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      Treatment patterns of knee osteoarthritis patients in Korea

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      https://www.riss.kr/link?id=A106335196

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      다국어 초록 (Multilingual Abstract)

      Background/Aims: To evaluate the treatment patterns of knee osteoarthritis (OA) patients in South Korea.
      Methods: Using the Korean nationwide claims database, all knee OA patients in Korea during 2014 were identified by the knee OA diagnostic code (M17) or any OA diagnostic code (M15 to M19) in combination with a procedure for a knee X-ray. Patterns of medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids (CSs), analgesics, and symptomatic slow acting drugs for OA (SYSADOA) were analyzed. Prevalence and characteristics of knee OA patients who received a CS intra-articular injection (IAI) were also evaluated.
      Results: We identified 2,016,516 knee OA patients whose age (mean ± standard deviation) was 63.2 ± 10.8 years. The number of patients with at least one use of NSAIDs, analgesics, CS, and SYSADOA were 82.5%, 32.2%, 8.6%, and 43.4%, respectively. The use of herbal SYSADOAs was 29.7%. For regular users (medication possession ratios ≥ 50%), the use of NSAIDs was substantially decreased (48.8%), while the use of SYSADOA (37.3%) and CS (6.7%) were not significantly changed. The number of CS IAI users among knee OA patients was 0.18%; they were slightly older (64.4 ± 10.9 vs. 63.2 ± 10.8, p < 0.01) and more skewed towards females (75.7% vs. 71.5%, p < 0.01) than patients who had not received CS IAI.
      Conclusions: In Korea, the use of SYSADOA or CS in knee OA patients was relatively high. Further studies on the effectiveness and the safety of these treatment options for knee OA are needed.
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      Background/Aims: To evaluate the treatment patterns of knee osteoarthritis (OA) patients in South Korea. Methods: Using the Korean nationwide claims database, all knee OA patients in Korea during 2014 were identified by the knee OA diagnostic code (M...

      Background/Aims: To evaluate the treatment patterns of knee osteoarthritis (OA) patients in South Korea.
      Methods: Using the Korean nationwide claims database, all knee OA patients in Korea during 2014 were identified by the knee OA diagnostic code (M17) or any OA diagnostic code (M15 to M19) in combination with a procedure for a knee X-ray. Patterns of medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), corticosteroids (CSs), analgesics, and symptomatic slow acting drugs for OA (SYSADOA) were analyzed. Prevalence and characteristics of knee OA patients who received a CS intra-articular injection (IAI) were also evaluated.
      Results: We identified 2,016,516 knee OA patients whose age (mean ± standard deviation) was 63.2 ± 10.8 years. The number of patients with at least one use of NSAIDs, analgesics, CS, and SYSADOA were 82.5%, 32.2%, 8.6%, and 43.4%, respectively. The use of herbal SYSADOAs was 29.7%. For regular users (medication possession ratios ≥ 50%), the use of NSAIDs was substantially decreased (48.8%), while the use of SYSADOA (37.3%) and CS (6.7%) were not significantly changed. The number of CS IAI users among knee OA patients was 0.18%; they were slightly older (64.4 ± 10.9 vs. 63.2 ± 10.8, p < 0.01) and more skewed towards females (75.7% vs. 71.5%, p < 0.01) than patients who had not received CS IAI.
      Conclusions: In Korea, the use of SYSADOA or CS in knee OA patients was relatively high. Further studies on the effectiveness and the safety of these treatment options for knee OA are needed.

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      참고문헌 (Reference)

      1 채민경, "지역약국 방문 성인의 일반의약품 복용실태 및 일반의약품과 처방의약품과의 상호작용 연구" 한국임상약학회 23 (23): 49-56, 2013

      2 Jevsevar DS, "Treatment of osteoarthritis of the knee : evidence-based guideline, 2nd edition" 21 : 571-576, 2013

      3 Hartog A, "The multicomponent phytopharmaceutical SKI306X inhibits in vitro cartilage degradation and the production of inflammatory mediators" 15 : 313-320, 2008

      4 김인제, "The Prevalence of Knee Osteoarthritis in Elderly Community Residents in Korea" 대한의학회 25 (25): 293-298, 2010

      5 Shin SS, "Suppressive effects of PG201, an ethanol extract from herbs, on collagen-induced arthritis in mice" 42 : 665-672, 2003

      6 Runhaar J, "Subgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis : a systematic review and individual patient data meta-analysis from the OA trial bank" 76 : 1862-1869, 2017

      7 Lee SY, "SHINBARO, a new herbal medicine with multifunctional mechanism for joint disease : first therapeutic application for the treatment of osteoarthritis" 34 : 1773-1777, 2011

      8 Park JH, "Prevalence of symptomatic hip, knee, and spine osteoarthritis nationwide health survey analysis of an elderly Korean population" 96 : e6372-, 2017

      9 Seo HJ, "Prevalence and factors affecting glucosamine use in Korea : a survey-based study" 33 : 1627-1631, 2013

      10 National Clinical Guideline Centre for Acute, "Osteoarthritis : Care and Management in Adults"

      1 채민경, "지역약국 방문 성인의 일반의약품 복용실태 및 일반의약품과 처방의약품과의 상호작용 연구" 한국임상약학회 23 (23): 49-56, 2013

      2 Jevsevar DS, "Treatment of osteoarthritis of the knee : evidence-based guideline, 2nd edition" 21 : 571-576, 2013

      3 Hartog A, "The multicomponent phytopharmaceutical SKI306X inhibits in vitro cartilage degradation and the production of inflammatory mediators" 15 : 313-320, 2008

      4 김인제, "The Prevalence of Knee Osteoarthritis in Elderly Community Residents in Korea" 대한의학회 25 (25): 293-298, 2010

      5 Shin SS, "Suppressive effects of PG201, an ethanol extract from herbs, on collagen-induced arthritis in mice" 42 : 665-672, 2003

      6 Runhaar J, "Subgroup analyses of the effectiveness of oral glucosamine for knee and hip osteoarthritis : a systematic review and individual patient data meta-analysis from the OA trial bank" 76 : 1862-1869, 2017

      7 Lee SY, "SHINBARO, a new herbal medicine with multifunctional mechanism for joint disease : first therapeutic application for the treatment of osteoarthritis" 34 : 1773-1777, 2011

      8 Park JH, "Prevalence of symptomatic hip, knee, and spine osteoarthritis nationwide health survey analysis of an elderly Korean population" 96 : e6372-, 2017

      9 Seo HJ, "Prevalence and factors affecting glucosamine use in Korea : a survey-based study" 33 : 1627-1631, 2013

      10 National Clinical Guideline Centre for Acute, "Osteoarthritis : Care and Management in Adults"

      11 McAlindon TE, "OARSI guidelines for the non-surgical management of knee osteoarthritis" 22 : 363-388, 2014

      12 Peat G, "Knee pain and osteoarthritis in older adults : a review of community burden and current use of primary health care" 60 : 91-97, 2001

      13 da Costa BR, "Intra-articular corticosteroids for osteoarthritis of the knee" 316 : 2671-2672, 2016

      14 Nguyen US, "Increasing prevalence of knee pain and symptomatic knee osteoarthritis : survey and cohort data" 155 : 725-732, 2011

      15 Park HR, "Identification of knee osteoarthritis patients in the claims database" 2017

      16 Clegg DO, "Glucosamine, chondroitin sulfate, and the two in combination for painful knee osteoarthritis" 354 : 795-808, 2006

      17 Lapane KL, "Factors associated with the use of hyaluronic acid and corticosteroid injections among patients with radiographically confirmed knee osteoarthritis : a retrospective data analysis" 39 : 347-358, 2017

      18 Yoo WH, "Efficacy and safety of PG201(Layla(R))and celecoxib in the treatment of symptomatic knee osteoarthritis : a double-blinded, randomized, multi-center, active drug comparative, parallel-group, non-inferiority, phase III study" 34 : 1369-1378, 2014

      19 Jordan KM, "EULAR Recommendations 2003 : an evidence based approach to the management of knee osteoarthritis : report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials(ESCISIT)" 62 : 1145-1155, 2003

      20 Wilson N, "Drug utilization in patients with OA : a population-based study" 54 : 860-867, 2015

      21 Murray CJ, "Disability-adjusted life years(DALYs)for 291 diseases and injuries in 21 regions, 1990-2010 : a systematic analysis for the Global Burden of Disease Study 2010" 380 : 2197-2223, 2012

      22 Hochberg MC, "Combined chondroitin sulfate and glucosamine for painful knee osteoarthritis : a multicentre, randomised, double-blind, non-inferiority trial versus celecoxib" 75 : 37-44, 2016

      23 Hochberg MC, "American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee" 64 : 465-474, 2012

      24 Kim L, "A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples" 36 : e2014008-, 2014

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      학술지 이력
      연월일 이력구분 이력상세 등재구분
      2023 평가예정 해외DB학술지평가 신청대상 (해외등재 학술지 평가)
      2020-01-01 평가 등재학술지 유지 (해외등재 학술지 평가) KCI등재
      2011-01-01 평가 등재학술지 유지 (등재유지) KCI등재
      2008-01-01 평가 등재학술지 선정 (등재후보2차) KCI등재
      2007-01-01 평가 등재후보 1차 PASS (등재후보1차) KCI등재후보
      2005-01-01 평가 등재후보학술지 선정 (신규평가) KCI등재후보
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      기준연도 WOS-KCI 통합IF(2년) KCIF(2년) KCIF(3년)
      2016 1.37 0.26 1.02
      KCIF(4년) KCIF(5년) 중심성지수(3년) 즉시성지수
      0.83 0.73 0.566 0.13
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