Topical Oxygen Therapy Contractor Advisory Committee (CAC) Key Questions - JD DME
Topical Oxygen Therapy Contractor Advisory Committee (CAC) Key Questions
Joint DME MAC Publication
Posted January 23, 2025
The DME MACs assembled an eight-member, seven voting members and one industry representative, specialty-focused CAC, comprised of a national panel of methodological experts, academicians and clinicians. The CAC meeting was held on December 11, 2024, virtually. Sixteen Key Questions were discussed by the CAC members and confidence in each Key Question scored. Confidence was rated on a scale of 1-5, with 1 indicative of low confidence and 5 indicating high confidence.
During the meeting, one voting CAC panel member's vote was noted to have been registered twice due to a technical issue. We have removed the duplicate vote, and below are now the official scores for the rating of each question.
| Question Number | Question | Scoring Member Average |
|---|---|---|
| 1 | Intermittent Oxygen: 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 diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.29 |
| 2 | Continuous Oxygen: 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 diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.86 |
| 3 | Intermittent Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT shortens the time to complete resolution of diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.00 |
| 4 | Continuous Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT shortens the time to complete resolution of diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High 3Confidence |
2.57 |
| 5 | Intermittent Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT results in durable wound healing of diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.00 |
| 6 | Continuous Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT results in durable wound healing of diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.14 |
| 7 | Intermittent Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT lowers the risk of amputation in adults with diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.14 |
| 8 | Continuous Oxygen: How confident are you that there is sufficient evidence to determine that adjunctive TOT lowers the risk of amputation in adults with diabetic foot ulcers compared to standard of care alone? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
1.86 |
| 9 | Intermittent Oxygen: How confident are you that TOT is generally accepted by the medical community for the treatment of diabetic foot ulcers? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.00 |
| 10 | Continuous Oxygen: How confident are you that TOT is generally accepted by the medical community for the treatment of diabetic foot ulcers? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.00 |
| 11 | Intermittent Oxygen: How confident are you that the available evidence for TOT in diabetic foot ulcers allows identification of a discrete population of Medicare-eligible beneficiaries who would benefit from TOT? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
3.00 |
| 12 | Continuous Oxygen: How confident are you that the available evidence for TOT in diabetic foot ulcers allows identification of a discrete population of Medicare-eligible beneficiaries who would benefit from TOT? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.57 |
| 13 | Intermittent Oxygen: How confident are you that there are no significant gaps in evidence that may impact health outcomes in the Medicare-eligible population? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.57 |
| 14 | Continuous Oxygen: How confident are you that there are no significant gaps in evidence that may impact health outcomes in the Medicare-eligible population? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.14 |
| 15 | Intermittent Oxygen: How confident are you that the evidence supports that the use of TOT results in an improvement in quality of life in Medicare beneficiaries? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.71 |
| 16 | Continuous Oxygen: How confident are you that the evidence supports that the use of TOT results in an improvement in quality of life in Medicare beneficiaries? 1 Low Confidence - 2 - 3 Intermediate - 4 - 5 High Confidence |
2.29 |
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