The Korean Journal of Pain

  • 제32권3호
  • /
  • Pages.187-195
  • /
  • 2019
  • /
  • 2005-9159(pISSN)
  • /
  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
권호 표지
DOI QR코드

DOI QR Code

A survey of patients' perspectives of steroid injection (ppyeojusa) in Korea

  • Shin, Bo-Mi (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine) ;
  • Hong, Sung Jun (Department of Anesthesiology and Pain Medicine, Hallym University Kangdong Sacred Heart Hospital) ;
  • Lim, Yun Hee (Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital) ;
  • Jeong, Jae Hun (Department of Anesthesiology and Pain Medicine, Jeong-clinic) ;
  • Moon, Ho Sik (Department of Anesthesiology and Pain Medicine, The Catholic University of Korea, Eunpyeong St. Mary's Hospital) ;
  • Choi, Hey Ran (Department of Anesthesiology and Pain Medicine, Inje University Seoul Paik Hospital) ;
  • Park, Sun Kyung (Department of Anesthesiology and Pain Medicine, Jeju National University College of Medicine) ;
  • Han, Richard Jin Woo (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine) ;
  • Kim, Jae Hun (Department of Anesthesiology and Pain Medicine, Konkuk University School of Medicine)
  • 투고 : 2018.12.03
  • 심사 : 2019.03.02
  • 발행 : 2019.07.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

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.

키워드

참고문헌

  1. Kim HJ, Park SH. Median nerve injuries caused by carpal tunnel injections. Korean J Pain 2014; 27: 112-7. https://doi.org/10.3344/kjp.2014.27.2.112
  2. Del Grossi Moura M, Cruz Lopes L, Silva MT, Barberato-Filho S, Motta RH, Bergamaschi CC. Use of steroid and nonsteroidal anti-inflammatories in the treatment of rheumatoid arthritis: systematic review protocol. Medicine (Baltimore) 2018; 97: e12658. https://doi.org/10.1097/MD.0000000000012658
  3. Hansbro PM, Kim RY, Starkey MR, Donovan C, Dua K, Mayall JR, et al. Mechanisms and treatments for severe, steroidresistant allergic airway disease and asthma. Immunol Rev 2017; 278: 41-62. https://doi.org/10.1111/imr.12543
  4. Berthelot JM, Le Goff B, Maugars Y. Side effects of corticosteroid injections: what's new? Joint Bone Spine 2013; 80: 363-7. https://doi.org/10.1016/j.jbspin.2012.12.001
  5. Garg N, Perry L, Deodhar A. Intra-articular and soft tissue injections, a systematic review of relative efficacy of various corticosteroids. Clin Rheumatol 2014; 33: 1695-706. https://doi.org/10.1007/s10067-014-2572-8
  6. Leem JG. Epidural steroid injection: a need for a new clinical practice guideline. Korean J Pain 2014; 27: 197-9. https://doi.org/10.3344/kjp.2014.27.3.197
  7. Kim EJ, Moon JY, Park KS, Yoo DH, Kim YC, Sim WS, et al. Epidural steroid injection in korean pain physicians: a national survey. Korean J Pain 2014; 27: 35-42. https://doi.org/10.3344/kjp.2014.27.1.35
  8. Rao VU, Apter AJ. Steroid phobia and adherence: problems, solutions, impact on benefit/risk profile. Immunol Allergy Clin North Am 2005; 25: 581-95. https://doi.org/10.1016/j.iac.2005.04.002
  9. Kim JY, Shim JH, Hong SJ, Yang JY, Choi HR, Lim YH, et al. Sufficient explanation of management affects patient satisfaction and the practice of post-treatment management in spinal pain, a multicenter study of 1007 patients. Korean J Pain 2017; 30: 116-25. https://doi.org/10.3344/kjp.2017.30.2.116
  10. Hong JH, Lee YC, Kim JM, Han SH, Park EJ. Analysis of factors associated with the therapeutic duration of transforaminal epidural steroid injection in lumbar spinal stenosis patients. Korean J Pain 2008; 21: 136-42. https://doi.org/10.3344/kjp.2008.21.2.136
  11. Brook EM, Hu CH, Kingston KA, Matzkin EG. Corticosteroid injections: a review of sex-related side effects. Orthopedics 2017; 40: e211-5. https://doi.org/10.3928/01477447-20161116-07
  12. Jung JY, Shin YS, Cho EB, Park EJ, Kim KH, Kim KJ. Comparative study on awareness topical and oral steroid use awareness. Korean J Dermatol 2016; 55: 227-36.
  13. Roviello G, Petrioli R, Bonetta A, Conca R, Rodriquenz MG, Aieta M. Corticosteroid switch in heavily pre-treated castration-resistant prostate cancer patients progressed on abiraterone acetate plus prednisone. Invest New Drugs 2018; 36: 1110-5. https://doi.org/10.1007/s10637-018-0685-7
  14. Patterson R, Walker CL, Greenberger PA, Sheridan EP. Prednisonephobia. Allergy Proc 1989; 10: 423-8. https://doi.org/10.2500/108854189778935773
  15. Kim SY, Lee SD, Kim HO, Park YM. A survey of the awareness, knowledge, and behavior of topical steroid use in dermatologic outpatients of the university hospital. Korean J Dermatol 2008; 46: 473-9.
  16. Kim YD, Kim JH, Park HS, Shin HY, Sim WS, Moon JY, et al. Guidelines of epidural steroid block. Seoul, The Korean Pain Society. 2014.
  17. Lee JH, Lee SH. 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) 2016; 95: e4131. https://doi.org/10.1097/MD.0000000000004131