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[Efficacy, utility and cost-effectiveness of multidisciplinary treatment for chronic low back pain]
C Rolli Salathé1, A Elfering, M Melloh
1Institut für Psychologie, Universität Bern, Muesmattstr. 45, 3000 Bern, Schweiz. cornelia.rolli@psy.unibe.ch
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.
