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Multiple monitored electroconvulsive therapy

This article was originally published in The Gray Sheet

Executive Summary

CMS' Nov. 19 decision not to cover MMECT follows a 1December 2001 HHS Office of the Inspector General report which concluded that the procedure is being used too frequently (2"The Gray Sheet" Jan. 14, 2002, p. 32). The agency found that literature supporting the use of MMECT "reflected substantial methodological shortcomings." In addition, evidence concluded that MMECT may pose additional safety risks over conventional one-time ECT for patients with affective disorders or other psychiatric disorders without a balancing clinical benefit, the decision memorandum states. The agency says it is open to considering evidence for narrowly defined, non-routine uses of MMECT if it is brought to CMS' attention in the future; however, no comments from professional organizations or the general public were submitted during the course of the review...

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