The Journal of Churna Manual Medicine for Spine and Nerves (척추신경추나의학회지)

Korean Society of Chuna manual Medicine for Spine and Nerves (척추신경추나의학회)
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Economic evaluation of manual therapy for musculoskeletal diseases: a systematic review and narrative synthesis of evidence

근골격계 질환의 수기요법에 관한 경제성 평가: 체계적 문헌 고찰 및 근거 합성 연구

  • Kim, Chang-Gon (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Won-Kwang University) ;
  • Lee, Jin-Hyun (Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Kim, Ka-Na (Department of Neuropsychiatry, College of Korean Medicine, Kyung-Hee University) ;
  • Shin, Byung-Cheul (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Woo-Suk University) ;
  • Ko, Youn-Suk (Third Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Park, Tae-Yong (Institute for Integrative Medicine, Catholic Kwandong University International St. Mary's Hospital) ;
  • Ha, Won-Bae (Imsil-Gun Health Care Center) ;
  • Lee, Jung-Han (Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Won-Kwang University)
  • 김창곤 (원광대학교 한의과대학 한방재활의학과) ;
  • 이진현 (가톨릭관동대학교 국제성모병원 한의과) ;
  • 김가나 (경희대학교 한의과대학 한방신경정신과) ;
  • 신병철 (부산대학교 한의학전문대학원 한방재활의학과) ;
  • 고연석 (우석대학교 한의과대학 한방재활의학과) ;
  • 박태용 (가톨릭관동대학교 국제성모병원 한의과) ;
  • 하원배 (임실군보건의료원) ;
  • 이정한 (원광대학교 한의과대학 한방재활의학과)
  • Received : 2020.04.22
  • Accepted : 2020.06.01
  • Published : 2020.06.30
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Abstract

연구 목적 : 본 연구는 근골격계 질환에 대한 수기치료가 갖는 경제적 효과를 체계적으로 평가해 보기 위해 시행되었다. 연구 방법 : 2017년 2월 2일까지 국내외 관련 문헌을 체계적으로 검색 하였으며, 연관된 체계적 고찰 논문의 참고문헌을 조사하였다. 두 명의 연구자가 독립적으로 문헌을 선택하고, 비뚤림 위험 평가 및 경제성 평가 질 평가, 자료 추출을 시행하였다. 연구 결과 : 총 3,327개의 논문을 검토하여 최종적으로 18개의 무작위 대조 연구가 포함되었다. 경제성 평가는 수기요법과 다른 치료방법간의 유효성 비교를 통해 시행되었다. 요부 통증, 견관절 통증 및 외측 상과염 치료에 있어 침치료, 견인치료, 주사치료, 일반의 치료, 척추 안정화 기법 및 통증관리 치료보다 비용 효과적인 것으로 나타났다. 또한 또한, 수기치료는 경항통, 흉통, 고관절염 혹은 슬관절염, 경추신경병증 및 수부손상 치료에 있어 일반적 치료, 물리치료, 자가 치료 프로그램, 견인 치료에 비하여 효과적인 치료인 것으로 확인되었다. 결론 : 18개의 논문 중 10개의 논문에서 근골격계 질환 치료에 있어 수기치료가 경제적으로 효과가 있는 것으로 나타났다. 이러한 결과는 다른 치료방법에 비해 수기요법이 근골격계 질환에 있어서 경제적 가치가 있음을 시사하는 내용이다. 하지만, 근골격계 질환 수기치료의 경제성 평가에 대한 선행 연구는 전반적으로 부족한 실정으로, 보다 정확한 결과를 제시하고 정책결정을 위한 효과적인 제안을 위해서는 체계적인 추가 연구가 필요하다 사료되는 바이다.

Keywords

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