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http://dx.doi.org/10.25153/spkom.2021.25.3.003

The Relation of Korean Medicine Services Use on the All-cause Mortality and Incidence of Parkinson's disease and Elderly Patients with Chronic Disease in Korea  

Woo, Yeonju (Department of Physiology, College of Korean Medicine, Sangji University)
Publication Information
Journal of Society of Preventive Korean Medicine / v.25, no.3, 2021 , pp. 25-37 More about this Journal
Abstract
Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson's disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007-2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646-0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962-1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.
Keywords
Parkinson's Disease; Chronic Disease; Elderly Patients; Korean Medicine; National Health Insurance Database Cohort;
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  • Reference
1 National Health Insurance Service(NHIS). Rationalization Plan of Payment System for Oriental Medical Services in the National Health Insurance. 2012
2 An SA. Direct Medical Costs for Patients with Parkinson's Disease : Based on National Patients Sample for the National Health Insurance Claims Data. (Master's thesis). Sungkyunkwan University. 2014
3 Brownson RC, Remington PL, Davis JR. Chronic Disease Epidemiology and Control. Washington DC: American Public Health Association. 1993
4 Ascherio A, & Schwarzschild MA. The epidemiology of Parkinson's disease: risk factors and prevention. The Lancet Neurology. 2016;15(12):1257-72   DOI
5 Health Insurance Review & Assessment Service (HIRA). A Study on the Validity Improvement and Data Utilization of Disease Code for Health Insurance. 2003.
6 Health Insurance Review & Assessment Service (HIRA). Health Bigdata Hub. Statistics of Disease Classification. 2021. available from: http://opendata.hira.or.kr/op/opc/olap3thDsInfo.do [cited on Nov. 2021]
7 Kim JS, Baik JS, Kim SJ, Cho JW, Koh SB, Park KW, et al. Current status and future of Parkinson's disease in Korea. Weekly Health and Disease. 2017;11(31):1012-9
8 Korea Institution for Health And Social Affairs (KIHASA). Chronic disease research and management. 2001
9 Korea Institution for Health And Social Affairs (KIHASA). A Report on the Korea Health Panel Survey(II) of 2017. 2019
10 Koh SB. Diagnosis and Treatment of Parkinson's Disease. J Korean Acad Fam Med. 2003;24:1059-68
11 National Development Institute of Korean Medicine(NIKOM). The Usage and Consumption of Korean Medicine Report in 2017. 2018
12 Lee JS, Lee JE, Jung KY, Ma SH, Kim MY, Yoo SH, et al. Polypharmacy and Inappropriate Drug Prescription in Community-dwelling Elderly. Korean Acad Fam Med. 2008;29:925-31
13 Seo DS, Yoon JL, Kim SJ, Park JS, Lee WJ, Kim MY. Polypharmacy in Older Patients Admitted to a General Hospital. Annals of Geriatric Medicine and Research. 2012;16:133-40
14 Lee J, Lee JS, Park SH, Shin SA, Kim K. Cohort profile: the National Health Insurance Service-National Sample Cohort (NHIS-NSC), South Korea. Int. J. Epidemiol. 2017;46:e15   DOI
15 Korean Society for Pharmacoepidemiology and Risk Management(KoPERM). Pharmacoepidemiology 2nd Ed. Seoul: SNU Press. 2012
16 Parsons SL. Reducing Bias in a Propensity Score Matched-Pair Sample Using Greedy Matching Techniques, 26th Annual SAS Users Group International Conference. 2001;214-26
17 Kim JH, Lee SH. Polypharmacy in Geriatrics and Beers Criteria. Korean Journal of Family Practice. 2020;10(6):407-417   DOI
18 Kim SR, Chung SJ, Sung YH, Im JH, Lee MC. Factors Related to Quality of Life in Patients with Parkinson's Disease. J Korean Neurol Assoc. 2005;23:770-5
19 The Korean Movement Disorder Society(KMDS). Parkinson's Disease Bicentennial Celebration Report. 2017.
20 Mizushima T. Treatment Results between Matched Pair of L-dopa Medication Treatment and Acupuncture Treatment Combination on Parkinson Disease-The Randomized Controlled Trial between 2 Groups. Kampo Medicine. 2011;62: 691-4   DOI
21 National Institute for Korean Medicine Development(NIKOM). Korean Medicine Clinical Practice Guideline for Parkinson's disease. 2020
22 Kim JP. Lee KN. A Study on the Social Medical Approach of Oriental Medical Insurance. Kor. J. Oriental Preventive Medical Society. 1998;2(1):113-144
23 Choi B, Han D, Na S, Lim B. Factors related to the parallel use of complementary and alternative medicine with conventional medicine among patients with chronic conditions in South Korea. Interg Med Res. 2017;6:223-9   DOI
24 Park MJ. Performance of Collaboration Between Korean Medicine and Western Medicine - Utilization and Quality of Care for Stroke Patients. (Doctoral thesis). Seoul National University. 2016
25 Quan H. Coding Algorithms for Defining Comorbidities in ICD-9-CM and ICD-10 Administrative Data. Med Care. 2005;43:1130-9   DOI
26 Noh H, Jang J, Kwon S, Cho SY, Jung WS, et al. The Impact of Korean Medicine Treatment on the Incidence of Parkinson's Disease in Patients with Inflammatory Bowel Disease: A Nationwide Population-Based Cohort Study in South Korea. J Clin Med. 2020;9(8):2422.   DOI
27 Huang CH, Lin MC, Hsieh CL. Acupuncture Treatment Reduces Incidence of Parkinson's Disease in Patients W ith Depression: A Population-Based Retrospective Cohort Study in Taiwan. Front Aging Neurosci. 2020;12:591640.   DOI
28 Korea Centers for Disease Control and Prevention(KCDC). Nationwide Survey on the Prevalence of Parkinson's Disease in Korea. 2007
29 Choi SA, Kim JH, Lee MS. Status of Korean Patients with Parkinson's Disease before Diagnosis. J Korean Neurol Assoc. 2000;18: 687-693
30 Cho SY, Lee YE, Doo KH, Lee JH, Jung WS, Moon SK, et al. Efficacy of Combined Treatment with Acupuncture and Bee Venom Acupuncture as an Adjunctive Treatment for Parkinson's Disease. J Altern Complement Med. 2018;24(1):25-32   DOI
31 Cho H, Jung H, Lim S. Association between Korean Medicine Hospital Utilization and Cardiovascular Risks in Patients with Hypertension: a National Korean Cohort Study. J Korean Med. 2019;40(3):1-20
32 The Association of Korean Medicine(AKOM). White Paper on the Coverage of Herbal Decoction for Health Insurance. 2021
33 Lee HJ, Yoo W, Chung SK. Determining Factors for the Use of Oriental Healthcare Services for Survey Subjects with Chronic Illnesses : 2005 National Health and Nutrition Examination Survey. Kor. J. Oriental Preventive Medical Society. 2011;15(3):115-25
34 World Health Organization(WHO). Preventing chronic diseases: a vital investment. 2005
35 National Health Insurance Service(NHIS). Elderly Cohort DB User Manual ver3.0. 2015
36 Statistics Korea. 2020 Causes of Death Statistics. 2021
37 Noh H, Kwon S, Cho SY, Jung WS, Moon SK, Park JM, et al. Effectiveness and safety of acupuncture in the treatment of Parkinson's disease: A systematic review and metaanalysis of randomized controlled trials. Complement Ther Med. 2017;34:86-103   DOI
38 The Korean Society for Preventive Medicine. Preventive Medicine and Public Health. 2nd Ed. (revised and enlarged edition). Seoul: Gyechuk. 2015