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국내 만성질환 노인환자의 한의과 진료서비스 이용과 사망률 및 파킨슨병 발생률의 관계연구

The Relation of Korean Medicine Services Use on the All-cause Mortality and Incidence of Parkinson’s disease and Elderly Patients with Chronic Disease in Korea

우연주
대한예방한의학회 (Society of Preventive Korean Medicine)|2021.12|대한예방한의학회지 (Society of Preventive Korean Medicine)|제25권 제3호|pp. 25-37|DOI 10.25153/spkom.2021.25.3.003

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참고문헌

키워드

Korean MedicineParkinson’s DiseaseNational Health Insurance Database CohortChronic DiseaseElderly Patients
주제분류한의학

초록

Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson’s disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007–2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646–0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962–1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.

Abstract

Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson’s disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007–2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646–0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962–1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.

참고문헌 (38)

  1. Chronic disease research and management, "Korea Institution for Health And Social Affairs (KIHASA)", ~ (2001)
  2. The Korean Society for Preventive Medicine, "Preventive Medicine and Public Health" (2015), Gyechuk
  3. Statistics Korea, "2020 Causes of Death Statistics", ~ (2021)
  4. A Report on the Korea Health Panel Survey(II) of 2017, "Korea Institution for Health And Social Affairs (KIHASA)", ~ (2019)
  5. Koh SB, "Diagnosis and Treatment of Parkinson’s Disease", J Korean Acad Fam Med, 24, pp.1059~1068 (2003)
  6. Kim JS, "Current status and future of Parkinson’s disease in Korea", Weekly Health and Disease, 11(31), pp.1012~1019 (2017)
  7. "Health Bigdata Hub. Statistics of Disease Classification" (2021)[URL]
  8. The Usage and Consumption of Korean Medicine Report in 2017, "National Development Institute of Korean Medicine(NIKOM)", ~ (2018)
  9. 안선아, "건강보험심사평가원 환자표본자료를 이용한 파킨슨병 직접 의료비용 연구", 석사, 제약산업학과, pp.2014
  10. National Health Insurance Service(NHIS), "Elderly Cohort DB User Manual ver3.0", ~ (2015)
  11. Lee J, "Cohort profile: the National Health Insurance Service-National Sample Cohort (NHIS-NSC)", South Korea. Int. J. Epidemiol, 46, pp.e15~ (2017)
  12. Quan H, "Coding Algorithms for Defining Comorbidities in ICD-9-CM and ICD-10 Administrative Data", Med Care, 43, pp.1130~1139 (2005)
  13. Korean Society for Pharmacoepidemiology and Risk Management(KoPERM), "Pharmacoepidemiology" (2012), SNU Press
  14. Parsons SL, "Reducing Bias in a Propensity Score Matched-Pair Sample Using Greedy Matching Techniques", 26th Annual SAS Users Group International Conference, pp.214~226 (2001)
  15. Brownson RC, "Chronic Disease Epidemiology and Control", American Public Health Association, ~ (1993)
  16. 김진호, "노인의 다약제복용과 약물처방에 대한 이해", Korean Journal of Family Practice, 10(6), pp.407~417 (2020), 대한가정의학회[DOI]
  17. Lee JS, "Polypharmacy and Inappropriate Drug Prescription in Communitydwelling Elderly", Korean Acad Fam Med, 29, pp.925~931 (2008)
  18. 서덕성, "종합병원 입원 노인 환자들의 입원 직전 다약제 복용 실태와 시사점", Annals of geriatric medicine and research, 16(3), pp.133~140 (2012), 대한노인병학회[DOI]
  19. 김성렬, "파킨슨병 환자의 삶의 질에 영향을 미치는 요인", 대한신경과학회지, 23(6), pp.770~775 (2005), 대한신경과학회
  20. Parkinson’s Disease Bicentennial Celebration Report, "The Korean Movement Disorder Society(KMDS)", ~ (2017)
  21. Ascherio A, "The epidemiology of Parkinson’s disease : risk factors and prevention", The Lancet Neurology, 15(12), pp.1257~1272 (2016)
  22. Noh H, "The Impact of Korean Medicine Treatment on the Incidence of Parkinson’s Disease in Patients with Inflammatory Bowel Disease : A Nationwide Population-Based Cohort Study in South Korea", J Clin Med, 9(8), pp.2422~ (2020)
  23. Huang CH, "Acupuncture Treatment Reduces Incidence of Parkinson’s Disease in Patients W ith Depression : A Population-Based Retrospective Cohort Study in Taiwan", Front Aging Neurosci, 12, pp.591640~ (2020)
  24. A Study on the Validity Improvement and Data Utilization of Disease Code for Health Insurance, "Health Insurance Review & Assessment Service (HIRA)", ~ (2003)
  25. Nationwide Survey on the Prevalence of Parkinson’s Disease in Korea, "Korea Centers for Disease Control and Prevention(KCDC)", ~ (2007)
  26. Choi SA, "Status of Korean Patients with Parkinson’s Disease before Diagnosis", J Korean Neurol Assoc, 18, pp.687~693 (2000)
  27. Mizushima T, "Treatment Results between Matched Pair of L-dopa Medication Treatment and Acupuncture Treatment Combination on Parkinson Disease-The Randomized Controlled Trial between 2 Groups", Kampo Medicine, 62, pp.691~694 (2011)
  28. Cho SY, "Efficacy of Combined Treatment with Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment for Parkinson’s Disease", J Altern Complement Med, 24(1), pp.25~32 (2018)
  29. Noh H, "Effectiveness and safety of acupuncture in the treatment of Parkinson’s disease : A systematic review and metaanalysis of randomized controlled trials", Complement Ther Med, 34, pp.86~103 (2017)
  30. National Institute for Korean Medicine Development(NIKOM), "Korean Medicine Clinical Practice Guideline for Parkinson’s disease", ~ (2020)
  31. Park MJ, "Performance of Collaboration Between Korean Medicine and Western Medicine -Utilization and Quality of Care for Stroke Patients", Doctor, pp.2016
  32. 조현주, "고혈압 환자에서 한방의료기관 이용과 심혈관 위험 요소와의 관계: 국민건강보험공단 표본코호트 DB", 대한한의학회지, 40(3), pp.1~20 (2019), 대한한의학회[DOI]
  33. Kim JP, "A Study on the Social Medical Approach of Oriental Medical Insurance", Kor. J. Oriental Preventive Medical Society, 2(1), pp.113~144 (1998)
  34. National Health Insurance Service(NHIS), "Rationalization Plan of Payment System for Oriental Medical Services in the National Health Insurance", ~ (2012)
  35. The Association of Korean Medicine(AKOM), "White Paper on the Coverage of Herbal Decoction for Health Insurance", ~ (2021)
  36. 최병희, "Factors related to the parallel use of complementary and alternative medicine with conventional medicine among patients with chronic conditions in South Korea", Integrative Medicine Research, 6(2), pp.223~229 (2017), 한국한의학연구원[DOI]
  37. 이현주, "만성질환자의 한방의료서비스 이용 결정요인: 2005년도 국민건강영양조사", 대한예방한의학회지, 15(3), pp.115~125 (2011), 대한예방한의학회
  38. World Health Organization(WHO), "Preventing chronic diseases: a vital investment", ~ (2005)

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