Evidence map›Paper›PMID 26850111›Full record

Observational studyBMC complementary and alternative medicine2016

Long term follow-up of cervical intervertebral disc herniation inpatients treated with integrated complementary and alternative medicine: a prospective case series observational study.

Sang Hyun Baek, Jae Woo Oh, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-riong Kim, Yong-jun Ahn, Areum Choi, Ki Byung Park, Byung-Cheul Shin and 2 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC complementary and alternative medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02257723 (The Effect of Integrated CAM Treatment in Patients Hospitalized at a Korean Medicine Hospital), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02257723 recruitingnot on this map

The Effect of Integrated CAM Treatment in Patients Hospitalized at a Korean Medicine Hospital

TypeobservationalSponsorJaseng Hospital of Korean MedicineRan2012 to 2040Enrolled100,000ConditionsLow Back Pain, Neck Pain, Knee Pain, Shoulder PainArmsHerbal medicine, Acupuncture, Pharmacopuncture, Bee venom pharmacopuncture, Chuna manipulation
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 9 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 2 institutions in 1 country.

Sang Hyun BaekJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. blithe100@naver.com.
Jae Woo OhJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. paxjwoo@gmail.com.
Joon-Shik ShinJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. Jasengmaster@gmail.com.
Jinho LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. jasengjsr@gmail.com.
Yoon Jae LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. goodsmile8119@gmail.com.
Me-riong KimJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. krmkmr@naver.com.
Yong-jun AhnJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. ahnyj322@gmail.com.
Areum ChoiJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. aromi2603@naver.com.
Ki Byung ParkJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. kbpark@jaseng.co.kr.
Byung-Cheul ShinDivision of Clinical Medicine, School of Korean Medicine, Pusan National University, Yangsan, Republic of Korea. drshinbc@pusan.ac.kr.
Myeong Soo LeeMedical Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea. drmslee@gmail.com.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea. hanihata@gmail.com.
Jaseng Medical Foundation · KRKorea Institute of Oriental Medicine · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSymptomatic cervical intervertebral disc herniation (IDH) presenting as neck pain accompanied by arm pain is a common affliction whose prevalence continues to rise, and is a frequent reason for integrative inpatient care using complementary and alternative medicine (CAM) in Korea. However, studies on its long term effects are scarce.

methodsA total 165 patients with cervical IDH admitted between January 2011 and September 2014 to a hospital that provides conventional and Korean medicine integrative treatment with CAM as the main modality were observed in a prospective observational study. Patients underwent CAM treatment administered by Korean medicine doctors (KMDs) in accordance with a predetermined protocol for the length of hospital stay, and additional conventional treatment by medical doctors (MDs) as referred by KMDs. Short term outcomes were assessed at discharge and long term follow-ups were conducted through phone interviews after discharge. Numeric rating scale (NRS) of neck and radiating arm pain, neck disability index (NDI), 5-point patient global impression of change (PGIC), and factors influencing long term satisfaction rates in PGIC were assessed.

resultsOf 165 patients who received inpatient treatment 20.8 ± 11.2 days, 117 completed the long term follow-up up at 625.36 ± 196.7 days post-admission. Difference in NRS between admission and discharge in the long term follow-up group (n = 117) was 2.71 (95% CI, 2.33, 3.09) for neck pain, 2.33 (95% CI, 1.9, 2.77) for arm pain, and that of NDI 14.6 (95% CI, 11.89, 17.32), and corresponding scores in the non-long term follow-up group (n = 48) were 2.83 (95% CI, 2.22, 3.45) for neck pain, 2.48 (95% CI, 1.84, 3.12) for arm pain, and that of NDI was 14.86 (95% CI, 10.41, 19.3). Difference in long term NRS of neck pain and arm pain from baseline was 3.15 (95% CI, 2.67, 3.64), and 2.64 (95% CI, 1.99, 3.29), respectively. PGIC was reported to be "satisfactory" or higher in 79.5% of patients at long term follow-up.

conclusionsThough the observational nature of this study limits us from drawing a more decisive conclusion, these results suggest that integrative treatment focused on CAM in cervical IDH inpatients may achieve favorable results in pain and functional improvement.

trial registrationClinicalTrials.gov Identifier: NCT02257723. Registered October 2, 2014.

Indexed as

Complementary TherapiesMedicine, Korean TraditionalFeasibility StudiesFemaleFollow-Up StudiesHumansInpatientsIntervertebral Disc DisplacementMaleMiddle AgedNeck PainProspective StudiesTreatment Outcome

Identifiers

PMID26850111
PMCPMC4744400
OpenAlexW2268265816

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.