caa a22 4500 445832061 CHVBK 20180317145318.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00586-010-1676-3 doi (NATIONALLICENCE)springer-10.1007/s00586-010-1676-3 Cost-effectiveness of guideline-endorsed treatments for low back pain: a systematic review [Elektronische Daten] [Chung-Wei Lin, Marion Haas, Chris Maher, Luciana Machado, Maurits van Tulder] Healthcare costs for low back pain (LBP) are increasing rapidly. Hence, it is important to provide treatments that are effective and cost-effective. The purpose of this systematic review was to investigate the cost-effectiveness of guideline-endorsed treatments for LBP. We searched nine clinical and economic electronic databases and the reference list of relevant systematic reviews and included studies for eligible studies. Economic evaluations conducted alongside randomised controlled trials investigating treatments for LBP endorsed by the guideline of the American College of Physicians and the American Pain Society were included. Two independent reviewers screened search results and extracted data. Data extracted included the type and perspective of the economic evaluation, the treatment comparators, and the relative cost-effectiveness of the treatment comparators. Twenty-six studies were included. Most studies found that interdisciplinary rehabilitation, exercise, acupuncture, spinal manipulation or cognitive-behavioural therapy were cost-effective in people with sub-acute or chronic LBP. Massage alone was unlikely to be cost-effective. There were inconsistent results on the cost-effectiveness of advice, insufficient evidence on spinal manipulation for people with acute LBP, and no evidence on the cost-effectiveness of medications, yoga or relaxation. This review found evidence supporting the cost-effectiveness of the guideline-endorsed treatments of interdisciplinary rehabilitation, exercise, acupuncture, spinal manipulation and cognitive-behavioural therapy for sub-acute or chronic LBP. There is little or inconsistent evidence for other treatments endorsed in the guideline. The Author(s), 2011 Low back pain nationallicence Cost-effectiveness analysis nationallicence Systematic review nationallicence Lin Chung-Wei The George Institute for Global Health and Sydney Medical School, The University of Sydney, Missenden Rd, PO Box M201, 2050, Sydney, NSW, Australia aut Haas Marion Centre for Health Economics Research and Evaluation, The University of Technology, Broadway, PO Box 123, 2007, Sydney, NSW, Australia aut Maher Chris The George Institute for Global Health and Sydney Medical School, The University of Sydney, Missenden Rd, PO Box M201, 2050, Sydney, NSW, Australia aut Machado Luciana Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Av Antônio Carlos 6627, Pampulha, 31270-901, Belo Horizonte, MG, Brazil aut van Tulder Maurits Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University, de Boelelaan 1085, 1081 HV, Amsterdam, The Netherlands aut European Spine Journal Springer-Verlag 20/7(2011-07-01), 1024-1038 0940-6719 20:7<1024 2011 20 586 https://doi.org/10.1007/s00586-010-1676-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-010-1676-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lin Chung-Wei The George Institute for Global Health and Sydney Medical School, The University of Sydney, Missenden Rd, PO Box M201, 2050, Sydney, NSW, Australia aut NATIONALLICENCE 700 1- Haas Marion Centre for Health Economics Research and Evaluation, The University of Technology, Broadway, PO Box 123, 2007, Sydney, NSW, Australia aut NATIONALLICENCE 700 1- Maher Chris The George Institute for Global Health and Sydney Medical School, The University of Sydney, Missenden Rd, PO Box M201, 2050, Sydney, NSW, Australia aut NATIONALLICENCE 700 1- Machado Luciana Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Av Antônio Carlos 6627, Pampulha, 31270-901, Belo Horizonte, MG, Brazil aut NATIONALLICENCE 700 1- van Tulder Maurits Department of Health Sciences and the EMGO Institute for Health and Care Research, Faculty of Earth and Life Sciences, VU University, de Boelelaan 1085, 1081 HV, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/7(2011-07-01), 1024-1038 0940-6719 20:7<1024 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer