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Multidisciplinary Treatment Programs for Patients with Acute or Subacute Pain: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines

Last updated: May 7, 2019
Project Number: RC1109-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of multidisciplinary treatment programs for patients with acute or subacute pain in outpatient settings?
  2. What is the cost-effectiveness of multidisciplinary treatment programs for patients with acute or subacute pain in outpatient settings?
  3. What are the evidence-based guidelines regarding multidisciplinary treatment programs for patients with acute or subacute pain in outpatient settings?

Key Message

One systematic review reported that for subacute low back pain, multidisciplinary treatments were generally statistically significantly more effective than usual care, but with respect to other treatments the comparative effectiveness was unclear; the evidence was reported to be of low or very low quality. A second systematic review reported that there was conflicting evidence on the effectiveness of multimodal care for osteoporotic vertebral compression fracture pain in comparison to no treatment or waitlist.For acute and/or subacute low back pain, three guidelines (two of which were included in a systematic review) suggest that multidisciplinary treatment may be used, however the recommendations were either not graded or what evidence was used to inform the guidelines was unclear. For recent onset neck pain, one guideline suggests that multimodal treatment may be used; however, the recommendation was weak.