Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

Application 1118 Vagus nerve stimulation

Vagus nerve stimulation

Vagus Nerve Stimulation

Application No.

1118

Application NameVagus nerve stimulation
Advisory PanelDr Ewa Piejko
(Chair)
(MSAC member until 30/09/2008)
Professor Stephen Blamey
(Deputy Chair)
(MSAC member until 31/12/2008)
Ms Margaret Charlton
(Consumers’ Health Forum nominee)
Professor Andrew H Kaye
(Neurological Surgeon)
Professor Samuel Berkovic
(Epileptologist)
Date Received by MSAC Secretariat2 April 2007
Stage 1 - EligibilityEligible
Stage 2 - AssessmentCompleted
Stage 3 - Formulation of Advice to the MinisterThe MSAC has considered the safety, effectiveness and cost-effectiveness for vagus nerve stimulation in addition to anti-epileptic medication for patients with medically refractory epilepsy. It was compared with continued or modified anti-epileptic drug therapy for all patients, and for children it was also compared with or without a ketogenic diet.

MSAC finds the procedure is reasonably safe in the context of the condition being treated.

MSAC finds there is insufficient evidence of effectiveness and net benefit of vagal nerve stimulation therapy for patients with medically refractory epilepsy.

Formal economic analysis was not conducted in view of the uncertainty of net clinical benefit.

MSAC recommends that public funding arrangements for vagus nerve stimulation for epilepsy remain unchanged.
Stage 4 - Decision
Noting of MSAC advice by the Minister does not constitute a final decision in relation to the provision of public funding
MSAC considered this assessment on 6 June 2008.
The Minister noted MSAC's advice 28 August 2008.
Stage 5 - Implementation

Page currency, Latest update: 11 September, 2009