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.
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.
| Translated title of the contribution | Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain |
|---|---|
| Original language | German |
| Pages (from-to) | 131-149 |
| Journal | Der Schmerz: Konzepte, Klinik und Forschung |
| Volume | 26 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2012 |