Appropriateness and efficacy of Spa therapy for musculoskeletal disorders. A Delphi method consensus initiative among experts in Italy

作者：Paoloni Marco^*; Bernetti Andrea; Brignoli Ovidio; Coclite Daniela; Fraioli Antonio; Masiero Stefano; Napoletano Antonello; Quirino Nicola; Rengo Franco; Ruosi Carlo; Viora Ugo; Vitale Marco; Santilli Valter

来源：Annali dell'Istituto Superiore di Sanita, 2017, 53(1): 70-76.

DOI：10.4415/ANN_17_01_13

• Spa therapy
• musculoskeletal disease
• balneotherapy
• muds
• peloids
• Delphi studies
• consensus development

Objective. The aim of the study was to identify the main aspects concerning appropriateness and efficacy of Spa therapy for musculoskeletal pathologies.
Methods. A committee of 8 experts from Italian universities, public hospitals, territorial services, research institutes and patient associations was set up. Clinicians from Italian medical centers specialized in rheumatology, rehabilitation and thermal medicine took part in a Delphi process aimed at obtaining consensus statements among the participants.
Results. Large consensus was obtained for statements grouped under the following main themes: treatment indications; choice of treatment modality and treatment efficacy.
Conclusions. The experts developed a number of consensus statements which may be used as a practical reference to guide the choice of physicians to treat musculoskeletal diseases with Spa therapy.

• 出版日期2017