Can We Change Health Care Costs in Patients With Complex Back Pain?: Results From a 5-year Before and After Study.

Study Design: A before and after study cohort study.

Objectives: The aim of this study was to examine changes in health care costs after multidisciplinary spine care in patients with complex chronic back pain (CBP), to analyze the predictive value of patient and disease characteristics on health care costs, and to study the potential impact of biases concerning the use of real world data.

Summary Of Background Data: Due to high direct and indirect societal costs of back pain there is a need for interventions that can assist in reducing the economic burden on patients and society.