Comparative Effectiveness of Collaborative Treatment with Korean and Western Medicine for Low Back Pain: A Prospective Cohort Study.


Journal

Evidence-based complementary and alternative medicine : eCAM
ISSN: 1741-427X
Titre abrégé: Evid Based Complement Alternat Med
Pays: United States
ID NLM: 101215021

Informations de publication

Date de publication:
2021
Historique:
received: 07 01 2021
revised: 14 06 2021
accepted: 13 07 2021
entrez: 9 8 2021
pubmed: 10 8 2021
medline: 10 8 2021
Statut: epublish

Résumé

In Korea, low back pain is the ailment that is most frequently treated using collaborative care regimens that include aspects of Western and traditional Korean medicine. As part of a national pilot project on the collaboration between Western and Korean medicine, we aimed to investigate the clinical effectiveness of collaborative treatment and compare it with treatment methods that involved only Korean or Western Medicine practices for patients with low back pain. This nationwide, multicenter, prospective, observational, and comparative study spanned 8 weeks, during which patients with low back pain were evaluated at three time points (at baseline, 4 weeks, and 8 weeks). The primary outcome was low back pain-related disability measured by the Oswestry Disability Index, while the secondary outcomes included severity of low back pain (as on a numeric rating scale) and quality of life (as per a 5-level EuroQol-5 dimensions questionnaire). We analyzed 150 patients (including 129 per-protocol cases) and found that the Oswestry Disability Index and 5-level EuroQol-5 dimensions showed statistically significant differences over time between the collaborative treatment group and the sole treatment group after adjusting for sex, income level, and age. Conversely, the numeric rating and EuroQol-visual analog scales showed no significant between-group differences over time. Based on our findings, we believe that collaborative treatment that includes parallelly administered aspects of Western and Korean medicine can benefit patients with low back pain by facilitating functional improvements and lead to a better quality of life.

Identifiants

pubmed: 34367301
doi: 10.1155/2021/5535857
pmc: PMC8342155
doi:

Types de publication

Journal Article

Langues

eng

Pagination

5535857

Informations de copyright

Copyright © 2021 Hye-Yoon Lee et al.

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest.

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Auteurs

Hye-Yoon Lee (HY)

Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.
Department of Medical Education, School of Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Min Kyoung Cho (MK)

Research Institute for Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

NamKwen Kim (N)

School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Se Yeon Lee (SY)

School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Na-Gyeong Gong (NG)

School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Eun Hye Hyun (EH)

School of Korean Medicine, Pusan National University, Yangsan 50612, Republic of Korea.

Classifications MeSH