Journal of Korean Medicine Rehabilitation (한방재활의학과학회지)

The society of Korean Medicine Rehabilitation (한방재활의학과학회)
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Development of Korean Medicine Clinical Pathways for Carpal Tunnel Syndrome

손목터널증후군의 한의표준임상경로 개발

  • Hye-Jin Park (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Hyun-Tae Kim (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Sun-Young Park (Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • In Heo (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Man-Suk Hwang (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Byung-Cheul Shin (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital) ;
  • Eui-Hyoung Hwang (Department of Korean Medicine Rehabilitation, Pusan National University Korean Medicine Hospital)
  • 박혜진 (부산대학교한방병원 한방재활의학과) ;
  • 김현태 (부산대학교한방병원 한방재활의학과) ;
  • 박선영 (부산대학교 임상의학 3교실) ;
  • 허인 (부산대학교한방병원 한방재활의학과) ;
  • 황만석 (부산대학교한방병원 한방재활의학과) ;
  • 신병철 (부산대학교한방병원 한방재활의학과) ;
  • 황의형 (부산대학교한방병원 한방재활의학과)
  • Received : 2023.03.22
  • Accepted : 2023.03.31
  • Published : 2023.04.30
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Abstract

Objectives This study aims to develop Korean Medicine Clinical Pathway (CP) based on Clinical Practice Guideline of carpal tunnel syndrome to improve quality of treatment and reduce medical cost to maximize the quality of patient management. Methods A draft version of CP for carpal tunnel syndrome is developed by expert agreement and a prospective case study was carried out based on the draft CP. Twenty experts working at various medical institution answered validity verification survey of developed CP. Fifteen patients enrolled in the prospective case study answered survey on demand and satisfaction. Qualification and adjustment process of the draft CP was conducted based on results of both surveys. Results Final version of CP for carpal tunnel syndrome is confirmed after qualification and adjustment on the draft version. Conclusions CP for carpal tunnel syndrome will provide patients with standardized, high-quality Korean medicine treatment and also reduce financial burden of health insurance by reducing medical cost.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF20C0201).

References

  1. Keith MW, Masear V, Chung KC, Maupin K, Andary M, Amadio PC, Watters III WC, Goldberg MJ, Haralson III RH, Turkelson CM, Wies JL, McGowan R. American Academy of Orthopaedic Surgeons clinical practice guideline on diagnosis of carpal tunnel syndrome. The Journal of Bone and Joint Surgery. 2009;91(10):2478-9.  https://doi.org/10.2106/JBJS.I.00643
  2. Van Rossum J, Pamphuisen HAC, Wintzen AR. Management in the carpal tunnel syndrome: clinical and electromyographical follow-up in 62 patients. Clinical Neurology and Neurosurgery. 1980;82(3):169-76.  https://doi.org/10.1016/0303-8467(80)90034-7
  3. Coffey RJ, Richards JS, Carl S, LeRoy SS, Schoville RR, Baldwin PJ. An introduction to critical paths. Quality Management in Health Care. 2005;14(1):46-55.  https://doi.org/10.1097/00019514-200501000-00006
  4. Lee SI. Overview of critical pathway for its successful development and implementation in Korea. Quality Improvement in Health Care. 1999;6(1):6-11. 
  5. Park HJ, Kim HT, Park SY, Heo I, Hwang MS, Shin BC, Hwang EH. A prospective case series protocol for clinical pathway of carpal tunnel syndrome. J Korean Med Rehabil. 2022;32(4):73-82.  https://doi.org/10.18325/jkmr.2022.32.4.73
  6. Shi Q, MacDermid JC. Is surgical intervention more effective than non-sugrical treatment ofr carpal tunnel syndrome? a systematic review. Journal of Orthopaedic Surgery and Research. 2011;6(1):17-25.  https://doi.org/10.1186/1749-799X-6-17
  7. Shi Q, Bobos P, Lalone EA, Warren L, MacDermid JC. Comparison of the short-term and long-term effects on surgery and nonsurgical intervention in treating carpal tunnel syndrome: a systematic review and meta-analysis. Hand. 2020;15(1):13-22.  https://doi.org/10.1177/1558944718787892
  8. Seo JH, Na SY, Kim KM. Comparison of surgical and conservative treatment in carpal tunnel syndrome. Journal of Electrodiagnosis and Neuromuscular Diseases. 2004;6(2):149-55.