Association of serum resistin with blood stasis syndrome in traditional Korean medicine for metabolic diseases: a cross-sectional multicenter observational study

Background: This study aims to statistically analyze and compare the curative effect and satisfaction level between typical traditional Korean medicine treatment and nonsurgical spinal decompression treatment.Methods: Of the patients who were diagnosed with the cervical or lumbar herniated intervertebral disc at the Department of Acupuncture and Moxibustion Medicine at the Daejeon Korean Medicine Hospital from April 14th to August 25th, 2019, this study retrospectively analyzed the medical records of 31 patients who underwent nonsurgical spinal decompression treatment and traditional Korean medicine (assigned to Group A) and another 31 patients who received typical traditional Korean medicine alone (assigned to Group B). The clinical data were analyzed using IBM SPSS Version 23.0.Results: No statistically significant differences appeared in terms of sociodemographic, condition, and therapeutic characteristics, except whether the patient received Western medicine treatment, before or after a treatment with traditional Korean medicine. Group A exhibited higher variations in numeric rating scale, EuroQol- 5 dimension and EuroQol visual analogue scale scores compared to Group B as determined by independent sample t test and analysis of covariance. In addition, the satisfaction score of Group A was higher than that of Group B The result of cross analysis revealed that desire for continued treatment in Group A was higher than that of Group B.Conclusion: This retrospective observational study showed that the patients with nonsurgical spinal decompression treatment reported a greater reduction in pain, improved quality of life and satisfaction than patients receiving typical traditional Korean medicine.

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Antihypertensive treatment and blood pressure control in patients with hypertension in daily clinical practice: a cross-sectional, multicenter, observational study in Egypt

Current Medical Research and Opinion ◽

10.1080/03007995.2016.1232706 ◽

2016 ◽

Vol 33 (1) ◽

pp. 39-45 ◽

Cited By ~ 3

Author(s):

Ramzy El Mawardy ◽

Ashraf Okba

Keyword(s):

Blood Pressure ◽

Clinical Practice ◽

Observational Study ◽

Blood Pressure Control ◽

Antihypertensive Treatment ◽

Pressure Control ◽

Daily Clinical Practice ◽

Cross Sectional ◽

Multicenter Observational Study

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Efficacy and Safety of Blood Stasis Based Herbal Medicine for Patients with Traffic Accident : A Prospective Observational Study

Journal of Acupuncture Research ◽

10.13045/jar.2020.00038 ◽

2020 ◽

Vol 37 (3) ◽

pp. 151-160

Author(s):

Sung Min Bong ◽

Hyo Rim Jo ◽

Woo Seok Jang ◽

Seong Kyeong Choi ◽

Won Suk Sung ◽

...

Keyword(s):

Herbal Medicine ◽

Observational Study ◽

Outcome Measures ◽

Prospective Observational Study ◽

Blood Stasis ◽

Secondary Outcome ◽

Korean Medicine ◽

Significant Difference ◽

Vas Scores ◽

Eq Vas

Background: Blood stasis (BS) is commonly used for pattern identification in traumatic injuries, including traffic accidents (TAs). Various studies have identified the efficacy of Korean medicine treatments for TA patients, but studies focusing on the BS-based herbal medicine (BSHM), including Tongdo-san (TDS), are rare. Methods: This was a single-center, prospective observational study, conducted from August 24th, 2018 to December 27th, 2018, which included 40 TA patients. Participants underwent routine Korean medicine treatments including acupuncture, electronic moxibustion, cupping, physical therapy, and herbal medicine. In the herbal medicine treatment, participants took BSHM with more than 3 days including taking TDS. The primary outcome measures were the scores from a 100 mm visual analogue scale (VAS) and numerical rating scale (NRS). Secondary outcome measures included scores from EuroQol-5 dimension (EQ-5D) and EQVAS questionnaires, the BS and cold/heat indices, and safety assessments. Results: There were significant improvements in the VAS, NRS, EQ-5D, EQ-VAS scores, and BS index after treatment. In the sub-analysis, VAS, NRS, EQ-5D, and EQ-VAS scores were higher in groups with a higher BS index. The moderate and severe BS index groups showed more improvement than the minor BS index group, and there was a significant difference in the EQ-5D scores. There was no significant differences observed in cold/heat index groups scores. Conclusion: BS is associated with TA-related symptoms. BSHM, including TDS, may significantly reduce BS, pain, and discomfort.

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LOOP, a cross-sectional, observational study investigating the clinical specialty setting as a determinant of disease management in psoriatic arthritis: Subgroup analysis results from Japan

PLoS ONE ◽

10.1371/journal.pone.0245954 ◽

2021 ◽

Vol 16 (1) ◽

pp. e0245954

Author(s):

Masato Okada ◽

Sarina Kurimoto ◽

Fabiana Ganz ◽

Wolf-Henning Boehncke

Keyword(s):

Psoriatic Arthritis ◽

Observational Study ◽

Subgroup Analysis ◽

The United States ◽

Musculoskeletal Symptoms ◽

Clinical Specialty ◽

Cross Sectional ◽

Multicenter Observational Study ◽

Dermatology Clinic ◽

The Mean

Background Psoriatic arthritis (PsA) is a progressive erosive joint disorder that causes functional impairment; therefore, early diagnosis and management are essential. This study evaluated the association between clinical specialty and the time to management in patients with PsA in Japan. Methods This was a subgroup analysis of a cross-sectional, multicenter, observational study that was conducted in 17 countries outside the United States, including 17 sites at 8 institutions in Japan, from June 2016 to October 2017. Data from consecutive patients (age ≥18 years) with a suspected or established diagnosis of PsA on a routine visit to a participating rheumatology/orthopedic or dermatology clinic in Japan were analyzed. The primary endpoints were time from onset of inflammatory musculoskeletal symptoms to PsA diagnosis, PsA diagnosis to first conventional synthetic disease-modifying antirheumatic drug (csDMARD), PsA diagnosis to first biologic DMARD (bDMARD), and first csDMARD to first bDMARD. Results Of 109 patients with a confirmed diagnosis of PsA, 39.4% (n = 43) and 60.6% (n = 66) were recruited by rheumatologists/orthopedists and dermatologists, respectively. Most patients were prescribed tumor necrosis factor inhibitors (58.7%) or methotrexate (56.0%). The mean duration from symptom onset to PsA diagnosis was significantly longer (p = 0.044) for patients treated by rheumatologists/orthopedists (70.6 months) than those treated by dermatologists (30.1 months). In the rheumatology/orthopedic and dermatology settings, the mean time from PsA diagnosis to first csDMARD administration was −0.9 and −2.9 months, and from PsA diagnosis to first bDMARD 21.4 and 14.9 months, respectively. The mean duration from administration of first csDMARD to first bDMARD was comparable in the rheumatology/orthopedic (31.8 months) and dermatology (31.5 months) settings. Conclusions Treatment approach was slightly different between rheumatology/orthopedic and dermatology setting in clinical practice in Japan, suggesting that an integrated dermo-rheumatologic approach can optimize the management of patients with PsA.

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Adherence to recommendations of inpatient geriatric consultation teams: a multicenter observational study

European Geriatric Medicine ◽

10.1007/s41999-020-00397-w ◽

2020 ◽

Author(s):

Mieke Deschodt ◽

Anthony Jeuris ◽

Bastiaan Van Grootven ◽

Eline Van Waerebeek ◽

Evie Gantois ◽

...

Keyword(s):

Observational Study ◽

Health Professionals ◽

Allied Health ◽

Median Number ◽

Adherence Rate ◽

Cross Sectional Survey ◽

Allied Health Professionals ◽

Cross Sectional ◽

Multicenter Observational Study ◽

Geriatric Consultation

Abstract Purpose Inpatient geriatric consultation teams (IGCTs) provide recommendations for the care of older patients hospitalized on non-geriatric wards based on comprehensive geriatric assessment. The lack of adherence to their recommendations hinders the potential impact of IGCTs. We evaluated the adherence to IGCT recommendations and determined which team and recommendation characteristics are related to higher adherence rates. Methods Multicenter observational study in older adults aged ≥ 75 years admitted to an acute non-geriatric ward. Demographic and adherence data were collected for 30 consecutive patients. A cross-sectional survey mapped team and organizational characteristics of the participating IGCTs. Results Analyses were conducted in 278 patients (51.4% male, mean age 82.5 years, and median length of stay 10 days). There was a median number of 3 recommendations (range 1–13) per patient. The overall adherence rate was 69.7%. Recommendations related to ‘social status’ (82.4%) and ‘functional status/mobility’ (73.3%) were best adhered to. Recommendations related to ‘medication’ (53.2%) and ‘nutritional status’ (59.1%) were least adhered to. Adherence rates increased if recommendations were given to allied health professionals (OR = 6.37, 95% CI = 1.15–35.35) or by more experienced IGCTs (OR = 1.34, 95% CI = 1.04–1.72) and decreased when more recommendations were given (OR = 0.51, 95% CI = 0.33–0.80). Conclusion Adherence rate to IGCT recommendations increased if given to allied health professionals or by more experienced IGCTs and when fewer recommendations were given. Study replication in an international multicenter study with a larger number of centers and evaluating the quality of the recommendations is suggested.

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Traditional Korean medicine treatment patterns in patients with low back pain: A cross-sectional study based on the 2017 Korean Medicine Utilization and Herbal Medicine Consumption Survey

European Journal of Integrative Medicine ◽

10.1016/j.eujim.2020.101124 ◽

2020 ◽

Vol 36 ◽

pp. 101124

Author(s):

Chunhoo Cheon

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Cross Sectional Study ◽

Treatment Patterns ◽

Low Back ◽

Sectional Study ◽

Traditional Korean Medicine ◽

Cross Sectional ◽

Korean Medicine ◽

Consumption Survey

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A cross-sectional, multicenter, observational study to assess the prophylaxis of venous thromboembolism in Lebanese and Jordanian hospitals

Thrombosis Journal ◽

10.1186/s12959-021-00261-2 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Imad Hajj ◽

Mahmoud AL-Masri ◽

Kaldoun Bashaireh ◽

Mohammed Bani Hani ◽

Shadi Hamouri ◽

...

Keyword(s):

At Risk ◽

Venous Thromboembolism ◽

Observational Study ◽

Confidence Interval ◽

Multivariate Logistic Regression Analysis ◽

Hospitalized Patients ◽

Cross Sectional ◽

Multicenter Observational Study ◽

Vte Prophylaxis ◽

Prophylactic Measures

Abstract Background There is a growing body of evidence showing substantial underuse of appropriate venous thromboembolism (VTE) prophylaxis in patients at risk. In the present study, our goal was to assess the current practices in the use rate of VTE prophylaxis among hospitalized patients in Jordan and Lebanon. Methods A cross-sectional, multicenter, observational study was conducted on 40 centers across Lebanon and Jordan. We included patients who were admitted to the participating hospitals for the treatment of a serious medical or surgical illness. The patients’ records were screened for the fulfillment of inclusion/exclusion criteria during a single assessment visit. The proportion of medical and surgical patients who were at risk of VTE and the thrombo-prophylactic measures employed by physicians for these patients were assessed according to the American College of Chest Physicians (ACCP 2016) guidelines. Results The present study included 704 patients (400 from Jordan and 304 from Lebanon) with a mean age of 54.9 ± 17.5 years. Almost 59% of the patients received prophylaxis treatment in form of pharmacological anticoagulant prophylaxis and/or mechanical prophylaxis. Low molecular weight heparin was the most commonly used anticoagulant for VTE prophylaxis in 366 out of the total 704 (51.9%) patients in the analysis cohort. Two hundred and sixteen patients (52, 95% confidence interval [47.1–56.9%]) received appropriate prophylactic agents out of 415 patients who were eligible for prophylaxis according to the ACCP 2016 guidelines. On the other hand, 199 (72.1, 95% confidence interval [66.4–77.3%) patients received prophylaxis out of 276 ineligible patients. The rate of compliance to guidelines showed wide variations according to the type of hospital, specialty, and the patients’ age. The multivariate logistic regression analysis showed that only age was a significant predictor of appropriate VTE prophylaxis (odds ratio [OR] 1.05, P < 0.001). Conclusion The rates of the appropriate use of VTE prophylaxis are low in Lebanon and Jordan. There is a lack of compliance to guidelines for VTE prophylaxis use for hospitalized patients in both countries.

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