Article Text

THU0348 Cost-Effectiveness of Physical Therapy Program in Cervical Intervertebral Disc Herniation
  1. Ö.F. Sapmaz1,
  2. D. Evcik2,
  3. S. Ay1,
  4. S. Koldaş Doğan3,
  5. S. Yüksel4
  1. 1Physical Medicine And Rehabilitatiton, Ufuk University School Of Medicine
  2. 2Department of Therapy and Rehabilitatiton, Ankara University, Haymana Vocational School, Ankara
  3. 3Physical Medicine And Rehabilitatiton, Antalya Training and Research Hospital, Antalya
  4. 4Department of Biostatistics and Bioinformatics, Yıldırım Beyazıt University School of Medicine, Ankara, Turkey


Background Neck pain is a common health problem and is quite important because of high costs due to direct and indirect economic losts 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 cervical intervertebral disc herniation.

Methods Fifty nine patients with cervical intervertebral disc herniation diagnosed based on physical examination and 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 cervical exercise program), and group 2 (n=29) received outpatient physical therapy program (the same treatment schedule. Assessment parameters were pain, functional capacity and quality of life (QoL). Patients' global assesment and doctor's global assessment were also measured. Pain intensity, patients' - doctor's global assessment were measured with visual analog scale (VAS). Functional capacity was assesed with neck disability index 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 inpatient group. The estimated total costs for 6 months of out-patient and in-patient treatments were 3.058,99 TL (approximately 1.016,27 EUR) and 4.938,00 TL (approximately 1.640,53 EUR) respectively. Total utilities of these treatments were 0.69 and 0.72 respectively. An additional 1.897,01 TL (approximately 630 EUR) per one patient were gained compaired to inpatient treatment

Conclusions This study suggested that physical therapy programs were effective in the treatment of pain and functional capacity in cervical intervertebral disc herniation patients. However, inpatient physical therapy program was found to have higher cost and more effective than outpatient physical therapy program


  1. Wohns R.Surg Neurol.Int. 2010;1:77 Safety and cost-effectiveness of outpatient cervical disc artroplasty

  2. Kızıl, R Turkiye Klinikleri J PM&R-Special Topics 2009;2(3):35-43 Servikal Disk Hernileri

Disclosure of Interest : None declared

DOI 10.1136/annrheumdis-2014-eular.1925

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