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Interest in Dupytren's by NICE in UK
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07/22/2009 08:49
Mary 
07/22/2009 08:49
Mary 
Interest in Dupytren's by NICE in UK

I have today received a letter from NICE enclosing a questionnaire about the effects of RT on Dupytren's.

They are conducting a nationwide survey on the patients that have been treated by RT for this condition to see if they consider it safe enough to be used more widely by the NHS in the UK

HOORAY!!

I for one will be completing my form and sending it back ASAP.

07/22/2009 22:47
PhilipHa1 
07/22/2009 22:47
PhilipHa1 
Re: Interest in Dupytren's by NICE in UK

Mary,

Could you provide contact information for this NICE survey? I would like to contribute given I was treated 10 years ago and think I could provide useful long-term feedback into this process. My experience of the treatment appears on the 'Personal Experiences' section of this website.

Thanks,

Philip

07/23/2009 08:41
Mary 
07/23/2009 08:41
Mary 
Re: Interest in Dupytren's by NICE in UK

the letter is from Emma Gibbs(although it is signed by her, the letter has the name Emma Chambers typed at the end so perhaps she is married and forgot to change her name on the paperwork? Anyway the email address given is: emma.chambers@nice.org.uk or 020 7045 2057

Good luck

by the way, are you still happy with the results?

07/23/2009 13:25
PhilipHa1 
07/23/2009 13:25
PhilipHa1 
Re: Interest in Dupytren's by NICE in UK

Very happy with the results, during the procedure and for the following 3 months my cords and nodules softened and shrunk, and in the 10 years since the treatment I have suffered no further progression despite the disease progressing rapidly immediately prior to RT.

My concern over the NICE process, is whether, even if RT is approved, there will not be any significant uptake of the treatment in the UK. NA was approved by NICE in 2004, but surgery seems still to be the primary form of treatment. If you look around the NHS website and local hospital websites NA is rarely mentioned, open surgery is still apparently the only treatment.

I recently moved house, and spoke to my new GP about treatment for DC, he was of the opinion that open surgery was the only treatment. His concern with NA and RT, was that the published studies I discussed with him, did not have a large enough sample of patients and no or limited control samples. Hence I think it will be very difficult to persuade the medical profession to change their views on other forms of treatment. I guess the only way is to continue to make sure that the alternatives are well publicised on websites like this one and patients who do their own research, vote with their feet and seek out the alternative treatments as appears to have happened in the USA in the last few years.

Edited 07/23/09 17:03

07/23/2009 13:58
wach 

Administrator

07/23/2009 13:58
wach 

Administrator

Re: Interest in Dupytren's by NICE in UK

Philip, that's exactly the point. Not only in the UK but world-wide. I also fully agree with your suggestions. Additionally Duouytren Society will try publishing articles in print media (because not everyone is on the Internet yet) and spreading information within the medical community, e.g. through a forthcoming symposium on Dupuytren's disease, and by working with doctors who are open to new research results. That's about all we can do but I believe that eventually, slowly we will change the world.

Wolfgang

07/23/2009 19:05
lori 
07/23/2009 19:05
lori 
Re: Interest in Dupytren's by NICE in UK

Wolfgang,

You mentioned a symposium. Has it been scheduled? where and for whom?

Regards,

Lori

07/23/2009 19:23
wach 

Administrator

07/23/2009 19:23
wach 

Administrator

Dupuytren Symposium

Details are still being worked. It is organized jointly by Dupuytren Foundation and Dupuytren Society and it will be on 22/23 May 2010 in Miami. The idea is bringing together people who have research and/or clinical experience with Dupuytren's disease.

Wolfgang

07/24/2009 08:50
KatherineG 
07/24/2009 08:50
KatherineG 
Re: Interest in Dupytren's by NICE in UK

Philip,

I live in London and have the same concerns as you. I have to say that the British medical profession is always very reluctant to adopt new ideas that have been developed in other countries. To be frank, they have been practicing N/A successfully in France for a couple of decades, so you would think British doctors would have been curious and paid attention.

As a side issue, a friend of mine, now deceased, was an American working here in London and he developed lung cancer. He had one lung removed and it left him with a scar all the way down his chest. When he went home to New York, the doctors there said they had not seen an operation like that in 20 years!

I will either travel to France or to a doctor in the US.



07/24/2009 16:32
TrevB 
07/24/2009 16:32
TrevB 

Re: Interest in Dupytren's by NICE in UK

I have my letter and survey form. I will be returning mine as I see this as encouraging progress and mild confirmation that I may have made a decent choice for a change.

Radiotherapy is easier to introduce than NA so I think that this has a chance of progress



Cambidgeshire, UK.

07/27/2009 09:17
TrevB 
07/27/2009 09:17
TrevB 

Re: Interest in Dupytren's by NICE in UK

Quote:



I spoke to my new GP about treatment for DC, he was of the opinion that open surgery was the only treatment. His concern with NA and RT, was that the published studies I discussed with him, did not have a large enough sample of patients and no or limited control samples. Hence I think it will be very difficult to persuade the medical profession to change their views on other forms of treatment. I guess the only way is to continue to make sure that the alternatives are well publicised on websites like this one and patients who do their own research, vote with their feet and seek out the alternative treatments as appears to have happened in the USA in the last few years.



Superb point I've had exactly the same response and despite trying to educate my GP as well as having RT myself, he still thinks that a referal to a hand surgeon (who only wants to do surgery at the end of the day) is the way to go. Unfortunately you have to be your own doctor at times.

Cambidgeshire, UK.

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