• 제목/요약/키워드: Studies

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Adjusting for Confounders in Outcome Studies Using the Korea National Health Insurance Claim Database: A Review of Methods and Applications

  • Seung Jin Han;Kyoung Hoon Kim
    • Journal of Preventive Medicine and Public Health
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    • 제57권1호
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    • pp.1-7
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    • 2024
  • Objectives: Adjusting for potential confounders is crucial for producing valuable evidence in outcome studies. Although numerous studies have been published using the Korea National Health Insurance Claim Database, no study has critically reviewed the methods used to adjust for confounders. This study aimed to review these studies and suggest methods and applications to adjust for confounders. Methods: We conducted a literature search of electronic databases, including PubMed and Embase, from January 1, 2021 to December 31, 2022. In total, 278 studies were retrieved. Eligibility criteria were published in English and outcome studies. A literature search and article screening were independently performed by 2 authors and finally, 173 of 278 studies were included. Results: Thirty-nine studies used matching at the study design stage, and 171 adjusted for confounders using regression analysis or propensity scores at the analysis stage. Of these, 125 conducted regression analyses based on the study questions. Propensity score matching was the most common method involving propensity scores. A total of 171 studies included age and/or sex as confounders. Comorbidities and healthcare utilization, including medications and procedures, were used as confounders in 146 and 82 studies, respectively. Conclusions: This is the first review to address the methods and applications used to adjust for confounders in recently published studies. Our results indicate that all studies adjusted for confounders with appropriate study designs and statistical methodologies; however, a thorough understanding and careful application of confounding variables are required to avoid erroneous results.

동의신경정신과학회지에 게재된 임상연구논문 동향분석 - 2001년부터 2010년까지 - (A Review of Clinical Studies for Journal of Oriental Neuropsychiatry - since 2001 to 2010 -)

  • 허은정;전원경;김우영;한창현
    • 동의신경정신과학회지
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    • 제22권3호
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    • pp.115-125
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    • 2011
  • Objectives : This study was aimed to review the trend of clinical studies in Journal of Oriental Neuropsychiatry since 2001 to 2010. Methods : We collected 260 clinical studies and analyzed them for publish year, sorts of disease or symptoms, pattern identification diagnosis, and classification of clinical studies. Among them, we selected 46 clinical experimental studies and these studies were further analyzed for publish year, research institution, sort of disease or symptoms, sorts of treatments, number of subject, and pattern identification diagnosis. Results : The number of clinical studies in Journal of Oriental Neuropsychiatry have increased since the year of 2001. There were 62 kinds of diseases and symptoms and Hwa-Byung had the highest number of studies followed by depression, headache, insomnia and so on. The clinical experimental studies, which took up 17% of the clinical studies, have increased since 2001 and was varied with year. There were 13 reserch institutions for clinical experimental studies and they studied about stress, dementia, Hwa-Byung, and so on. Most of studies researched treatment about acupuncture, herb medicine, and meditation treatment for persons under 144. There are only 22% of studies using pattern identification diagnosis. Conclusions : For the development of oriental medicine for psychiatric disease, we need more qualifying clinical studies like RCT. We hope more researchers for psychiatry disease of oriental medicine will be interested in the publication of clinical studies and this will serve to produce advance of oriental medicine as evidence based medecine.

류마티스 관절염의 임상 연구 동향: 2008년 이후 국내 학술 문헌을 중심으로 (Korean Domestic Trends in Clinical Research on Rheumatoid Arthritis since 2008)

  • 한윤희;우현준;박수연;이창훈;정종혁;이명수;이정한
    • 한방재활의학과학회지
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    • 제31권3호
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    • pp.19-29
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    • 2021
  • Objectives To investigate the trends in clinical study on rheumatoid arthritis in all academic fields in Korea. Methods We searched seven Korean web databases for clinical studies published from 2008 to 2021. All identified studies were reviewed and classified by the year of publication, academic field, and study design. Results A total of 347 clinical studies were selected. An average of 26.7 studies were published each year. Regarding the distribution of studies by academic fields, 309 studies were published in the medical field and 17 studies were published during the same period in Korean medicine, and 21 studies were published in other fields. The distribution of studies by study design was as follows: 8 studies, meta-analyses; 5 studies, systematic reviews; 16 studies, experimental studies; and 318 studies, observational studies. Conclusions Multidisciplinary access and management are required for the early diagnosis of rheumatoid arthritis, effective management of disease progression, and prevention of rheumatoid joint deformities. Additionally, study design with high-level of evidence on the intervention of rheumatoid arthritis are warranted.

혈액투석과 근감소증의 연관성에 관한 문헌고찰 (Association of Hemodialysis and Sarcopenia : A systematic review)

  • 최경욱;이화경;김수아;오윤재
    • 대한통합의학회지
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    • 제11권3호
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    • pp.185-194
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    • 2023
  • Purpose : This study aimed to investigate the relationship between the characteristics of hemodialysis patients and the occurrence of sarcopenia through a comprehensive literature review. Methods : A systematic literature search was conducted to identify eligible studies in the Cochrane library, PubMed and Embase. In this review, we included all papers published since the initiative's inception and summarized results as of december 2022. Studies that investigated association between sarcopenia diagnosis and hemodialysis patients (aged≥18 years) were included. Ultimately, 16 studies met our selection criteria. The risk of bias was assessed using the Newcastle-Ottawa scale. Results : Fourteen of the sixteen studies (88 %) reported that significant association between sarcopenia diagnosis and hemodialysis patients. However, two studies reported no association between sarcopenia diagnosis and hemodialysis patients. As a factor statistically related to sarcopenia in hemodialysis patients, Mortality (6 studies, 38 %), age (5 studies, 31 %), body composition (4 studies, 25 %), physical activity (2 studies, 13 %), diabetes (2 studies, 13 %), cardiovascular abnormalities (1 studies, 6 %), nutritional status (3 studies, 19 %), and gender (3 studies, 19 %). Conclusion : Our findings highlight the necessity of developing a physical therapy program that accurately reflects the health status of hemodialysis patients. To further investigate the association between the diagnosis of sarcopenia and hemodialysis patients, it is recommended to conduct large-scale longitudinal studies using standardized diagnostic criteria and evaluation methods, as well as analyze potential risk factors. Consequently, this study emphasizes the importance and potential of developing physical therapy programs that effectively address the health consequences associated with hemodialysis. The significance of this research lies in its ability to provide valuable insights and lay the foundation for future studies focused on developing preventive and therapeutic interventions targeting muscle wasting syndrome resulting from hemodialysis.

From Southeast Asian Studies to ASEAN Studies: What's in a Name Change?

  • Curaming, Rommel A.
    • 수완나부미
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    • 제10권2호
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    • pp.31-55
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    • 2018
  • This paper is a preliminary attempt at making sense of the increasingly common use of the term ASEAN Studies as interchangeable with, or as replacement for the older and more established counterpart. It speculates on whether this development represents the beginning among local people of "owning" the region, as well as whether this forms part of the continuing effort to wrest the initiative or control of knowledge production in and about Southeast Asia.

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Transnational Studies and Attempts at Inclusivity

  • Diokno, Maria Serena I.
    • 수완나부미
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    • 제10권2호
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    • pp.115-120
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    • 2018
  • This paper provides comments on Janus Nolasco's paper and the role that transnational or transpacific studies can play in overcoming the division between Philippine Studies (area studies) and Filipino-American scholarship. It draws attention to the fact that the crossing of localities and boundaries is always historically grounded and that the historical contexts in which Filipino diasporic communities are located vary one from another. It also considers the antecedents of more inclusive approaches to understanding the past and the present, and historical agency.

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한국노년학의 사회학 연구동향 분석 (Analysis of Sociological Research Trends in Journal of the Korean Gerontological Society)

  • 원영희;모선희
    • 한국노년학
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    • 제28권4호
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    • pp.753-772
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    • 2008
  • 본 연구에서는 1980년-2008년 기간에 "한국노년학"에 게재된 사회학 연구논문을 연구주제, 연구방법, 이론 추이를 통해 고찰하였다. 분석대상은 총 161편으로 1980년대 27편, 1990년대 52편, 2000년대 82편으로 양적으로 계속 증가 추세를 보였다. 주요 연구결과는 다음과 같다. 첫째, 연구주제별로 살펴보면 1) 사회변동 및 사회제도(34편), 2) 사회실태(62편), 3) 사회문제 및 사회일탈(34편), 4) 사회문화(25편), 5) 노년학 연구 및 노년학 이론(6편)이며, 주요 연구동향과 연구결과를 중심으로 논의하였다. 둘째, 연구방법 측면에서는 1980년대의 논문들은 문헌연구 수준이고 점차로 양적 연구가 확대되는 경향을 보이나 질적 연구는 8편에 불과하였다. 또한 양적 연구들에 적용된 통계기법은 기초통계 수준이 36.0%, 고급통계 적용은 64.0%이며, 기초통계에서 점차적으로 고급통계가 적용된 것으로 나타났다. 셋째, 대부분의 연구는 이론을 제시하지 않거나 문헌고찰이나 이론적 배경에서 관련 이론을 설명할 뿐 이론적 근거를 토대로 한 것은 12편(7.5%)에 불과하였다. 향후 연구과제로 다양한 사회학 주제에 관한 연구, 질적 연구, 종단적 연구, 이론에 근거한 연구, 그리고 국제협동 연구 및 학제간/다학문적 연구 등이 제안되었다.

중성어혈약침 치료에 대한 임상논문 고찰 - 국내학술지를 중심으로 (A Review of Clinical Study on Jungsongouhyul Pharmacopuncture Treatment Published in Korea)

  • 윤정원;김순중
    • 한방재활의학과학회지
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    • 제27권4호
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    • pp.75-84
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    • 2017
  • Objectives To review the case studies and controlled studies about Jungsongouhyul pharmacopuncture treatment. Methods We searched 92 studies about Jungsongouhyul pharmacopuncture from 6 Korean web databases, using words 'Jungsongouhyul', 'Jungsongouhyul and pharmacopuncture', 'ouhyulpharmacopuncture' and 'ouhyul and pharmacopuncture' in Korean alphabet. We removed 63 duplicated studies. And we excluded 12 studies by reviewing abstract and the contents of a study. Results We selected 5 case studies and 12 controlled studies, excluding experimental research and study not on humans, not using the Jungsongouhyul pharmacopuncture for major treatment. Jungsongouhyul pharmacopuncture was used mostly in whiplash injury and all studies showed that Jungsongouhyul pharmacopuncture is effective treatment. But we found some lacking parts with study design in most studies. Conclusions We found out that Jungsongouhyul pharmacopuncture is effective in various diseases. But we need to do more well-designed study to increasing reliability of Jungsongouhyul pharmacopuncture treatment.

Southeast Asian Studies in the Age of STEM Education and Hyper-utilitarianism

  • Winichakul, Thongchai
    • 수완나부미
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    • 제10권2호
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    • pp.157-180
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    • 2018
  • Area studies, including Asian and Southeast Asian studies, in the post-Cold War era have been facing an epochal challenge that is rooted in two conditions: on the one hand, the end of the Cold War and the fading geopolitical rationale, and on the other, the emergence of the technology-driven transformation of the global economy and society. The consequences thus far are paradoxical: 1) While the technology-led transformation needs a workforce with critical and innovative abilities, higher education becomes more hyper-utilitarian; 2) While the transformation instigates increasing diversity of identities in global cultures, many countries thrive for STEM education at the expense of learning languages and cultures, including area studies which are essential for diversity. Southeast Asian studies programs need to change in response to these new conditions. These changing conditions and paradoxes, nevertheless, take different forms and degrees in the American, European and Asian academies, thanks to their different histories of higher education. The prospects for Southeast Asian Studies in these various academies are likely to be different too.

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