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December 5, 2019

Topical Oxygen Therapy Contractor Advisory Committee (CAC) Key Questions

The DME MACs assembled a nine-member specialty-focused CAC, comprised of a national panel of clinical researchers, professors of medicine and physicians. The CAC meeting was held on October 29, 2019 in San Francisco, California. Seven (7) Key Questions were discussed by the CAC members and confidence in each Key Question scored (Industry Representative was excluded from scoring). Confidence was rated on a scale of 1-5, with 1 indicative of low confidence and 5 indicating high confidence.

1. How confident are you that there is sufficient evidence to determine that adjunctive TOT leads to a greater incidence of complete wound closure of chronic non-healing wounds compared to standard of care? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
2. How confident are you that there is sufficient evidence to determine that adjunctive TOT shortens the time to complete wound closure of chronic non-healing wounds compared to standard of care? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
3. How confident are you that there is sufficient evidence to determine that TOT improves the durability of chronic non-healing wound closure compared to standard of care? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
4. How confident are you that the available evidence for TOT in chronic, non-healing wounds allows identification of a discrete population of Medicare-eligible beneficiaries who would benefit from TOT? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
5. How confident are you that there are no significant gaps in evidence that may impact positive health outcomes in the Medicare-eligible population? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
6. How confident are you that TOT is generally accepted by the medical community for the treatment of chronic non-healing wounds? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
 
7. How confident are you that the evidence supports that the use of TOT results in clinically meaningful outcomes such as complete wound closure and/or quality of life improvement in Medicare beneficiaries? Scoring Member Average
1
Low Confidence
2 3
Intermediate
4 5
High Confidence
 
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