MinT: Cost-effectiveness of minimal interventional procedures for patients with chronic low back pain (WC2011-103)

Background

Starting date: 15/01/2012

Background

Minimal interventional procedures are frequently applied in patients with back pain resulting from single sources: facet, discus, sacroiliac joint or a combination of these (defined as mechanical low back pain). These minimal interventional procedures are an integral part of a multidisciplinary pain program. A recent systematic review issued by the Dutch Health Insurance Council showed that the effectiveness of these procedures for the total group of patients with chronic low back pain is unclear and cost-effectiveness unknown.

To provide this missing evidence, the aim of the study is to evaluate whether a multidisciplinary pain program with minimal interventional procedures is cost-effective compared to the multidisciplinary pain program alone for patients with chronic mechanical low back pain who did not respond to conservative primary care and were referred to a pain clinic.