Systematic review of needs for medical devices for ageing populations. Commissioned to the Australian Safety and Efficacy Register of New Interventional Procedures – Surgical (ASERNIP-S) by the World Health Organization (WHO)
(2015; 116 pages)

Abstract

Across the World Health Organization (WHO) Western Pacific Region, as in most parts of the world, the population is rapidly ageing. This is likely to place additional burdens on the provision of health care services to this demographic. Many medical devices are available that may benefit elderly people, although these devices may be expensive or may not be available in all countries. These factors impede equitable access to medical devices.

The clinical focus of this report has been defined as the five health conditions that cause the greatest loss of disability-adjusted life-years (DALYs) for older people (defined as people aged 60–79 years) in the Western Pacific Region. Five main health conditions, with 19 associated sub-topics, were identified:

  • cardiovascular diseases;
  • malignant neoplasms;
  • respiratory diseases;
  • sense organ diseases;
  • neuropsychiatric conditions.

This report provides a literature-based review of medical devices needed by older people.

The results have been used to create lists of devices categorized in terms of whether they are preventive, diagnostic or therapeutic. Broad clinical safety and effectiveness information has also been provided when available, although the volume and quality of this information vary widely between each device. Detailed information on the safety, efficacy and cost–effectiveness of each device was beyond the scope of this report. Where possible, all identified medical devices were categorized according to the definitions presented by the Global Harmonization Task Force.

 
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