The fundamental study for the standardisation and objectification of pattern identification in traditional Korean medicine for stroke (SOPI-Stroke): Development and interobserver agreement of the Korean standard pattern identification for stroke (K-SPI-Stroke) tool

2012 ◽  
Vol 4 (2) ◽  
pp. e133-e139 ◽  
Author(s):  
Byoung-Kab Kang ◽  
Tae-Woong Moon ◽  
Ju Ah Lee ◽  
Tae-Yong Park ◽  
Mi Mi Ko ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Pattern Identification ◽  
Traditional Korean Medicine ◽  
Standard Pattern ◽  
Fundamental Study ◽  
Korean Medicine

scholarly journals Interobserver Reliability of Tongue Diagnosis Using Traditional Korean Medicine for Stroke Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Mi Mi Ko ◽  
Ju Ah Lee ◽  
Byoung-Kab Kang ◽  
Tae-Yong Park ◽  
Jungsup Lee ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Interobserver Reliability ◽  
Pattern Identification ◽  
University Hospitals ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Fundamental Study ◽  
Korean Medicine ◽  
Tongue Diagnosis ◽  
Fur Quality

Observation of the tongue, also known as tongue diagnosis, is an important procedure in diagnosis by inspection in Traditional Korean medicine (TKM). We investigated the reliability of TKM tongue diagnosis in stroke patients by evaluating interobserver reliability regarding tongue indicators as part of the project named the Fundamental Study for the Standardization and Objectification of Pattern Identification in TKM for Stroke (SOPI-Stroke). A total of 658 patients with stroke admitted to 9 oriental medical university hospitals participated. Each patient was independently seen by two experts from the same department for an examination of the status of the tongue. Interobserver agreement about subjects regarding pattern identification with the same opinion between the raters (n=451) was generally high, ranging from “moderate” to “excellent”. Interobserver agreement was nearly perfect for certain signs of special tongue appearance (mirror, spotted, and bluish purple), poor for one of the tongue colors (pale) and moderate for others. Clinicians displayed measurable agreement regarding tongue indicators via both observation and pattern identification consistency. However, interobserver reliability regarding tongue color and fur quality was relatively low. Therefore, it is necessary to improve objectivity and reproducibility of tongue diagnosis through the development of detail-oriented criteria and enhanced training of clinicians.

scholarly journals Developing indicators of pattern identification in patients with stroke using traditional Korean medicine

2012 ◽  
Vol 5 (1) ◽  
Author(s):  
Ju Ah Lee ◽  
Tae-Yong Park ◽  
Jungsup Lee ◽  
Tae-Woong Moon ◽  
Jiae Choi ◽  
...  
Keyword(s):  
Pattern Identification ◽  
Traditional Korean Medicine ◽  
Korean Medicine

scholarly journals Interobserver Reliability of Four Diagnostic Methods Using Traditional Korean Medicine for Stroke Patients

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Ju Ah Lee ◽  
Mi Mi Ko ◽  
Byoung-Kab Kang ◽  
Terje Alraek ◽  
Stephen Birch ◽  
...  
Keyword(s):  
Interobserver Agreement ◽  
Interobserver Reliability ◽  
Diagnostic Methods ◽  
University Hospitals ◽  
Stroke Patients ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Clinician Training ◽  
High Pulse ◽  
Medical University

Objective. The aim of this study is to evaluate the consistency of pattern identification (PI), a set of diagnostic indicators used by traditional Korean medicine (TKM) clinicians.Methods. A total of 168 stroke patients who were admitted into oriental medical university hospitals from June 2012 through January 2013 were included in the study. Using the PI indicators, each patient was independently diagnosed by two experts from the same department. Interobserver consistency was assessed by simple percentage agreement as well as by kappa and AC1statistics.Results. Interobserver agreement on the PI indicators (for all patients) was generally high: pulse diagnosis signs (AC1=0.66–0.89); inspection signs (AC1=0.66–0.95); listening/smelling signs (AC1=0.67–0.88); and inquiry signs (AC1=0.62–0.94).Conclusion. In four examinations, there was moderate agreement between the clinicians on the PI indicators. To improve clinician consistency (e.g., in the diagnostic criteria used), it is necessary to analyze the reasons for inconsistency and to improve clinician training.

scholarly journals A Study on the Diagnostic Elements of Cold-Heat Pattern Identification by Korean Medicine Doctors: Association with Objective and Subjective Body Temperature

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Young Joo Park ◽  
Ji-Ho Nam ◽  
Mi Hong Yim ◽  
Honggie Kim ◽  
Jong Yeol Kim
Keyword(s):  
Body Temperature ◽  
Herbal Medicines ◽  
Pattern Identification ◽  
Traditional Korean Medicine ◽  
Korean Medicine ◽  
Significant Difference ◽  
Heat Pattern ◽  
Males And Females ◽  
Gender Groups ◽  
Objectively Measured

Although the Cold-Heat Pattern is the most important diagnostic factor in Traditional Korean Medicine (TKM), its relationship to body temperature and subjective temperature has not been clearly revealed. In this study, based on clinical data from 551 patients, we classified patients treated with herbal medicines into a Cold-prescription group (CG) and a Heat-prescription group (HG), and we compared the ordinary symptoms between the two groups. Subjective body temperature was higher in the HG than in the CG (OR = 1.68, p<0.01) and digestive ability was better in the HG than in the CG (expert’s questionnaire, OR = 1.91, p<0.001). However, objectively measured body temperature did not show any significant difference between the HG and CG in both gender groups (p=0.383 and 0.181 for males and females, resp.). Our study suggests that the subjective body temperature and digestive ability may be the principal diagnostic elements of Cold-Heat Pattern identification by Korean Medicine Doctors. These findings may contribute to the investigation of an objective method to measure the Cold-Heat Pattern.

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