A survey of patients’ perspectives of steroid injection (ppyeojusa) in Korea
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Background: Steroid injections are commonly used in pain clinics to relieve pain and treat inflammation. In Korea, these steroid injections are well known as ‘ppyeojusa’, which means to inject into the bone in Korean. Some patients often have a negative perception of this treatment method due to inaccurate information about the treatment and side effects of steroids. The purpose of this study is to investigate patients’ perception and knowledge of ppyeojusa.Methods: A questionnaire about ppyeojusa was completed by patients who visited one of the pain clinics in nine university hospitals, from August 1 to September 10, 2017.Results: Three-hundred seventy-four patients completed the survey. Eighty-five percent of patients had had ppyeojusa, and 74% of the respondents had heard of ppyeojusa from the mass media, friends or relatives. Only 39% of the patients answered that this injection was safe without side effects if properly spaced. Of the patients surveyed, 21% responded that ppyeojusa are “injections into the bone”; while 15% responded that ppyeojusa are “terrible injections that melted ‘the bone if used a lot’”. Half of the patients did not know what the active constituent is in ppyeojusa. If steroid injections are advised by the pain specialists, 89% of the patients would consent.Conclusions: Most pain clinic patients have heard of ppyeojusa. Most patients obtained information about ppyeojusa from mass media, rather than their physicians. Therefore, it is likely that most patients have inaccurate knowledge.
Abstract
Background: Steroid injections are commonly used in pain clinics to relieve pain and treat inflammation. In Korea, these steroid injections are well known as ‘ppyeojusa’, which means to inject into the bone in Korean. Some patients often have a negative perception of this treatment method due to inaccurate information about the treatment and side effects of steroids. The purpose of this study is to investigate patients’ perception and knowledge of ppyeojusa.Methods: A questionnaire about ppyeojusa was completed by patients who visited one of the pain clinics in nine university hospitals, from August 1 to September 10, 2017.Results: Three-hundred seventy-four patients completed the survey. Eighty-five percent of patients had had ppyeojusa, and 74% of the respondents had heard of ppyeojusa from the mass media, friends or relatives. Only 39% of the patients answered that this injection was safe without side effects if properly spaced. Of the patients surveyed, 21% responded that ppyeojusa are “injections into the bone”; while 15% responded that ppyeojusa are “terrible injections that melted ‘the bone if used a lot’”. Half of the patients did not know what the active constituent is in ppyeojusa. If steroid injections are advised by the pain specialists, 89% of the patients would consent.Conclusions: Most pain clinic patients have heard of ppyeojusa. Most patients obtained information about ppyeojusa from mass media, rather than their physicians. Therefore, it is likely that most patients have inaccurate knowledge.
참고문헌 (17)
- 김현정, "Median Nerve Injuries Caused by Carpal Tunnel Injections", The Korean Journal of Pain, 27(2), pp.112~117 (2014), 대한통증학회
- Del Grossi Moura M, "Use of steroid and nonsteroidal anti-inflammatories in the treatment of rheumatoid arthritis: systematic review protocol", Medicine (Baltimore), 97, pp.e12658~ (2018)
- Hansbro PM, "Mechanisms and treatments for severe, steroidresistant allergic airway disease and asthma", Immunol Rev, 278, pp.41~62 (2017)
- Berthelot JM, "Side effects of corticosteroid injections : what's new", Joint Bone Spine, 80, pp.363~367 (2013)
- Garg N, "Intra-articular and soft tissue injections, a systematic review of relative efficacy of various corticosteroids", Clin Rheumatol, 33, pp.1695~1706 (2014)
- 임정길, "Epidural Steroid Injection: A Need for a New Clinical Practice Guideline", The Korean Journal of Pain, 27(3), pp.197~199 (2014), 대한통증학회
- 김은정, "Epidural Steroid Injection in Korean Pain Physicians: A National Survey", The Korean Journal of Pain, 27(1), pp.35~42 (2014), 대한통증학회
- Rao VU, "Steroid phobia and adherence : problems, solutions, impact on benefit", risk profile, 2005, pp.25, 581~595
- 김재윤, "Sufficient explanation of management affects patient satisfaction and the practice of post-treatment management in spinal pain, a multicenter study of 1007 patients", The Korean Journal of Pain, 30(2), pp.116~125 (2017), 대한통증학회
- 홍지희, "요척주관 협착증 환자에서 경추간공 경막외 스테로이드 주입 후 통증 완화 기간과 관련된 요인의 분석", The Korean Journal of Pain, 21(2), pp.136~142 (2008), 대한통증학회
- Brook EM, "Corticosteroid injections : a review of sex-related side effects", Orthopedics, 40, pp.e211~e215 (2017)
- 정지윤, "국소 및 경구 스테로이드 제제의 사용과 연관된 인식도 비교 연구", 대한피부과학회지, 55(4), pp.227~236 (2017), 대한피부과학회
- Roviello G, "Corticosteroid switch in heavily pre-treated castration-resistant prostate cancer patients progressed on abiraterone acetate plus prednisone", Invest New Drugs, 36, pp.1110~1115 (2018)
- Patterson R, "Prednisonephobia", Allergy Proc, 10, pp.423~428 (1989)
- 김세연, "국소 스테로이드 제제 사용에 관한 대학 병원 피부과외래 환자의 인식도 및 행태 설문 조사", 대한피부과학회지, 46(4), pp.473~479 (2008), 대한피부과학회
- Kim YD, "Guidelines of epidural steroid block", The Korean Pain Society, ~ (2014)
- Lee JH, "Can repeat injection provide clinical benefit in patients with cervical disc herniation and stenosis when the first epidural injection results only in partial response?", Medicine (Baltimore), 95, pp.e4131~ (2016)
