SOP Bulletin No. 93

8 — th Floor, 259 Queen St, Brisbane — 1 — st Floor Blackburn House, 199 Grenfell St, Adelaide

Intranet site:  http://intranet/nat/comp/dp/Nop/dsu/dsudefault.htm

20 June 2005

THE FOLLOWING RMA SOPS WILL TAKE EFFECT ON 22 JUNE, 2005

IMPORTANT OPERATIONAL FEATURES

• The name of the SOPs is now Erectile Dysfunction. There have been minor changes to the wording of the definition.
• There are new causal and worsening factors in both RH and BOP for hypertension, being obese and ischaemic heart disease.  There are new causal and worsening factors in RH only for physical inactivity and specified organic solvents (which are defined).
• All factors which were previously causal only are now worsening factors as well.
• The previous psychiatric condition factor now requires a clinically significant mood disorder with depressive features or a clinically significant anxiety disorder.
• The smoking dose is now expressed in pack-years 10 RH/15 BOP, with no cessation period (previously 5/5 with 10 years cessation).
• The spinal injury factor has been changed to include brain injury, and require acute and permanent neurological sequelae involving the brain, spinal cord or cauda equina.
• The previous aortic atherosclerotic disease factor is now non-aneurysmal aortic atherosclerotic disease, and propagates to that SOP.
• The liver factor has been changed to require cirrhosis, and propagates to that SOP.
• The alcohol factor has been changed to alcohol dependence or abuse and propagates to that SOPs.
• There are two drugs factors.  The first is for classes of drugs, and this list has been re-organised and extended.  The second is for specific drugs, and any other drug reported in peer reviewed publication to cause erectile dysfunction.
• Priapism must now be low-flow and be present for a continuous period of at least four hours.
• In the definition of a specified neurological disorder, “quadriplegia” or “paraplegia” have been replaced with “cerebrovascular accident” (propagates to SOP) or “compression, neoplasm, infection or inflammation of the brain, spinal cord, thoracolumbar nerve roots or cauda equina”.

• The name of the SOP has been changed to make clear that malignant neoplasm of the oropharynx is included.  The definition has been reworded to add the usual exclusions.
• The smoking dose is now expressed in pack-years 2.5 RH, 5 for BOP. (previously cigarettes per day for specified years).  Cessation remains unchanged at 15 RH/10 BOP.
• The smokeless tobacco factor is now just for smokeless tobacco (which is defined), and is no longer limited to malignant neoplasm of the oral cavity.
• There are new causal factors for chewing betel nut or areca nut, drinking maté, undergoing a bone marrow transplant, and being exposed to mustard gas, for both RH and BOP.  There is a new factor for having human papilloma virus infection of the mucosa for RH only.
• There is a new RH and BOP factor for having oral leucoplakia at the affected site for at least one year, which applies to malignant neoplasm of the oral cavity only.

Remember! If you are having any problems with SOPs, or SOPs in CCPS, talk to us!