Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

1196 - Repetitive Transcranial Magnetic Stimulation (rTMS) for the treatment of depression.

Assessment No

1196
Application NameRepetitive Transcranial Magnetic Stimulation (rTMS)
Assessment TypeSubmission based assessment
Description Of Medical ServiceRepetitive Transcranial Magnetic Stimulation (rTMS) is a focal brain stimulation treatment. Small electrical currents that pass through an electromagnetic coil held near the patient’s scalp stimulate nerve cells in the region of the brain involved in mood regulation and depression (motor cortex). rTMS does not require an anaesthetic and there is no associated cognitive impairment or other serious side effects.
Description Of Medical ConditionMajor Depression (DSM IV) is a disorder of mood with features of depressed mood, loss of energy and interest, loss of pleasure, feelings of hopelessness and worthlessness, sleep and appetite disturbance and suicidal thoughts and behavior. Accompanying disability can be severe and lead to social and occupational disruption.

There are a range of different treatments available to treat major depressive disorders, including medication and psychological treatments. However, 10% to 30% of patients with major depression do not respond to antidepressant medication.
Pre Assessment Meeting21 February 2012
Stage 2 – Suitability for assessment16 February 2012
Lodgment of Proposed DAP17 May 2012
Stage 3 - 1st PASC
(Draft DAP considered)
16 - 17 August 2012
Stage 3 – Release for Public Comment
(Consultation DAP)
1 October - 9 November 2012
Consultation Decision Analytic Protocol (PDF 1023 KB)
Consultation Decision Analytic Protocol (Accessible Word 595 KB)
Stage 3 - 2nd PASC
(Final DAP)
13 - 14 December 2012
Final Decision Analytic Protocol - PDF
Final Decision Analytic Protocol (Accessible Word 16909 KB)
Stage 4 - Submission of Collated EvidenceSubmission based assessment
Stage 5 - ESC evaluation10 – 11 October 2013
Stage 6 - MSAC Appraisal
Stage 6 - MSAC advice
Stage 7 - Noting by Minister
Stage 8 - Implementation

Page currency, Latest update: 24 April, 2013

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