{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T15:09:15Z","timestamp":1781708955384,"version":"3.54.5"},"reference-count":0,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2001,5,4]],"date-time":"2001-05-04T00:00:00Z","timestamp":988934400000},"content-version":"unspecified","delay-in-days":489,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Technol Assess Health Care"],"published-print":{"date-parts":[[2000,1]]},"abstract":"<jats:p><jats:bold>Objective:<\/jats:bold> Extracorporeal shock wave therapy (ESWT) as an emerging \ntechnology in orthopedics has been assessed in Austria with the objective to \nestablish a scientific basis for pending and pressing health policy decisions. \nDespite encouraging results within some indications and the promising prospect \nof a noninvasive treatment for some orthopedic diseases, it seemed crucial to \nassess this new field of application in the light of evidence-based standards, \nwithout forgetting the reality of healthcare decisions. This article presents \nthe results of the abovementioned assessment in the context of the \npolicy-making process in Germany, Austria, and Switzerland.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> The study is based on an overview of the already existing \nreviews on the effectiveness of ESWT as carried out by different actors \n(health insurances and orthopedists), and on an overview of additional \nliterature covering all relevant aspects (mode of action, recommendations, \neconomic estimates). Orthopedic societies, several institutions involved in \nhealth technology assessment, and health insurance agencies were contacted in \nsearch of further relevant literature, ongoing studies, and assessments.<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> Until now, clear evidence has not been available on the \neffectiveness of ESWT in four currently recommended indications (tendinosis \ncalcarea of the shoulder, epicondylopathia humeri radialis, calcaneal spur, \nand pseudarthrosis), although a substantial body of literature has been \nproduced. Despite encouraging results in some indications, the lack of \ncoherent therapy schemes and the poor quality in the design of clinical \nstudies has been serious enough to hinder the drawing of reasonable \nconclusions.<\/jats:p><jats:p><jats:bold>Conclusions:<\/jats:bold> Due to the rapid diffusion of ESWT and the pressure \non reimbursement agencies to prove the ineffectiveness of ESWT, the policy \noption of a pragmatic approach is recommended to controll the diffusion of an \nuncertain health technology, alongside active research that would allow a more \ncomprehensive appraisal of this potentially interesting treatment strategy in \northopedics.<\/jats:p>","DOI":"10.1017\/s0266462300161173","type":"journal-article","created":{"date-parts":[[2002,7,27]],"date-time":"2002-07-27T09:17:11Z","timestamp":1027761431000},"page":"199-209","source":"Crossref","is-referenced-by-count":32,"title":["EXTRACORPOREAL SHOCK WAVE THERAPY IN ORTHOPEDICS"],"prefix":"10.1017","volume":"16","author":[{"given":"Claudia","family":"Wild","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Khene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan","family":"Wanke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2001,5,4]]},"container-title":["International Journal of Technology Assessment in Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0266462300161173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,9]],"date-time":"2019-05-09T15:28:58Z","timestamp":1557415738000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0266462300161173\/type\/journal_article"}},"subtitle":["Assessment of an \nEmerging Health Technology"],"short-title":[],"issued":{"date-parts":[[2000,1]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2000,1]]}},"alternative-id":["S0266462300161173"],"URL":"https:\/\/doi.org\/10.1017\/s0266462300161173","relation":{},"ISSN":["0266-4623","1471-6348"],"issn-type":[{"value":"0266-4623","type":"print"},{"value":"1471-6348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2000,1]]}}}