Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain

Background: Qualitative criteria, such as efficacy, utility and cost-effectiveness are essential for insurance and reimbursement companies to meet the costs for a multidis-ciplinary treatment (MDT) for persons with chronic low back pain (CLBP). Method: A systematic search concerning the qualitative...

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Main Authors: Rolli Salathé, C., Elfering, A., Melloh, Markus
Format: Journal Article
Published: 2012
Online Access:http://hdl.handle.net/20.500.11937/42597
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author Rolli Salathé, C.
Elfering, A.
Melloh, Markus
author_facet Rolli Salathé, C.
Elfering, A.
Melloh, Markus
author_sort Rolli Salathé, C.
building Curtin Institutional Repository
collection Online Access
description Background: Qualitative criteria, such as efficacy, utility and cost-effectiveness are essential for insurance and reimbursement companies to meet the costs for a multidis-ciplinary 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. © Deutsche Gesellschaft zum Studium des Schmerzes. Published by Springer-Verlag - all rights reserved 2012.
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spelling curtin-20.500.11937-425972017-09-13T14:24:11Z Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain Rolli Salathé, C. Elfering, A. Melloh, Markus Background: Qualitative criteria, such as efficacy, utility and cost-effectiveness are essential for insurance and reimbursement companies to meet the costs for a multidis-ciplinary 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. © Deutsche Gesellschaft zum Studium des Schmerzes. Published by Springer-Verlag - all rights reserved 2012. 2012 Journal Article http://hdl.handle.net/20.500.11937/42597 10.1007/s00482-012-1148-2 restricted
spellingShingle Rolli Salathé, C.
Elfering, A.
Melloh, Markus
Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title_full Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title_fullStr Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title_full_unstemmed Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title_short Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
title_sort efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain
url http://hdl.handle.net/20.500.11937/42597