The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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A Survey on Treatment Trend for Allergic Rhinitis in Korean Medicine Clinic

알레르기 비염의 한의 진료 현황 설문조사

  • Kim, Young-Eun (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Jeong, Ui-Min (Clinical Research Division, Korea Institute of Oriental Medicine) ;
  • Lee, Dong-Hyo (Dept. of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Woosuk University)
  • 김영은 (한국한의학연구원, 미병연구단) ;
  • 정의민 (한국한의학연구원, 임상연구부) ;
  • 이동효 (우석대학교 한의과대학 한방안이비인후피부과학교실)
  • Received : 2017.10.16
  • Accepted : 2017.11.16
  • Published : 2017.11.25
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Abstract

Objectives : The purpose of this study was to investigate the treatment trend for allergic rhinitis in Korean Medicine. Methods : We conducted an online survey for Korean Medicine Doctors who were registered in the association of Korean Medicine. The questionnaire was consisted of patient characteristics, diagnosis status, treatment status, and future research needs. Results : Data from total of 396 respondents were analyzed. More than 70% of the patient came to the Korean Medicine Clinic after visiting the Western Medicine Clinic in 43.9% of the respondents. 55.6% of the respondents performed combination therapy. History taking, nasal examination, x-ray, and Korean Medicine diagnostic test were used for diagnosis. The mean duration of treatment ranged from $4.9{\pm}2.91$ to $15.2{\pm}8.45$ for pediatric and early childhood patients and from $17.5{\pm}16.15$ to $5.3{\pm}3.85$ weeks for adolescents and adult patients. The mean number of treatment times was from $9.8{\pm}7.00$ to $33.5{\pm}24.45$ for pediatric and early childhood patients and from $10.8{\pm}11.55$ to $40.4{\pm}48.18$ times for adolescents and adult patients. 64.5%, 48.0%, and 91.2% of the respondents used herbal medication in national health insurance coverage, herbal medication uninsured in health insurance and herbal prescription filled at each medical institution, respectively for pediatric and early childhood patients and 67.6%, 42.8% and 86.1% for adolescents and adult patients. 36.9% and 36.4% of respondents answered that the study of acupuncture and herbal medicine are needed preferentially. Conclusions : The results of this survey will be used to develop clinical practice guideline that reflect actual clinical practice.

Keywords

References

  1. Greiner AN, Hellings PW, Rotiroti G, Scadding GK. Allergic rhinitis. Lancet. 2012;378:2112-22.
  2. The Ministry of Health and Welfare. Korea national health and nutrition examination survey 2015. [National approval statistics 11702] [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://kosis.kr/statHtml/ statHtml.do?orgId=117&tblId=DT_11702_N11 8&conn_path=I2.
  3. Kim CW. Current Update on Allergic Rhinitis. Korean journal of internal medicine. 2012;82(3):298-303.
  4. Kim YH, Yang HJ, Choi JH, Kim DK, Yoo Y, Lee B, et al. Clinical diagnostic guidelines for allergic rhinitis: medical treatment. J Korean Med Assoc. 2017;60(2):183-93. https://doi.org/10.5124/jkma.2017.60.2.183
  5. Ng KH, Chong D, Wong CK, Ong HT, Lee CY, Lee BW, et al. Central nervous system side effects of first- and second-generation antihistamines in school children with perennial allergic rhinitis: a randomized, double-blind, placebo-controlled comparative study. Pediatrics. 2004;113(2):e116-21. https://doi.org/10.1542/peds.113.2.e116
  6. Bousquet J, Cauwenberge PV, Bachert C, Canonica GW, Demoly P, Durham SR, et al. Requirements for medications commonly used in the treatment of allergic rhinitis. Allergy. 2003;58:192-7. https://doi.org/10.1034/j.1398-9995.2003.00054.x
  7. Hellings PW, Fokkens WJ, Akdis C, Bachert C, Cingi C, Dietz de Loos D, et al. Uncontrolled allergic rhinitis and chronic rhinosinusitis: where do we stand today. Allergy. 2012;DOI:10.1111/all.12040.
  8. Leonard B. Complementary and alternative therapies for allergic rhinitis and conjunctivitis. [UpToDate Topic 16359 Version 8.0] [cited 2017 May 15];1(1):[1 screen] Available from: URL : http://www.uptodate.com/ contents/complementary-and-alternative-therap ies-for-allergic-rhinitis-and-conjunctivitis.
  9. The Ministry of Health and Welfare. Report on the usage and consumption of Korean medicine 2012. [National approval statistics 117087] [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://kosis.kr/statHtml/ statHtml.do?orgId=117&tblId=DT_11787_N01 1&conn_path=I2.
  10. The Ministry of Health and Welfare. Report on the usage and consumption of Korean medicine 2014. [National approval statistics 117087] [cited 2017 May 15];1(1):[2 screens] Available from: URL: http://kosis.kr/statHtml/ statHtml.do?orgId=117&tblId=DT_11787N_00 02&conn_path=I2.
  11. Kim DK, Kim YH, Kim JH, Park EJ, Baek JH, Lee SY, et al. Pediatrics in Korean medicine. 1st rev. ed. Seoul:Jungdam. 2002: 28-31.
  12. Jang BH, Cho IH, Kim KS, Kim HT, Kim KJ, Kim MH, et al. Current status of allergic rhinitis patients in Korean Medicine hospitals - Exploratory study based on electronic medical records of 3 hospitals. The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology. 2014;27(1):117-29. https://doi.org/10.6114/jkood.2014.27.1.117
  13. Kim NK, Lee DH, Seo ES, Choi EJ, Jang BH, Cho IH, et al. Treatment packages of persistent allergic rhinitis for developing PRCT protocols : An expert survey. Kor J Oriental Preventive Medical Society. 2013;17(3):143-53.
  14. Park JH, Baek SM, Moon SJ, Seo HJ, Kim SG, Lee M, et al. The use of complementary and alternative medicine in parents of children and adolescents with allergic diseases: community-based survey. J Korean Orient Pediatr. 2012;26(3):64-73. https://doi.org/10.7778/jpkm.2012.26.3.064
  15. The Ministry of Health and Welfare. Statistical yearbook of health and welfare 2016 No 62. 1st rev ed. Sejong:Inbooker. 2016:12-3.
  16. The Ministry of Health and Welfare. Statistical yearbook of health and welfare 2013 No 59. 1st rev ed. Seoul:Gyemun. 2013:12-3.
  17. The society of Korean medicine. A Study on the evaluation and activation plan of the Korean medicine specialist system. [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://www.prism.go.kr/homepage/entire/retrie veEntireDetail.do;jsessionid=DF6426EA9C1323 01B408C28E1579BA04.node02?cond_research_ name=&cond_research_start_date=&cond_rese arch_end_date=&research_id=1351000-2014001 01&pageIndex=592&leftMenuLevel=160.
  18. The Ministry of Health and Welfare. Number of patient with allergic disease by age group. [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://www.mohw.go.kr/m/noticeView. jsp?MENU_ID=0403&cont_seq=332411&page=7.
  19. Park YJ, Seul JL, Yoon JY, Sung MM. A survey on parent's recognition and utilization patterns of oriental medical care of preschool students in Seong-Dong district. J Korean Oriental Pediatrics. 2011;25(1):90-110.
  20. Kwon YK. Preliminary study on the discovery of targeted diseases in Korea and Western cimbined medicine considering the effectiveness of treatment. [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://www.prism.go.kr/homepage/theme/retrie veThemeDetail.do?leftMenuLevel=110&cond_brm_super_id=NB000120061201100060495&rese arch_id=1351000-201300071.
  21. Brozek JL, Bousquet J, Baena-Cagnani CE, Bonini S, Canonica GW, Casale TB, et al. Allergic rhinitis and its impact on asthma (ARIA) guidelines: 2010 revision. J Allergy Clin Immunol. 2010;126:466-76. https://doi.org/10.1016/j.jaci.2010.06.047
  22. Kim YH, Yang HJ, Choi JH, Kim DK, Yoo Y, Lee B, et al. Clinical diagnostic guidelines for allergic rhinitis: diagnosis. J Korean Med Assoc. 2017;60(1):81-8. https://doi.org/10.5124/jkma.2017.60.1.81
  23. Task Force for Evidence Reports/Clinical Practice Guidelines, Special Committee for Evidence-based Medicine. Evidence Reports of Kampo Treatment 2015. [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://www.jsom.or.jp/medical/ebm/er/index.ht ml#anchor16.
  24. World health organization. WHO Traditional medicine strategy 2014-2023. [cited 2017 May 15];1(1):[1 screen] Available from: URL: http://www.who.int/medicines/publications/tra ditional/trm_strategy14_23/en/.
  25. Schaefer DR, Dillman DA. Development of a standard e-mail methodology: Results of an experiment. Public Opinion Quarterly. 1998;62(3):378-97. https://doi.org/10.1086/297851
  26. Schuldt BA, Totten JW. Electronic Mail Vs. Mail Survey Response Rates. Marketing Research. 1994;6(1):36-9.

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