Article Text

SAT0417 Cost-Effectiveness of Inpatient and Outpatient Physical Therapy of Patients with Lumbar Intervertebral Disc Herniation
  1. F. Ö. Özet1,
  2. D. evcik2,
  3. S. ay1,
  4. S. koldaş doğan3,
  5. S. yüksel4
  1. 1Ufuk University School Of Medicine
  2. 22. Ankara University, Haymana Vocational School, Ankara
  3. 3Antalya Training and Research Hospital, antalya
  4. 4Yıldırım Beyazıt University School of Medicine, Ankara, Turkey


Background Low back pain is a common health problem and is quite important because of high costs due to direct and indirect costs for the community (1,2)

Objectives The aim of this study is to compare cost-effectiveness of inpatient and outpatient physical therapy programs for patients with lumbar intervertebral disc herniation.

Methods Sixty patients withlumbar intervertebral disc herniation diagnosed by using Magnetic Resonance Imaging were included in the study. Patients were divided into two groups; Group 1 (n=30) received inpatient Physical therapy program (electrotherapy, superficial-deep heat administration and basic lumbar exercise program) and group 2 (n=30) received outpatient physical therapy program (the same treatment schedule). Assessment parameters were pain, functional capacity and quality of life(QoL). Pain intensity, patients’ global assesment and doctor’s global assessment were measured with visual analog scale (VAS), functional capacity with Rolland Morris disability questionnaire and QoL with short form 36 (SF-36). The expenses spent were calculated as direct health, direct non-health and indirect costs. All expenditures and all measurements were assessed for five times during the entire study: before treatment, just after treatment, and after first, third and sixth months of the treatment.

Results In our study, we found that out-patient treatment had the the lowest cost compared to inpetient group. The estimated total costs for 6 months of out-patient and in-patient treatments were1.804,330TL (approximately 753.195 EUR) and 3.885,943TL (approximately 1.621,98 EUR) respectively. Total utilities of these treatments were 2,28 and 3,16 respectively. An additional 2.359,179TL (approximately 984 EUR) per one patient were gained compaired to in-patient treatment

Conclusions This study suggested that physical therapy programs were effective in the treatment of lumbar intervertebral disc herniation. However, inpatient physical therapy program was more cost and more effective than outpatient physical therapy program


  1. Critchley DJ, Ratcliffe J, Noonan S, Jones RH, Hurley MV. Effectiveness and cost-effectiveness of three types of physiotherapy used to reduce chronic low back pain disability: a pragmatic randomized trial with economic evaluation. Spine (Phila Pa 1976). 2007 Jun 15;32(14):1474-81.

  2. Maas ET, juch JN, Groeneweg JG, Ostelo RW, Koes BW, Verhogen AP, van Raamt M, Wille F, Huygen FJ, van Tulder MW. Cost-effectiveness of minimal interventional procedures for chronic mechanical low back pain: design of four randomized controlled trials with an economic evalution BMJ Musculoskelet disord 2012 Dec 28;13:260


Disclosure of Interest None Declared

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