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CARE (CAse REport) 지침에 따른 대한한방부인과학회지의 증례보고에 대한 질 평가
남은영,박주연 대한한방부인과학회 2019 대한한방부인과학회지 Vol.32 No.2
Objectives: The purpose of this study is to assess the quality of case reports from the Journal of Obstetrics and Gynecology of Korean Medicine. Methods: Case reports were selected from the Obstetrics and Gynecology of Korean Medicine from January 2015 to March 2019, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results: Total of 41 case reports were finally selected for the assessment. 69.23% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding ‘Diagnostic challenges', ‘Intervention adherence and tolerability', ‘Adverse and unanticipated events', or ‘Patient perspective or experience', and ‘Informed consent'. Also, the reports did not include ‘Key word', ‘timeline’. Conclusions: Case reports from the Journal of Obstetrics and Gynecology of Korean Medicine have important role in women. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Obstetrics and Gynecology of Korean Medicine. Objectives: The purpose of this study is to assess the quality of case reports from the Journal of Obstetrics and Gynecology of Korean Medicine. Methods: Case reports were selected from the Obstetrics and Gynecology of Korean Medicine from January 2015 to March 2019, by utilizing Oriental Medicine Advanced Searching Integrated System (OASIS). The quality of the reports were reviewed based on the Consensus-based Clinical Case Reporting Guideline Development (CARE) guideline. Results: Total of 41 case reports were finally selected for the assessment. 69.23% of the case reports included necessary information based on the CARE guideline but the rest of the reports did not. More than 50% of the reports were missing data regarding ‘Diagnostic challenges', ‘Intervention adherence and tolerability', ‘Adverse and unanticipated events', or ‘Patient perspective or experience', and ‘Informed consent'. Also, the reports did not include ‘Key word', ‘timeline’. Conclusions: Case reports from the Journal of Obstetrics and Gynecology of Korean Medicine have important role in women. Efforts are needed to improve the quality of the case reports as well as to develop reporting guidelines for the Journal of Obstetrics and Gynecology of Korean Medicine.
일개 한방병원에 내원한 산욕초기 산모의 한국표준질병・사인분류 분석
김평화 대한한방부인과학회 2019 대한한방부인과학회지 Vol.32 No.1
Objectives: The purpose of this study is to collect and analyze the KCD codes applied to the treatment of 27 postpartum women who had been treated with Korean traditional medicine in a Korean medicine hospital, so that this study may be used as a basic data for setting the direction of postpartum Korean medical treatment research. Methods: It was approved by the Institutional Review Board (IRB) of ⃝⃝ University medical center (IRB approval number : WSOH IRB H1708-02-01). Twenty-seven postpartum women who had been treated at ⃝⃝ University medical center were received outpatient treatment for two weeks (from September 27, 2017 to January 5, 2018), and the KCD codes applied to the mothers were collected after obtaining the consent. On the day of registration of the study, the fertility, obstetric history and high-risk pregnancies were identified through an interview. Results: 1. The mean age of the 27 subjects was 33.33±3.99 years old. Among the subjects, 17 mothers (63.0%) were high-risk pregnancy and 10 mothers (37.0%) were normal. 2. Among the 22 major disease categories, 8 categories were used. M code (musculoskeletal system) was used 243 times (70.85%), followed by R code (unclassified symptom) of 51 times (14.87%) and U code (special purpose code) of 23 times (6.71%). 3. The most commonly used code among the ten frequently used codes was M25.57 (joint pain, ankle and foot), a total of 47 times. Of the remaining nine codes, except for R60.1 (systemic edema) and U68.4 (The deficiency of yang in Bi), all codes were M codes (musculoskeletal system). 4. The M code (musculoskeletal system) was the most used major disease category in high-risk group, a total of 159 times. But in specific categories, the most commonly used code was R60.1 (systemic edema), a total of 28 times. 5. In normal group, the M code (musculoskeletal system) was the most used major disease category, a total of 84 times. Also, in specific categories, the most commonly used code was M25.57 (joint pain, ankle and foot), total 29 times. 6. The U code, corresponding to 'the diagnosis of childbirth and other obstetrical medical use', was used 23 times (6.71%), O code three times (0.87%) and Z code two times (0.58%), which was less than 10% of the total number of codes used. Conclusion: When analyzing KCD codes related to Korean medicine treatment for postpartum diseases, it is important to select the KCD codes that reflect the actual clinical state. 목적 : 일개 한방병원에서 한의치료를 받은 산욕초기 27명의 산모를 대상으로 치료 시 적용된 KCD 코드를 수집, 분석하여 산후의 한의진료 자료구축 연구에 대한 방향 설정의 기초자료로 활용하고자 하였다. 방법 : OO대학교기관생명윤리위원회(Institutional Review Board, 이하 IRB)의 승인을 받아 실시하였다(IRB 승인 번호 (WSOH IRB H1708-02-01). 2017년 9월 18일부터 2018년 1월 5일까지 OO대학교 부속한방병원 한방부인과에서 한의치료를 받은 초기 산욕기 산모 27명의 동의를 얻어 2주간 외래를 방문하여 한의치료를 받을 때마다 적용된 KCD코드를 수집하였다. 연구등록당일에는 문진을 통하여 출산력, 산과력 및 고위험산모 여부를 확인하였다. 결과 : 1. 대상자 27명의 평균 연령은 33.33±3.99세였으며, 고위험 산모가 17명(63.0 %), 일반 산모가 10명(37.0 %)이었다. 2. 전체 22개의 질병 대분류 8개의 분류가 사용되었으며, M코드(근골격계통)가 243회(70.85%), R코드(달리 분류되지 않은 증상)가 51회(14.87%), U코드(특수목적 코드)가 23회(6.71%) 순이었다. 3. 다빈도 상위 10개 세분류 상병코드 중 가장 많이 사용 된 코드는 총 47회로 M25.57(관절통, 발목 및 발)이었고, 나머지 9개의 코드 중 R60.1(전신부종), U68.4(비양허증)을 제외하면, 7개의 코드가 모두 M코드(근골격계통)였다. 4. 고위험군의 질병대분류 또한 M코드(근골격계) 가 159회로 가장 높았으나, 세분류 상병코드 중 가장 많이 사용된 것은 총28회로 R60.1(전신부종)이었다. 5. 일반군의 질병대분류 또한 M코드(근골격계) 가 84회로 가장 높았으며, 세분류 상병코드 중 가장 많이 사용된 것은 총29회로 M25.57(관절통, 발목 및 발)이었다. 6. ‘분만 및 기타 산과 의료이용 진단코드’에 해당하는 U코드가 23회(6.71%), O코드가 3회(0.87%), Z코드가 2회(0.58%)사용되어, 전체 사용된 코드 건수의 10% 미만이었다. 결론 : 출산 후의 한방의료 이용질환에 관한 상병코드 분석 시, 실제 임상현장을 반영한 상병코드의 선정이 중요함을 알 수 있다.