과민대장증후군(Irritable Bowel Syndrome)의 한의임상 진료현황에 대한 설문조사 연구
A Survey on the Clinical Practice Patterns of Irritable Bowel Syndrome in Korean Medicine
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초록
Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.
Abstract
Objective: This study investigated the perception, diagnosis, and treatment of irritable bowel syndrome (IBS) in the general population, in patients, and in Korean medicine doctors (KMDs) in order to provide basic information for the development of Korean medicine clinical practice guidelines for IBS. Methods: A questionnaire was developed in two versions, one for the general population/patients and one for KMDs. The questions were about the general perception, diagnosis, and treatment of IBS. Both online and offline surveys were conducted using these questionnaires. Results: In total, 213 general population/patients and 435 KMDs responded to the survey. The results of the analysis were as follows. Most of the KMDs diagnosed IBS based on clinical aspects. Acupuncture was the most common treatment, followed by prescription herbal medicine, moxibustion, and manufactured herbal medicine. 34.3% of KMDs used clinical practice guidelines for IBS patient treatment. 57.8% of patients were diagnosed with IBS by doctors at primary medical institutions, and 53.1% were diagnosed with colonoscopy. More than half of the IBS patients who have been treated with Korean medicine said they experienced improvement of symptoms and prevention of recurrence, but more than 70% of the respondents said future safety and effectiveness studies of Korean medicine were needed. Conclusions: In spite of the positive perception of IBS treatment with Korean medicine, actual utilization was relatively low. The development and promotion of, as well as education about, appropriate and reasonable Korean medicine practice guidelines for IBS is necessary.
참고문헌 (27)
- Lovell RM, "Global Prevalence of and Risk Factors for Irritable Bowel Syndrome: A Meta-Analysis", Clin Gastroenterol Hepatol, 10(7), pp.712~721.e4 (2012)
- Lacy BE, "Bowel Disorders", Gastroenterology, 150(6), pp.1393~1407 (2016)
- Defrees DN, "Irritable Bowel Syndrome:Epidemiology, Pathophysiology, Diagnosis, and Treatment", Prim Care - Clin Off Pract, 44(4), pp.655~671 (2017)
- Hawrelak JA, "Western Herbal Medicines in the Treatment of Irritable Bowel Syndrome: A Systematic Review and Meta-Analysis", Complement Ther Med, 48, pp.102233~ (2020)
- Liu JP, "Herbal Medicines for Treatment of Irritable Bowel Syndrome", Cochrane Database Syst Rev, 1, pp.CD004116~ (2006)
- Li Q, "Treatment of Constipation-Predominant Irritable Bowel Syndrome by Focusing on the Liver in Terms of Traditional Chinese Medicine: A Meta-Analysis", J Tradit Chinese Med, 33(5), pp.562~571 (2013)
- Bu FL, "Chinese Herbal Medicine versus Probiotics for Irritable Bowel Syndrome:A Systematic Review and Meta-Analysis of Randomized Controlled Trials", Eur J Integr Med, 38, pp.101177~ (2020)
- Kyung Ho Song, "Clinical Practice Guidelines for Irritable Bowel Syndrome in Korea, 2017 Revised Edition", Journal of Neurogastroenterology and Motility (JNM), 24(2), pp.197~215 (2018), 대한소화기 기능성질환∙운동학회[DOI]
- Han WU, "An Interpretation of the Eastern and Western Guidelines for Irritable Bowel Syndrome", Chin J Gastroenterol Hepatol, 28(9), pp.1~7 (2019)
- Moayyedi P, "Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Irritable Bowel Syndrome (IBS)", J Can Assoc Gastroenterol, 2(1), pp.6~29 (2019)
- Lacy BE, "Bowel Disorders", Gastroenterology, 150(6), pp.1393~1407 (2016)
- Hellström PM, "The Rome IV: Irritable Bowel Syndrome - A Functional Disorder", Best Pract Res Clin Gastroenterol, 40-41, pp.101634~ (2019)
- Oka P, "Global Prevalence of Irritable Bowel Syndrome According to Rome III or IV Criteria: A Systematic Review and Meta-Analysis", Lancet Gastroenterol Hepatol, 5(10), pp.908~917 (2020)
- Bellini M, "Different Perception of Chronic Constipation between Patients and Gastroenterologists", Neurogastroenterol Motil, 30(8), pp.1~8 (2018)
- Linedale EC, "Diagnosis and Management of Irritable Bowel Syndrome : A Guide for the Generalist", Med J Aust, 207(7), pp.309~315 (2017)
- Lena B, "Self-Reported Food-Related Gastrointestinal Symptoms in IBS Are Common and Associated With More Severe Symptoms and Reduced", Am J Gastroenterol, 108(5), pp.634~641 (2013)
- Halmos EP, "A Diet Low in FODMAPs Reduces Symptoms of Irritable Bowel Syndrome", Gastroenterology, 146(1), pp.67~75 (2014)
- Larussa T, "Use of Complementary and Alternative Medicine by Patients with Irritable Bowel Syndrome According to the Roma IV Criteria: A Single-Center Italian Survey", Medicina (Kaunas), 55(2), pp.46~ (2019)
- Li DY, "Systematic Review and Meta-Analysis of Traditional Chinese Medicine in the Treatment of Constipation-Predominant Irritable Bowel Syndrome", PLoS One, 12(12), pp.e0189491~ (2017)
- Zhu JJ, "Efficacy of Chinese Herbal Medicine for Diarrhea-Predominant Irritable Bowel Syndrome:A Meta-Analysis of Randomized, Double-Blind, Placebo-Controlled Trials", Evidence-based Complement Altern Med, 2016, pp.4071260~ (2016)
- Bian Z, "Effectiveness of the Chinese Herbal Formula TongXieYaoFang for Irritable Bowel Syndrome: A Systematic Review", J Altern Complement Med, 12(4), pp.401~407 (2006)
- Zhou Y, "Clinical Effects and Safety of Tongxieyaofang on Diarrhea Predominant Irritable Bowel Syndrome: A Meta-Analysis of Randomized Trails", Evidence-based Complement Altern Med, pp.4893876~ (2019)
- Dai YK, "Efficacy and Safety of Modified Tongxie Yaofang in Diarrhea-Predominant Irritable Bowel Syndrome Management: A Meta-Analysis of Randomized, Positive Medicine -Controlled Trials", PLoS One, 13(2), pp.e0192319~ (2018)
- Li CY, "A Systematic Review of Integrated Traditional Chinese and Western Medicine for Managing Irritable Bowel Syndrome", Am J Chin Med, 43(3), pp.385~406 (2015)
- Guo J, "Acupuncture for Adults with Diarrhea -Predominant Irritable Bowel Syndrome or Functional Diarrhea: A Systematic Review and Meta-Analysis", Neural Plast, 2020, pp.8892184~ (2020)
- Park JW, "Moxibustion in the Management of Irritable Bowel Syndrome:Systematic Review and Meta-Analysis", BMC Complement Altern Med, 13, pp.247~ (2013)
- 이승훈, "요통에 관한 침구임상 진료지침 프로토콜 개발을 위한 전자우편 설문조사", Journal of Acupuncture Research, 26(3), pp.115~131 (2009), 대한침구의학회