Wirksamkeit, Zweckmäβigkeit und Wirtschaftlichkeit des multimodalen Behandlungsansatzes bei chronish lumbalen Rückenschmerzen

Translated title of the contribution: Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain

C. Rolli-Salanthé, A. Elfering, Markus Melloh

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Background

Qualitative criteria, such as efficacy, utility and cost-effectiveness are essential for insurance and reimbursement companies to meet the costs for a multidisciplinary treatment (MDT) for persons with chronic low back pain (CLBP).

Method

A systematic search concerning the qualitative criteria of MDT for CLBP presents an overview of the current literature.

Results

The search revealed 8 systematic reviews which document a moderate efficacy of MDT as a treatment for persons with CLBP although some reported restrictions. Analysis of 6 studies that have not yet been included in previous reviews confirmed the findings from these reviews. The comparison of conservative and surgical treatment for CLBP revealed that long-term outcomes hardly differed in quality, whereas surgical treatment was more expensive and contained more and higher risks. References on moderate to high cost-effectiveness of MDT are represented in 3 original studies.

Conclusion

The MDT of CLBP is moderately efficient, purposeful, cost-effective and demonstrate an alternative treatment form to surgical treatment.
Original languageGerman
Pages (from-to)131-149
JournalDer Schmerz: Konzepte, Klinik und Forschung
Volume26
Issue number2
DOIs
Publication statusPublished - 2012

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