Reversal of Chronic Fatigue Induced Alterations by Sesamol in Mice: Evidence for Involvement of Oxidative Stress And Inflammatory Pathway.

PND10 AssessmeNt of outPAtieNt PhysiotherAPy services iN DiseAses of the Nervous system iN huNgAry Molics B.1, Hanzel A.1, Kiss G.1, Járomi M.1, Cs. Horváth Z.2, Sebestyén A.3, Boncz I.1 1University of Pécs, Pécs, Hungary, 2National Institute for Qualityand Organizational Development in Healthcare and Medicines, Pécs, Hungary, 3National Health Insurance Fund Administration, Pécs, Hungary Objectives: The purpose of our study is to assess the frequency related to Diseases of the nervous system within out-patient care and determine the total health care expenses of them in Hungary in 2009. METHODS: CONCLUSIONS: MethOds: Data were derived from the nationwidewide database of Hungarian National Health Insurance Fund Administration (NHIFA), based on official reports of outpatient care institutes. The 151 different types of treatment codes are listed in the chapter of the Guidelines of NHIFA for `Physiotherapists, massage-therapists, conductors and other physiotherapy practices`. The diseases of the nervous system are listed in the International Classification of Diseases (ICD) with code of G00-G99. Results: Diseases of the nervous system account for 1.331.675 cases in the annual number of the physiotherapy-related activities (32318413 cases) showing an approximately 4,12% prevalence. The following top-10 medical procedure were responsible for 48.48% (645562) of total activities: individual training (7.79 %), passive motion therapy on multiple limbs (6.24%),selective nerve stimulation therapy (5.89%), muscle strengthening exercise (5.82%), training for circulation improvement (4.6%), parts of the body per individual physiotherapy (4.19%), ergotherapy (3.78%), exercise to prevention of cardiovascular complications (3.68%), Hand massage (3.53%), electrotherapy facial nerve (2.96%). The total financial cost of all of the physiotherapeutic treatments provided in diseases of the nervous system was 388 million Hungarian Forint (1.25 million Euro) health insurance subsidy in 2009. cOnclusiOns: The 20 most frequent treatments accounts for 71.72 % (955073) of total services. The passive procedures are more common than the active in the 20 most commonly used activities list. Our results could be extremely useful for economic evaluation of the health care system and in the financial planning of the treatments of the studied diseases of the nervous system.