Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Patient's Perception for Developing Research Questions of a Clinical Practice Guideline of Korean Medicine for Degenerative Lumbar Spinal Stenosis: A Descriptive Cross-Sectional Survey

퇴행성 요추 척추관 협착증의 한의표준임상진료지침 핵심질문 설정에 대한 환자 인식 설문 조사: 단면 설문 연구

  • Choi, Seo Young (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Bae, Ji Min (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Choi, Ji Won (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Yang, Gi Young (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Lee, Byung Ryul (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital) ;
  • Kim, Kun Hyung (Department of Acupuncture & Moxibustion Medicine, Pusan National University Korean Medicine Hospital)
  • 최서영 (부산대학교 한방병원 침구의학과) ;
  • 배지민 (부산대학교 한방병원 침구의학과) ;
  • 최지원 (부산대학교 한방병원 침구의학과) ;
  • 양기영 (부산대학교 한방병원 침구의학과) ;
  • 이병렬 (부산대학교 한방병원 침구의학과) ;
  • 김건형 (부산대학교 한방병원 침구의학과)
  • Received : 2018.08.27
  • Accepted : 2018.09.17
  • Published : 2018.09.27
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Abstract

Objectives : The purpose of this study is to explore patients' perceptions that deserve attention when designing core questions for a clinical practice guideline of Korean medicine(KM) for degenerative lumbar spinal stenosis (LSS). Methods : Patients who had been admitted to Pusan National Korean Medicine Hospital from November 1, 2015 to October 31, 2016 were invited to the survey. Patients were eligible if they were both clinically and radiologically confirmed as degenerative LSS. The structured questionnaire was distributed by mail and outpatient visits. Questions included types of experienced Korean/Western medical interventions for LSS, their perceived effectiveness on symptoms, the necessity for studies of KM for degenerative LSS, the types of KM interventions to be investigated and the types of outcome measures after treatments. Data were descriptively analysed. Results : Twenty of thirty-one invited participants responded to the questionnaire. Acupuncture and herbal medicine were the most frequently used KM interventions. Eighteen respondents reported that KM treatments were helpful for their improvement. Sixteen patients who mentioned that research on KM is needed chose acupuncture as the top priority(88%) among KM interventions. The most important outcomes in the view of nineteen respondents included functional recovery (68%) and pain relief (53%). Thirteen respondents (65%) replied that both short-term and long-term outcome were important for them. Conclusions : Our findings may have limited validity due to the small number of respondents and the potential selection and information bias. Further qualitative studies and large-scale surveys to comprehensively identify patients' views are warranted.

Keywords

References

  1. The textbook of spine. 2nd ed. Korean Spinal Neurosurgery Society: KOONJA. 2013 : 676-88
  2. Covaro A, Vila-Canet G, de Frutos AG, Ubierna MT, Ciccolo F, Caceres E. Management of degenerative lumbar spinal stenosis: an evidence-based review. EFORT open reviews. 2016 ; 1: 267-74. https://doi.org/10.1302/2058-5241.1.000030
  3. Ammendolia C, Stuber KJ, Rok E, Rampersaud R, Kennedy CA, Pennick V et al. Nonoperative treatment for lumbar spinal stenosis with neurogenic claudication. The Cochrane database of systematic reviews. 2013 : Cd010712.
  4. Medical Record Data(2016). National Health Insurance Service. 2018.
  5. Kim KO, Shin KM, Lee JH, Seo BN, Jung SY, Youn YS et al. Nonsurgical Korean Integrative Treatments for Symptomatic Lumbar Spinal Stenosis: A Three-Armed Randomized Controlled Pilot Trial Protocol. Evidence-based Complementary and Alternative Medicine : eCAM. 2016 ; 2016: Article ID 2913248.
  6. Maeda T, Hashizume H, Yoshimura N, Oka H, Ishimoto Y, Nagata K et al. Factors associated with lumbar spinal stenosis in a large-scale, population-based cohort: The Wakayama Spine Study. PloS one. 2018 ; 13: e0200208. https://doi.org/10.1371/journal.pone.0200208
  7. Zaina F, Tomkins-Lane C, Carragee E, Negrini S. Surgical Versus Nonsurgical Treatment for Lumbar Spinal Stenosis. Spine. 2016; 41 : E857-68. https://doi.org/10.1097/BRS.0000000000001635
  8. Kim KH, Kim TH, Lee BR, Kim JK, Son DW, Lee SW et al. Acupuncture for lumbar spinal stenosis: A systematic review and meta-analysis. Complementary Therapies in Medicine. 2013 ; 21 : 535-56. https://doi.org/10.1016/j.ctim.2013.08.007
  9. Kim KH, Kim YR, Noh SH, Kim DH, Yang GY, Baik SK et al. Acupuncture for patients with lumbar spinal stenosis: a randomised pilot trial. ACUPUNCTURE IN MEDICINE. 2016 ; 34 : 267-74. https://doi.org/10.1136/acupmed-2015-010962
  10. Han KW, Kim ES, Woo JH, Lee SJ, Lee JS, Nam JH et al. Original Article: Clinical Observation on 119 Patients with Lumbar Spinal Stenosis Treated with Bee Venom Pharmacopuncture Therapy. J Korean Acupunct Moxib Soc. 2011 ; 28 : 21-31.
  11. Jeong SM, Park CK, Kim KH, Kim JY, Sohn SC. Original Article: The Clinical Study on Effects of Bee Venom Pharmacupuncture Therapy in Patients with Lumbar Spinal Stenosis. J Korean Acupunct Moxib Soc. 2008 ; 25 : 97-106.
  12. Nam SH, Kim DH, Choi HM, Kang JH, Hyun MK. A Case Report of Lumbar Spinal Stenosis Improved with Diarrhea-Inducing Treatment by Gamsui-mal and Korean Medicine Treatment. J Korean Med Rehabil. 2017 ; 27 : 67-75.
  13. Choi HS, Choi YI, Son SK, Choi CW, Im HB, Kim DH et al. The Domestic Trend of Chuna Treatment on Lumbar Spinal Disorder. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2012 ; 7 : 25-38.
  14. Cho JH, Lee HE, Moon JY, Lim MJ, Kang I, Kim JH. The Clinical Study on Spinal Stenosis of Lumbar Spine. The Journal of Korea CHUNA Manual Medicine for Spine & Nerves. 2008 ; 3 : 77-85.
  15. Kim HJ, Lee SH, Choi JH, Noh JH, Kim MY, Jang JW et al. Effects of Traditional Korean Medicine Treatment On Lumbar Spinal Stenosis and Assessing Improvement by Radiological Criteria: An Observational Study. J Acupunct Res. 2017 ; 34 : 172-9. https://doi.org/10.13045/jar.2017.02215
  16. Armstrong MJ, Mullins CD, Gronseth GS, Gagliardi AR. Impact of patient involvement on clinical practice guideline development: a parallel group study. Implementation Science : IS. 2018 ; 13 : 55. https://doi.org/10.1186/s13012-018-0745-6
  17. Boivin A, Currie K, Fervers B, Gracia J, James M, Marshall C et al. Patient and public involvement in clinical guidelines: international experiences and future perspectives. Quality and Safety in Health Care. 2010 ; 19 : e22. https://doi.org/10.1136/qshc.2007.025700
  18. Lee YJ, Shin JS, Lee JH, Kim MR, Ahn YJ, Shin YS et al. Survey of integrative lumbar spinal stenosis treatment in Korean medicine doctors: preliminary data for clinical practice guidelines. BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE. 2017 ; 17 : 0-11.
  19. Choi YJ, Beck SH, Kang WY, Yoo SY, Kim SY, Lee JS et al. Knowledge and Perception about Clinical Research Shapes Behavior: Face to Face Survey in Korean General Public. Journal of Korean Medical Science. 2016 ; 31 : 674-81. https://doi.org/10.3346/jkms.2016.31.5.674
  20. Utilization Status of Korean Medicine and Research on People's Needs for Korean Medicine R&D program. Korea Health Industry Development Institue. 2008 : 62-76.
  21. Clinical Research on the Efficacy of Acupuncture Treatment in Chronic Low Back Pain. Kyung Hee University-Industry Cooperation. 2010.
  22. Basic Report on Korean Medicine Utilization status 2017. National Development Institute of Korean Medicine. 2018 : p. 31.
  23. Edwards TC, Lavallee DC, Bauer Z, Comstock BA, Jarvik JG, Patrick DL et al. Problem areas identified as important to older adults with lumbar spinal stenosis. Spine Journal. 2015 ; 15 : 1636-5. https://doi.org/10.1016/j.spinee.2015.03.008
  24. Lee HS, Son HM, Kim SY, Song MY, Lee JH, Park HJ. Acupuncture Experience in Patients with Chronic Low Back Pain : A Qualitative Study. Korean Journal of Acupuncture. 2010 ; 27 : 183-201.
  25. Kim KO, Jeong YJ, Youn YS, Choi JC, Kim JH, Chung WS et al. Nonoperative Korean Medicine Combination Therapy for Lumbar Spinal Stenosis: A Retrospective Case-Series Study. Evidence-based Complementary & Alternative Medicine (eCAM). 2015 ; 2015 : 1-5.
  26. Developing and assessing Clinical Practice Guidelines - New Developments. Korean Medical Guideline Information center. http://www.guideline.or.kr/ evaluation/index.php?sub=6
  27. Lee WY. In serarch for patient and public involvement in health care policy-making process: case studies of England NHS under new labor government (1998-2009). Korea Social Policy Review. 2012 ; 19 : 175-205. https://doi.org/10.17000/kspr.19.4.201212.175
  28. Kim DI. Email survey in obtaining basic data for the development of clinical practice guideline for infertility in Korean Medicine. The Journal of Oriental Obstetrics & Gynecology. 2010 ; 23 : 80-94.
  29. Kim HW, Kim SS, Nam DW, Kim EJ, Hong KE, Kim SC et al. The E-mail Survey on the Neck Pain for Acupuncture and Moxibustion Clinical Guideline. J Korean Acupunct Moxib Soc. 2009 ; 26 : 67-80.
  30. Yoon EH, Kim EJ, Jung CY, Jang MG, Lee SD, Nam DW et al. E-mail Survey for Developing Clinical Trial Protocol on Acupuncture Treatment for Knee Pain. J Korean Acupunct Moxib Soc. 2009 ; 26 : 59-65.
  31. Kim CE, Do HJ, Song HS, Shin JK, Lee WJ, Kim JH et al. A Web-based Survey for Assessment of Korean Medical Treatment Clinical Practice Patterns for Temporomandibular Disorders. Journal of Korean Medicine rehabilitation. 2018 ; 28 : 73-84.
  32. Park IH, Hwang EH, Hwang MS, Heo I, Kim BJ, Shin BC et al. A Web-based Survey on Clinical Practice Patterns of Korean Medicine Treatment for Traffic Injuries. Journal of Korean Medicine rehabilitation. 2017 ; 27 : 131-45. https://doi.org/10.18325/jkmr.2017.27.4.131
  33. Hsu C, Bluespruce J, Sherman K, Cherkin D. Unanticipated Benefits of CAM Therapies for Back Pain: An Exploration of Patient Experiences. J Altern Complement Med. 2010 ; 16 : 157-63. https://doi.org/10.1089/acm.2009.0188

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