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Benditz, Achim ; Loher, Martin ; Boluki, Daniel ; Grifka, Joachim ; Völlner, Florian ; Renkawitz, Tobias ; Maderbacher, Günther ; Götz, Jürgen

Positive medium-term influence of multimodal pain management on socioeconomic factors and health care utilization in patients with lumbar radiculopathy: a prospective study

Benditz, Achim , Loher, Martin, Boluki, Daniel, Grifka, Joachim, Völlner, Florian, Renkawitz, Tobias, Maderbacher, Günther und Götz, Jürgen (2017) Positive medium-term influence of multimodal pain management on socioeconomic factors and health care utilization in patients with lumbar radiculopathy: a prospective study. Journal of Pain Research 2017 (13), S. 237-244.

Veröffentlichungsdatum dieses Volltextes: 05 Apr 2017 06:43
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.35525


Zusammenfassung

Background: Multimodal pain management (MPM) represents a central approach to avoiding surgery in patients with lumbar radiculopathy. Independent of the type of health system, cost effectiveness and socioeconomic factors are becoming increasingly important. This study investigated the medium-term influence of conservative MPM on health care utilization and socioeconomic factors. Methods: This ...

Background: Multimodal pain management (MPM) represents a central approach to avoiding surgery in patients with lumbar radiculopathy. Independent of the type of health system, cost effectiveness and socioeconomic factors are becoming increasingly important. This study investigated the medium-term influence of conservative MPM on health care utilization and socioeconomic factors. Methods: This study compared subjective, objective, and socioeconomic factors of 60 patients after inpatient MPM because of lumbar radiculopathy, before and 1 year +/- 2 weeks after treatment. Results: Over the course of the 1-year follow-up, one-third of the patients had not required any conservative treatment in comparison to 100% of patients before MPM therapy. The number of patients requiring analgesics could be significantly reduced from 26 to 12, and the number of patients who did not require any analgesics had increased from 14 to 32. After 1 year, the number of patients who had to regularly contact a physician because of low back pain (once per month for 6 months) had been reduced from 58 to 27. Conclusion: MPM is an effective approach to treating lumbar radiculopathy and reducing its negative influence on socioeconomic factors. Therapeutic benefits also include a decrease in health care utilization. Therefore, health care providers should place the mid-term success for patients and socioeconomic factors before the short-term costs of therapy.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftJournal of Pain Research
Verlag:DOVE MEDICAL PRESS LTD
Ort der Veröffentlichung:ALBANY
Band:2017
Nummer des Zeitschriftenheftes oder des Kapitels:13
Seitenbereich:S. 237-244
Datum21 Februar 2017
InstitutionenMedizin > Lehrstuhl für Orthopädie
Identifikationsnummer
WertTyp
10.2147/JPR.S128090DOI
Stichwörter / KeywordsLOW-BACK-PAIN; INTERLAMINAR EPIDURAL INJECTIONS; THERAPY; DISEASES; lumbar spinal stenosis; multimodal therapeutic treatment; spinal injection; conservative treatment
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
URN der UB Regensburgurn:nbn:de:bvb:355-epub-355254
Dokumenten-ID35525

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