Treatment packages of persistent allergic rhinitis for developing PRCT protocols : An expert survey

통년성 알레르기 비염의 표준 치료 모델 개발 : 실용임상연구 프로토콜 개발을 위한 기초 연구

  • Kim, Nam-Kwen (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Wonkwang University) ;
  • Lee, Dong-Hyo (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Woosuk University) ;
  • Seo, Eun-Sung (Department of Food and Nutrition, College of Human Ecology, Seoul National University) ;
  • Choi, Eun-Ji (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Jang, Bo-Hyeong (Department of Preventive Medicine, College of Korean Medicine and Center for Clinical Research and Drug Development, Kyung Hee University) ;
  • Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology, College of Korean Medicine, Kyung Hee University) ;
  • Ko, Seong-Gyu (Department of Preventive Medicine, College of Korean Medicine and Center for Clinical Research and Drug Development, Kyung Hee University)
  • 김남권 (원광대학교 한의과대학 안이비인후피부과학 교실) ;
  • 이동효 (우석대학교 한의과대학 안이비인후피부과학 교실) ;
  • 서은성 (서울대학교 생활과학대학 식품영양학 교실) ;
  • 최은지 (강동경희대학교병원 한방안이비인후피부과) ;
  • 장보형 (경희대학교 한의과대학 예방의학교실, 경희대학교 한의학 임상연구및의약품개발센터) ;
  • 최인화 (경희대학교 한의과대학 안이비인후피부과학 교실) ;
  • 고성규 (경희대학교 한의과대학 예방의학교실, 경희대학교 한의학 임상연구및의약품개발센터)
  • Received : 2013.11.25
  • Accepted : 2013.12.18
  • Published : 2013.12.31

Abstract

Objective : This study was done to define the treatment protocol of Traditional Korean Medicine for persistent allergic rhinitis, which might be necessary for conducting PRCT study. Methods : Data were collected by questionnaire from Korean Medicine doctors participated in the Conference of The Korean Oriental Medical Ophthalmology & Otolaryngology & Dermatology Society in October 2012. We investigated their treatment procedures for persistent allergic rhinitis in ordinary clinical settings. Their treatment patterns including annual treatment period, frequencies and treatment times were also investigated. Finally, we combined the national insurance covered or out-of-pocket treatments as treatment packages according to the response rates of each contents, and displayed them as treatment protocols for PRCT study. Results : 50 Korean medicine doctors described the informed consent and questionnaire. Response rates of each treatment procedure were listed in Table 2 to Table 5. Treatment periods, frequencies and treatment time of each visit were listed in Table 6. Finally, treatment packages which would be defined for PRCT were listed in Table 7 as treatment package 1(response rates were over 50%), package 2(response rates were over 25%), package 3(response rates were over10%). Conclusion : These results provide the rational background and preliminary sources of defining treatment packages for developing PRCT protocols.

Keywords

References

  1. Settipane RA. Demographics and epidemiology of allergic and nonallergic rhinitis. Allergy Asthma Proc 2001;22:185-9
  2. Lee SI, Shin MH, Lee HB, Lee JS, Son BK, Koh YY, et al. Prevalence of symptoms of asthma and other allergic diseases in Korean children: A Nationwide questionnaire survey. J Korean Med Sci 2001;16:155-6
  3. MK Jung et al. Development and Validation of a Korean Allergic Rhinitis-Specific Quality of Life Questionnaire (KARQLQ). Asthma and Allergy, 2008;28(2):113-9.
  4. Canonica et al. A survey of the burden of allergic rhinitis in Europe, Allergy, 2007;62 (suppl.85):17-25.
  5. SY Kim. Economic Burden of Allergic Rhinitis in Korea, Graduate School of Korea University Thesis, 2009.
  6. Hotopf M, Churchill R, Lewis G. Pragmatic randomised controlled trials in psychiatry, Br J Psychiatry, 1999;75:217-23.
  7. Brinkhaus B et al. Acupuncture in patients with allergic rhinitis: a pragmatic randomized trial, Ann Allergy Asthma Immunol. 2008; 101(5):535-43. https://doi.org/10.1016/S1081-1206(10)60294-3
  8. Hugh MacPherson. Pragmatic clinical trial, Complementary Therapies in Medicine, 2004; 12:136-140. https://doi.org/10.1016/j.ctim.2004.07.043
  9. The association of Korean medicine, National health insurance reimbursement list of Korean Medicine, 2010.
  10. Dent L, Raftery J, Treatment success in pragmatic randomised con1trolled trials: a review of trials funded by the UK Health Technology Assessment programme, Trials, 2011;12:109. https://doi.org/10.1186/1745-6215-12-109
  11. YJ Yun, KW Kang, SM Choi, An Analysis of Clinical Trials for Understanding and Application of Pragmatic Clinical Trial, The Journal of Korean Acupuncture & Moxibustion Society, 2009;26(5):105-116.