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[Interdisciplinary treatment. Long-lasting, effective, and cost-effective].

B Nagel¹, J Korb

¹Tagesklinik, DRK Schmerz-Zentrum, Mainz, Deutschland. bernd.nagel@drk-schmerz-zentrum.de

|September 17, 2009

Summary

Intensive pain management programs significantly improve chronic low back pain, reducing pain, disability, and improving well-being. This effective treatment is also cost-effective, offering substantial savings for patients with high disability levels.

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Area of Science:

Pain Management
Health Economics
Rehabilitation Medicine

Background:

Intensive interdisciplinary pain management programs are effective for chronic low back pain.
The cost-effectiveness of these programs remains a debated topic.
Previous studies have not conclusively determined the economic benefits.

Purpose of the Study:

To evaluate the long-term efficacy and cost-effectiveness of an intensive outpatient pain management program.
To assess improvements in pain, functional impairment, and mental well-being.
To determine the economic impact on employed patients and overall healthcare costs.

Main Methods:

A cohort of 575 patients with chronic nonspecific back pain participated in an outpatient program.
Complete follow-up data were analyzed for 351 patients one year post-treatment.
Cost-effectiveness was calculated based on pain-related costs and Von Korff pain grades.

Main Results:

Significant improvements were observed in pain, impairment, and mental well-being after one year.
For employed patients, the number of sick days decreased by approximately 75%.
The treatment resulted in an estimated annual saving of €3,329.50 per patient.

Conclusions:

Intensive multidisciplinary treatment for chronic back pain is highly effective.
The program demonstrates significant cost-effectiveness, particularly for patients with high disability levels.
This approach offers a valuable and economically viable solution for managing chronic back pain.