Basically, a sump would be the best in every respect other then maybe cost and space. Space is the main reason people use a back mount setup. I'm guessing that you mean a hang of back (
HOB) system compared to a sump that is just built into the back part of the tank on the inside. A larger out of tank sump would be the best as far as maintenance as its would be most likely under the tank allowing you to reach it easier and larger so you have more room to work. As far as efficient it would be better since you could have more stuff to clean the water and you would have more water to keep it stabler.