velocity (a) 0.74, (b) 0.81; presence of vessels (a) 0.88, (b) 0.78; combined morphology and Doppler (a) 0.86, (b) 0.91; MRI (a) 0.91, (b) 0.88; CT (a) 0.90, (b) 0.75; FDG-PET (a) 0.67, (b) 0.79; and CA-125 (a) 0.78, (b) 0.78. Both sensitivity and specificity of CA-125 were better in postmenopausal than in premenopausal women. In modeled outcomes, combinations of imaging and CA-125 were both more sensitive and more specific than either alone. Performance of scoring systems in validation studies was consistently worse than in development studies; the highest demonstrated specificity observed was 0.91, with a concurrent sensitivity of 0.74. Evidence on followup strategies was sparse, although one large study provided good evidence for safely following unilocular cysts less than 10 cm in diameter. Overall complication rates in studies of surgically managed adnexal masses were low, but important clinical information was not reported.
AC: All diagnostic modalities showed trade-offs between sensitivity and specificity, but the available literature does not provide sufficient detail on relevant characteristics of study populations to allow confident estimation of the results of alternative diagnostic strategies. Although modeling studies may prove useful in evaluating diagnostic algorithms, further work is needed to explore the implications of uncertainty about the natural history of ovarian cancer.
URL: http://www.ahrq.gov/clinic/tp/adnextp.htm
     Illustration (book): Online full-text available full text
*** End of SHOW ***

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Appendix

Appendix

List of Qualifiers

Abnormalities
Administration & Dosage
Adverse Effects
Agonists
Analogs & Derivatives
Analysis
Anatomy & Histology
Antagonists & Inhibitors
Biosynthesis
Blood
Blood Supply
Cerebrospinal Fluid
Chemical Synthesis
Chemically Induced
Chemistry
Classification
Clinical Trial
Complication
Complications
Congenital
Contraindications
Cytology
Deficiency
Diagnosis
Diagnostic Use
Diet Therapy
Drug Effects
Drug Therapy
Economics
Education
Embryology
Enzymology
Epidemilogy
Ethics
Ethnology
Etiology
Genetics
Growth & Development
History
Immunology
Injuries
Innervation
Instrumentation
Isolation & Purification
Legislation & Jurisprudence
Manpower
Metabolism
Mehods
Microbiology
Mortality
Nursing
Organisation & Administration
Parasitology
Pathogenicity
Pathology
Pharmacokinetics
Pharmacology
Physiology
Physiopathology
Poisoning
Prevention
Prevention & Control
Psychology
Radiation Effects
Radiography
Radionuclide Imaging
Radiotherapy
Rehabilitation
Secondary
Secretion
Standards
Statistics & Numerical Data
Supply & Distribution
Surgery
Therapeutic Use
Therapy
Toxicity
Transmission
Transplantation
Trends
Ultrasonography
Ultrastructure
Urine
Utilization
Veterinary
Virology

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