Intrathecal baclofen pump for spasticity: an evidence-based analysis
Medical Advisory Secretariat
Record ID 32005001142
English
Authors' objectives:
This study reviews the literature to assess the effectiveness and cost-effectiveness of intrathecal baclofen to treat patients who have intractable spasticity uncontrolled by drug therapy, or who experience intolerable side effects to oral baclofen.
Authors' recommendations:
Level 2 evidence supports the effectiveness of intrathecal baclofen infusion for the short-term reduction of severe spasticity in patients who are unresponsive or cannot tolerate oral baclofen.
Level 3 evidence supports the effectiveness of intrathecal baclofen for the long-term reduction of severe spasticity in patients who are unresponsive or cannot tolerate oral baclofen.
Level 4 qualitative evidence demonstrates functional improvement for patients who are unresponsive or cannot tolerate oral baclofen.
Intrathecal baclofen is cost-effective with costs which may or may not be avoided in the Ontario health system.
True functional use remains to be determined.
Authors' methods:
Systematic review
Details
Project Status:
Completed
Year Published:
2005
URL for published report:
http://www.health.gov.on.ca/english/providers/program/mas/tech/reviews/pdf/rev_pump_081605.pdf
URL for additional information:
http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ohtas-reports-and-ohtac-recommendations/intrathecal-baclofen-pumps-for-spasticity
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Baclofen
- Brain Injuries
- Cerebral Palsy
- Infusion Pumps, Implantable
- Multiple Sclerosis
- Muscle Relaxants, Central
- Muscle Spasticity
- Spinal Cord Injuries
Contact
Organisation Name:
Medical Advisory Secretariat
Contact Address:
Medical Advisory Secretariat, 20 Dundas Street West, 10th Floor, Toronto, ON M5G 2N6 CANADA. Tel: 416-314-1092l; Fax: 416-325-2364;
Contact Name:
MASinfo.moh@ontario.ca
Contact Email:
MASinfo.moh@ontario.ca
Copyright:
Medical Advisory Secretariat, Ontario Ministry of Health and Long-Term Care
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.