Application Detail
Status
ClosedDescription of Medical Service
The Bravo pH Monitoring System is a catheter-free ambulatory pH test for gastroesophageal reflux disease (GORD). The Bravo pH Monitoring System utilizes a small pH capsule that is temporarily attached to the wall of the esophagus to transmit pH data for a minimum of 48 hours.Description of Medical Condition
GORD occurs when reflux exposes the patient to the risk of physical complications or symptoms that would lead to a significant impairment of wellbeing or quality of life. Clinically significant impairment of wellbeing usually occurs when symptoms are present on two or more days of the week. Reflux carries the risk of reflux (peptic) esophagitis and complications such as Barrett esophagus and esophageal adenocarcinoma.Reason for Application
-Medical Service Type
-Previous Application Number
Not ApplicableAssociated Documentation
Application Form
-PICO Confirmation
Final Decision Analytic Protocol (DAP) (PDF 214 KB)Final Decision Analytic Protocol (DAP) (Word 151 KB)
Assessment Report
Contracted Assessment Report (PDF 2059 KB)Contracted Assessment Report (Word 1574 KB)
Public Summary Document
Public Summary Document (PDF 119 KB)Public Summary Document (Word 142 KB)
Meetings for this Application
PASC
12 – 13 April 201216 – 17 August 2012