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[Interdisciplinary treatment. Long-lasting, effective, and cost-effective]
1Tagesklinik, DRK Schmerz-Zentrum, Mainz, Deutschland. bernd.nagel@drk-schmerz-zentrum.de
Der Orthopade
|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.
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.
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