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다빈도 협진 질환의 후향적 진료기록 분석 연구 : 예비연구

Retrospective Medical Record Analysis on Frequent Disease of Collaboration: A Pilot Study

  • 공나경 (부산대학교 한의학전문대학원 한의학과) ;
  • 이현주 (의.한의 협진모니터링센터) ;
  • 이찬 (부산대학교한방병원 한방내과) ;
  • 황진섭 (대구대학교 수리빅데이터학부) ;
  • 이인 (부산대학교한방병원 한방내과)
  • Gong, Na-gyeong (Dept. of Korean Medicine, School of Korean Medicine, Pusan National University) ;
  • Lee, Hyeon-joo (Monitoring Center for Korean Medicine and Western Medicine Collaboration) ;
  • Lee, Chan (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University) ;
  • Hwang, Jin-seub (Division of Mathematics and Big Data Science, Daegu University) ;
  • Lee, In (Dept. of Korean Internal Medicine, Korean Medicine Hospital of Pusan National University)
  • 투고 : 2021.08.25
  • 심사 : 2021.10.08
  • 발행 : 2021.09.30

초록

Objectives: This pilot study aimed to confirm the possibility of applying our design to the main study, a retrospective medical record analysis of the diseases which have most frequently been treated with collaborations of Korean and Western medicine, and to identify what corrections and statistical models are needed to conduct the main study. Methods: Data were collected from a case report form developed for patients who received treatment in the medical institutions. Appropriate statistical techniques, like Propensity Score (PS) and Generalized Estimation Equation (GEE) models, were used to compare the indicators of collaboration and non-collaboration groups for patients in comparable diseases. Results: Using PS matching for each M and S disease group, the indicators were compared by balancing the collaboration and non-collaboration group, and the GEE models compared indicators between groups in each disease over follow-up. Through this process we identified two limitations, insufficient samples and a large deviation of the follow-up period. Conclusion: This pilot study confirmed that the study design and case report form are applicable. The main study will be conducted by collecting sufficient samples and reflecting deviation of follow-up period.

키워드

과제정보

본 연구는 2019년 보건복지부 한·양방 협진 모니터링센터 운영지원사업에 의해 수행되었음.

참고문헌

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