Health technology reviews

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Surgery for lumbar radiculopathy/sciatica

Status: Decision complete.

 View findings and decision

Policy context

Numerous surgical and nonsurgical approaches to the management of lumbar radiculopathy have been studied and are routinely used within current clinical practice. In addition to standard surgical techniques (e.g., laminectomy, discectomy), minimally invasive surgical techniques that use percutaneous, endoscopic, or laser-assisted approaches are now available. This health technology assessment (HTA) will review the efficacy, safety, and cost-effectiveness of surgical interventions to treat symptomatic lumbar radiculopathy in adults to assist the State of Washington’s Health Technology Clinical Committee in determining coverage for selected surgical interventions.

Primary Criteria Ranking

  • Safety = Medium
  • Efficacy = High
  • Cost = High

Assessment timeline

  • ​Draft key questions published: November 14, 2017
  • Public comment period:  November 14 to 27, 2017
  • Final key questions published: December 21, 2017
  • Draft report published:  February 22, 2018
  • Public comment period:  February 22 to March 23, 2018
  • Final report published:  April 18, 2018
  • HTCC public meeting:  May 18, 2018