Betreft Standpunt holmium–166 radioembolisatie bij inoperabele levertumoren

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Pagina 1 van 1

Zorginstituut Nederland Zorg I

Interne Geneeskunde

Eekholt 4 1112 XH Diemen Postbus 320 1110 AH Diemen

www.zorginstituutnederland.nl info@zinl.nl

T +31 (0)20 797 85 55

Contactpersoon mw. M. Biegstraaten

Onze referentie 2018017339 2018017339

> Retouradres Postbus 320, 1110 AH Diemen

Aan de Minister voor Medische Zorg en Sport Postbus 20350

2500 EJ 'S–GRAVENHAGE

Datum 5 april 2018

Betreft Standpunt holmium–166 radioembolisatie bij inoperabele levertumoren

Geachte heer Bruins,

Bij deze brief treft u ter informatie ons standpunt aan over holmium–166 radioembolisatie bij inoperabele levertumoren.

Op basis van de beschikbare gegevens uit wetenschappelijk onderzoek

concluderen wij dat holmium–166 radioembolisatie beschouwd kan worden als effectieve behandeling van leverdominante, niet–resectabele colorectale levermetastasen in de salvage setting. Holmium–166 radioembolisatie voldoet derhalve bij deze indicatie aan ‘de stand van de wetenschap en praktijk’ en behoort daarmee tot de te verzekeren prestaties van de Zorgverzekeringswet.

Verder concluderen wij dat er onvoldoende onderbouwing uit onderzoek is om te kunnen concluderen dat holmium–166 radioembolisatie een effectieve

behandeling is bij inoperabel hepatocellulair carcinoom in de salvage setting. Bij deze indicatie voldoet de interventie daarom niet aan ‘de stand van de

wetenschap en praktijk’ en behoort de interventie niet tot de te verzekeren prestaties van de Zorgverzekeringswet.

Voor verdere toelichting verwijzen wij u naar het bijgevoegde standpunt.

Hoogachtend,

Arnold Moerkamp

Voorzitter Raad van Bestuur

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