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Table 6 Summary of incremental cost effectiveness analysis results

From: Cost-effectiveness of pain management services for chronic low back pain: a systematic review of published studies

Study ID

Intervention/Comparator

Outcome

measure

Intervention cost

Cost difference

Outcome difference

ICER

Skouen 2002 [19] Norway

Multidisciplinary treatment vs usual care

Return to work

NoK 9023

Not reported

Net productivity gain NoK 7,858,100 (USD 924500)

Net productivity gain = NoK 7,240,900(USD 852000)

Rivero-Arias 2005 [22] UK

Intensive rehabilitation vs surgical stabilisation

QALY

£1410

- £3304

- 0.068

48,588 £ per QALY (CE threshold 20,000-30,000£ per QALY)

Smeets 2009 [21] Netherland

Combined treatment vs active physical treatment

RMDS

Not reported

- €456

- 1.23

371 € per one point reduction in RMDS

QALY

0.014

35,060 € per QALY

Combined treatment vs graded activity plus problem solving

RMDS

€4765

- 1.27

(dominated)

QALY

- 0.045

(dominated)

Lambeek 2010 [20] Netherlands

Integrated care vs usual care

Return to work (days)

£1077

£217 (direct cost)

- 68

-3a £ per 1 day earlier return to work

QALY

- £5310 (total cost)

0.09

(dominant)

Johnsen 2014 [18] Norway

Multidisciplinary rehabilitation vs total disc replacement

QALY using EQ-5D

€5977

- €13,506

- 0.34

39748a € per QALY

QALY using SF-6D

0.11

128,328 € per QALY (CE threshold €74,600 per QALY)

  1. aCost effective, NoK Norwegian Krone, QALY quality adjusted life years, USD United States Dollar