Pages

Friday, 23 May 2014

Postcode lottery on Eylea

People affected by wet age-related macular degeneration (AMD) are facing an unacceptable postcode lottery for Eylea treatment.

Tony Rucinski, Chief Executive of the Macular Society, is calling for all areas of the NHS to make Eylea available for AMD patients who do not respond well to Lucentis. The move comes after a number of members reported that they have been refused Eylea even though their eye doctors recommended it.
Eylea was approved by the National Institute for Health and Care Excellence (NICE) in 2013 as a cost effective drug for wet AMD. However, some clinical commissioning groups (CCGs) have refused to allow its use for patients who have already had Lucentis as the NICE authorisation does not specifically say it should be used as a 'second line' treatment.
The CCGs are ignoring NICE clarification which makes clear that it is not specifying either first or second line treatment. NICE says “It is important to note that both ranibizumab and aflibercept are recommended ‘as options’, so the clinician will decide which of the drugs is most appropriate for each patient.
“This is no different from any disease area where more than one technology is approved by NICE ’as an option’. When NICE recommends a treatment ‘as an option’, the NHS must make sure it is available, normally within three months of the guidance being issued. This means that, if a patient has wet age related macular degeneration and the doctor responsible for their care thinks that aflibercept solution for injection is the right treatment, it should be available for use, in line with NICE’s recommendations.”
Advice from the Royal College of Ophthalmologists says "The College urges commissioners to adopt commissioning policies which are in the patient's best interests. This should allow the use of any of the NICE approved treatments for wet AMD both for initial treatment and subsequent management. This should include the option of switching anti-VEGF agents if clinically indicated."
Tony Rucinski says "The CCGs who refused to give patients Eylea are misreading NICE guidance. This is very serious as it puts people's sight at risk. As NICE guidance is regarded as legally binding on the NHS it may also be illegal.
"Some patients do not respond well to Lucentis and, where an ophthalmologist recommends it, Eylea should be offered in case it works better. Eylea has a similar mode of action to Lucentis but has some slightly different characteristics which mean it may work where Lucentis doesn't. The reverse is also true and it is clear that NICE's intention is that either drug can be used as first or second line care."
To download the full statement from NICE click here.
To download the full statement from the Royal College of Ophthalmologists click here.

Source http://www.macularsociety.org/How-we-help/Eye-care-professionals/professional-news/postcode-lottery-on-eylea?dm_i=1KF8,2GXFC,C9WI5F,902CY,1

31 comments:

  1.  If someone week i really ashen-haired not actually pretty, whether you will lite grope a present, thought to follow us to displays bursting with ends of the earth considerably? Inside the impeccant previous, sea ever have dried-up, my hubby and i only may very well be with all of you connected thousands of samsara. 프로미 먹튀

    ReplyDelete
  2. Your post has those facts which are not accessible from anywhere else. It’s my humble request to u please keep writing such remarkable articles roulette

    ReplyDelete
  3. Thank you for taking the time to publish this information very useful! dudoanxsmb.com/

    ReplyDelete
  4. As a result, such SEO service providers end up having a high customer churn with a large dedicated network of sales team. off page seo

    ReplyDelete
  5. Appreciating the persistence you put into your blog and detailed information you provide. I’ve bookmarked your site and I’m adding your RSS feeds to my Google account. 에스뱅크 주소

    ReplyDelete
  6. How would you feel if you had the winning ticket but did not claim it since you mistakenly thought it was a loser? And if your tickets did not win in that particular drawing, they may still be able to be entered into a 2nd chance drawing.온라인카지노

    ReplyDelete
  7. In addition, I would like to add that you must stop gambling and abstain from gambling from now on in order to resolve your gambling debt problem.먹튀폴리스

    ReplyDelete
  8. Your website is really cool and this is a great inspiring article. https://loto188.me/so-mo-lo-de-giai-ma-giac-mo-xo-so/

    ReplyDelete
  9. This article is a connecting with bounty of edifying data that is interesting and carefully created. I acclaim your tireless work on this and thank you for this information. You have the stuff to get thought. 해외배팅사이트

    ReplyDelete
  10. I'm glad I found this web site, I couldn't find any knowledge on this matter prior to.Also operate a site and if you are ever interested in doing some visitor writing for me if possible feel free to let me know, im always look for people to check out my web site. soicauxsmb

    ReplyDelete
  11. You have done a great job. I will definitely dig it and personally recommend to my friends. I am confident they will be benefited from this site 안전토토

    ReplyDelete
  12. Whoi, excellent, t wondered just how to cure icne. ind found your webstte by google, dtscovered todiy t'm i ltttle obvtous i greit deil. t’ve ilso idded RSS ind sive your webstte. keep us updited. 영앤리치 먹튀

    ReplyDelete
  13. I have been searching to find a comfort or effective procedure to complete this process and I think this is the most suitable way to do it effectively. แทงบอล

    ReplyDelete
  14. Plenty of businesses and other groups of people have lotto pools. You will have to share the money with the other pool members in the event you win, but you're going to get an obviously better probability of winning than if you just play a few tickets on your own.먹튀검증

    ReplyDelete
  15. Don't pick numbers that have some kind of meaning to you, such as birthday dates. Most lotteries go from numbers 1 - 46, how many uncles do you have that were born on the 46th day of the month? Think logically when choosing your lottery numbers.idn poker

    ReplyDelete
  16. I appreciate everything you have added to my knowledge base.Admiring the time and effort you put into your blog and detailed information you offer.Thanks. xo so ha noi

    ReplyDelete
  17. I would like to thank you for the efforts you have made in writing this article. I am hoping the same best work from you in the future as well. In fact your creative writing abilities has inspired me to start my own BlogEngine blog now. Really the blogging is spreading its wings rapidly. Your write up is a fine example of it. sexy gaming

    ReplyDelete
  18. Home games are incredible open doors for married couples, fathers and children, and so forth to share some quality time while playing poker.baccarat indonesia

    ReplyDelete
  19. Here is a case study discusses just this, a multiple lottery winner. 188loto

    ReplyDelete
  20. The genuine risk comes when you consolidate this factor with the way that it is so natural to feel withdrew from the truth of cash spent on the web. situs judi online

    ReplyDelete
  21. In the event that you utilize a Visa organization to pay for web gambling, that is a lawfully enforceable obligation equivalent to it would be in some other situation, since you have acquired cash from the Mastercard organization, not the casino.togel hari ini

    ReplyDelete
  22. Simply, casino poker is turning out to be increasingly more mainstream around the globe regular; basically, since individuals are in a betting mind-set while at the casino, many figure they should play a round of high stakes poker.
    BandarQQ

    ReplyDelete
  23. Playtech casino programming contains exceptionally sensible game play, regardless of whether it's blackjack or some other casino game.www.enzibet.id

    ReplyDelete
  24. Anything goes here, on the off chance that it's sought after, at that point it will be played; it's normal to go over a 6 man $20/$40 Chinese poker game! https://livebos.id/

    ReplyDelete
  25. This comment has been removed by the author.

    ReplyDelete
  26. Most online casinos have a Dependability/celebrity Club conspire where you can reclaim rewards as an end-result of focuses you aggregated while playing.bisa mencoba disini

    ReplyDelete
  27. Look into your online poker rooms audit that you are utilizing, and check whether it truly suites you best. There are numerous poker online destinations out there prepared to give you immense rewards for going along with them. Fornet

    ReplyDelete
  28. For example poker tracker 3 is more for players who need examine his own ongoing interaction to discover breaks and that's just the beginning.http://toppokerv.com/

    ReplyDelete
  29. The accomplishment of youthful poker players at the World Series of Poker has grabbed the eye of youngsters around the globe. online casinos accepting zar

    ReplyDelete
  30. Awesome blog. I enjoyed reading your articles. I have bookmarked it and I am looking forward to reading new articles. Keep up the good work!
    -- Source code sàn giao dịch Remitano | Source code sàn White Label

    ReplyDelete
  31. Awesome blog. I enjoyed reading your articles. I have bookmarked it and I am looking forward to reading new articles. Keep up the good work!

    If you are looking for a company that provides Crypto exchange app development company, please visit our page - VakaFX

    ReplyDelete