Lumbar spinal fusion patients’ demands to the primary health sector: evaluation of three rehabilitation protocols. A prospective randomized study

Abstract

ERRATUMThe online version of the original article can be found at http://dx

Management of catastrophising and kinesiophobia improves rehabilitation after fusion for lumbar spondylolisthesis and stenosis. A randomised controlled trial

“…Given the multidimensional nature of pain [9], rehabilitation programmes based on cognitive-behavioural therapies (CBT) have been recommended for subjects with chronic LBP, and are often used in addition to other therapies such as exercise [10,11]. However, the use of CBT and exercise after lumbar fusion is poorly documented and widely debated, and it has been suggested that further evidence is required to improve post-surgical outcomes from a bio-psychosocial perspective [12][13][14][15][16].…”

Health economic evaluation in lumbar spinal fusion: a systematic literature review anno 2005

“…From an economic theoretical point of view, the relevant perspective for economic evaluation in spinal fusion is a societal perspective: the costs of production loss from absenteeism and disability constitute an economic impact which greatly exceeds those of the diagnostic, therapeutic and treatment regimens [26,28]. It is also evident that the cost-effectiveness of an in-hospital treatment cannot be determined without considering the extra-hospital service utilization, as demonstrated in a recent study of service utilization after lumbar spinal fusion and in-hospital rehabilitation [38]. However, when budgets are already earmarked for spinal fusion and the goal is to maximize the gain of health effects within an allocated budget, an administrator's (hospital management's) perspective is justified.…”