Characteristics and status of Korean medicine use in whiplash-associated disorder patients
Abstract Background Patients are free to choose conventional or Korean medicine treatment under the dual medical system in Korea, and the prevalence of patients who choose Korean medicine treatment for whiplash-associated disorders (WADs) is high. This study analyzed the sociodemographic characteris...
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| Format: | Article |
| Language: | English |
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BMC
2018-04-01
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| Series: | BMC Complementary and Alternative Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s12906-018-2188-7 |
| _version_ | 1828466779095040000 |
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| author | Nohyeon Kim Byung-Cheul Shin Joon-Shik Shin Jinho Lee Yoon Jae Lee Me-riong Kim Eui-Hyoung Hwang Chan Yung Jung Diana Ruan In-Hyuk Ha |
| author_facet | Nohyeon Kim Byung-Cheul Shin Joon-Shik Shin Jinho Lee Yoon Jae Lee Me-riong Kim Eui-Hyoung Hwang Chan Yung Jung Diana Ruan In-Hyuk Ha |
| author_sort | Nohyeon Kim |
| collection | DOAJ |
| description | Abstract Background Patients are free to choose conventional or Korean medicine treatment under the dual medical system in Korea, and the prevalence of patients who choose Korean medicine treatment for whiplash-associated disorders (WADs) is high. This study analyzed the sociodemographic characteristics and medical service use in this population to provide healthcare providers with basic usage information of complementary and alternative medicine for WAD. Methods A total of 8291 outpatients who registered under automobile insurance coverage and visited the main branch of Jaseng Hospital of Korean Medicine from April 1, 2014 to August 10, 2016 were included. Data on sociodemographic characteristics, symptoms, and accident and treatment-related details were collected from electronic medical records. Univariate and multivariate regression analyses were performed to identify baseline factors predictive of total treatment duration. Results The most prevalent demographic of patients who chose Korean medicine for WAD treatment was males in their thirties whose initial visit to the hospital was 16.1 ± 94.1 days from the accident. Neck pain accompanied by low back pain (57.0%) was the most common complaint, and for singular pain, neck pain (13.5%) was the most prevalent. Baseline numeric rating scale (NRS) pain levels were generally moderate (4–6) regardless of area. Patients received 7.2 ± 10.2 sessions of treatment for 32.6 ± 55.3 days. The most commonly prescribed treatment modalities in order of highest frequency were acupuncture, cupping, pharmacopuncture, and herbal medicine, which collectively accounted for > 90% of treatments. Acupuncture was administered 29.0 ± 40.8 times, and cupping 14.0 ± 18.7 times as the two highest frequency treatments. In multivariate regression analysis, longer treatment periods were found to be associated with higher NRS, older age, and delayed initial visits at baseline. Conclusions This study highlights the characteristics and Korean medicine use of WAD patients. These results are particularly relevant and informative for consideration of personal preferences and effective prioritization in further insurance coverage. |
| first_indexed | 2024-12-11T03:55:36Z |
| format | Article |
| id | doaj.art-5715e4be14a84b5593a86b7d67dac5fd |
| institution | Directory Open Access Journal |
| issn | 1472-6882 |
| language | English |
| last_indexed | 2024-12-11T03:55:36Z |
| publishDate | 2018-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Complementary and Alternative Medicine |
| spelling | doaj.art-5715e4be14a84b5593a86b7d67dac5fd2022-12-22T01:21:48ZengBMCBMC Complementary and Alternative Medicine1472-68822018-04-0118111010.1186/s12906-018-2188-7Characteristics and status of Korean medicine use in whiplash-associated disorder patientsNohyeon Kim0Byung-Cheul Shin1Joon-Shik Shin2Jinho Lee3Yoon Jae Lee4Me-riong Kim5Eui-Hyoung Hwang6Chan Yung Jung7Diana Ruan8In-Hyuk Ha9Jaseng Spine and Joint Research Institute, Jaseng Medical FoundationThird Division of Clinical Medicine, School of Korean Medicine, Pusan National UniversityJaseng Spine and Joint Research Institute, Jaseng Medical FoundationJaseng Spine and Joint Research Institute, Jaseng Medical FoundationJaseng Spine and Joint Research Institute, Jaseng Medical FoundationJaseng Spine and Joint Research Institute, Jaseng Medical FoundationThird Division of Clinical Medicine, School of Korean Medicine, Pusan National UniversityCollege of Korean Medicine, Dongguk UniversityColumbia University College of Physicians and Surgeons, Columbia University Medical CenterJaseng Spine and Joint Research Institute, Jaseng Medical FoundationAbstract Background Patients are free to choose conventional or Korean medicine treatment under the dual medical system in Korea, and the prevalence of patients who choose Korean medicine treatment for whiplash-associated disorders (WADs) is high. This study analyzed the sociodemographic characteristics and medical service use in this population to provide healthcare providers with basic usage information of complementary and alternative medicine for WAD. Methods A total of 8291 outpatients who registered under automobile insurance coverage and visited the main branch of Jaseng Hospital of Korean Medicine from April 1, 2014 to August 10, 2016 were included. Data on sociodemographic characteristics, symptoms, and accident and treatment-related details were collected from electronic medical records. Univariate and multivariate regression analyses were performed to identify baseline factors predictive of total treatment duration. Results The most prevalent demographic of patients who chose Korean medicine for WAD treatment was males in their thirties whose initial visit to the hospital was 16.1 ± 94.1 days from the accident. Neck pain accompanied by low back pain (57.0%) was the most common complaint, and for singular pain, neck pain (13.5%) was the most prevalent. Baseline numeric rating scale (NRS) pain levels were generally moderate (4–6) regardless of area. Patients received 7.2 ± 10.2 sessions of treatment for 32.6 ± 55.3 days. The most commonly prescribed treatment modalities in order of highest frequency were acupuncture, cupping, pharmacopuncture, and herbal medicine, which collectively accounted for > 90% of treatments. Acupuncture was administered 29.0 ± 40.8 times, and cupping 14.0 ± 18.7 times as the two highest frequency treatments. In multivariate regression analysis, longer treatment periods were found to be associated with higher NRS, older age, and delayed initial visits at baseline. Conclusions This study highlights the characteristics and Korean medicine use of WAD patients. These results are particularly relevant and informative for consideration of personal preferences and effective prioritization in further insurance coverage.http://link.springer.com/article/10.1186/s12906-018-2188-7Whiplash injuriesComplementary therapiesIntegrative medicineAcupunctureBee venomsHerbal medicine |
| spellingShingle | Nohyeon Kim Byung-Cheul Shin Joon-Shik Shin Jinho Lee Yoon Jae Lee Me-riong Kim Eui-Hyoung Hwang Chan Yung Jung Diana Ruan In-Hyuk Ha Characteristics and status of Korean medicine use in whiplash-associated disorder patients BMC Complementary and Alternative Medicine Whiplash injuries Complementary therapies Integrative medicine Acupuncture Bee venoms Herbal medicine |
| title | Characteristics and status of Korean medicine use in whiplash-associated disorder patients |
| title_full | Characteristics and status of Korean medicine use in whiplash-associated disorder patients |
| title_fullStr | Characteristics and status of Korean medicine use in whiplash-associated disorder patients |
| title_full_unstemmed | Characteristics and status of Korean medicine use in whiplash-associated disorder patients |
| title_short | Characteristics and status of Korean medicine use in whiplash-associated disorder patients |
| title_sort | characteristics and status of korean medicine use in whiplash associated disorder patients |
| topic | Whiplash injuries Complementary therapies Integrative medicine Acupuncture Bee venoms Herbal medicine |
| url | http://link.springer.com/article/10.1186/s12906-018-2188-7 |
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