Low Back Pain

CTAF, ICER, Washington State

ICER will develop a report assessing the comparative clinical effectiveness and value of certain non-pharmacologic, non-invasive interventions for chronic low back and neck pain. The report will be the subject of a October 19, 2017 meeting of the California Technology Assessment Forum.

Interventions of Interest:

Acupuncture
Cognitive behavioral therapy
Mindfulness
Yoga
Tai Chi

Date of review: October 2017

ASSOCIATED MEETING & MATERIALS

CTAF
October 19, 2017 TBD

California TBD

ICER will review evidence on the comparative clinical effectiveness and value of certain cognitive and mind-body interventions for chronic low back and neck pain.

Key Dates

Associated Materials

03/20/2017 – 04/05/2017

04/10/2017

04/10/2017

04/10/2017 – 04/28/2017

05/08/2017

07/11/2017

08/15/2017
Draft Evidence Report

08/15/2017
Draft Voting Questions

08/15/2017 – 09/12/2017
Public Comments

10/04/2017
Response to Comments

10/04/2017
Evidence Report

10/04/2017
Revised Voting Questions

11/02/2017
Final Evidence Report and Meeting Summary


ASSOCIATED MEETING & MATERIALS

ICER, Washington State

Low back disorders are an exceedingly common complaint, with a lifetime prevalence ranging from 54-80%.  Chronic low back pain may be seen in 25-60% of patients one year or longer after an initial episode.  The economic impact of low back pain is substantial.  It is the fifth most common reason for all physician visits in the U.S., and is responsible for direct medical costs that approach $30 billion annually.  In addition, low back pain is a major cause of lost productivity; it is estimated that 2% of the U.S. work force is compensated for back pain or injury each year.

Intervention of interest: Lumbar fusion

Date of review: October 2015

Interventions of interest:

Automated percutaneous  lumbar discectomy
Coblation nucleoplasty
Epidural steroid injections
Intradiscal electrothermal therapy
Interdisciplinary rehabilitation programs that combine physical therapy, exercise, workplace interventions, and cognitive retraining
Interspinous spacer systems
Laminectomy
Radiofrequency denervation
Spinal fusion
Surgical lumbar discectomy

Date of review: June 2011

Key Dates

Associated Materials

Other Materials

Other Evidence Review Group Members