Evidence map›Paper›PMID 28706100›Full record

ArticleBMJ open2017

Medical service use and usual care of common shoulder disorders in Korea: a cross-sectional study using the Health Insurance Review and Assessment Service National Patient Sample.

Hwansoo Joo, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-Riong Kim, Wonil Koh, Yeoncheol Park, Yun Kyung Song, Jae-Heung Cho, In-Hyuk Ha

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 18 citations in OpenAlex.

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  9. YouTube as a learning tool for four shoulder tests.Primary health care research & development · 2018
    Article
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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

10 authors at 4 institutions in 1 country.

Hwansoo JooJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Yoon Jae LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Joon-Shik ShinJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Jinho LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Me-Riong KimJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Wonil KohJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.
Yeoncheol ParkDepartment of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, The Republic of Korea.
Yun Kyung SongDepartment of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University, Seongnam-si, The Republic of Korea.
Jae-Heung ChoDepartment of Korean Rehabilitation Medicine, College of Korean Medicine, Kyung Hee University, Dongdaemun-gu, Seoul, The Republic of Korea.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea.ORCID 0000-0002-5020-6723
Jaseng Medical Foundation · KRGachon University · KRKyung Hee University · KRKyung Hee University Hospital at Gangdong · KR

Funding

NTP INFORMATION SYSTEMS SUPPORT27305C0011 · NIEHS · Z-TECH CORPORATION · 2007 to 2009
$4.3M
PROVIDE RABBITS, RATS, MICE, HAMSTERS, GERBILS, GUINEA PIGS27307C0011 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$500k
NIEHS NIH HHS 27305C0011NIEHS NIH HHS 27307C0011NIEHS NIH HHS 27398C0011
6 · The paper itself

Abstract

objectivesThis study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category. DESIGN AND

settingThe 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence. Sociodemographic characteristics and medical service use, frequency and medical costs regarding common shoulder disorders were evaluated.

resultsThe majority of patients with shoulder disorder received ambulatory care (97%). Total and per-patient expenses were highest in patients with RCS. The number of inpatients with RCS was more than twice that of the other two groups, and patients with RCS were more likely to receive surgical management compared with patients with ACS and SIS. Prevalence of shoulder disorders was highest among subjects in their 50s for all three groups. Primary care physicians treated 75.80% of patients with ACS, 56.99% of patients with RCS and 48.06% of patients with SIS, respectively, outlining the difference in medical institution usage patterns. In all three groups, the highest proportion of patients visited orthopaedic surgeons out of medical departments. In the ACS and SIS groups, cost of visits (consultations) took up the largest part of total expenses at 32.30% and 18.88%, respectively, while cost of procedure/surgery constituted the largest portion in patients with RCS (37.77%). The usage proportion of subcutaneous or intramuscular and intra-articular injections ranged between 20% and 30% for outpatients in all three groups.

conclusionsMedical service use, frequency and cost distributions relating to major shoulder disorders in Korea were assessed using nationwide claims data. These findings are expected to aid policy-makers as well as researchers and practitioners as basic healthcare data.

Indexed as

Shoulder JointAdultAgedCross-Sectional StudiesDelivery of Health CareFemaleHumansInsurance, HealthJoint DiseasesMaleMiddle AgedPrevalenceRepublic of KoreaYoung Adultepidemiologyhealth economicsinternational health servicesrheumatologyshoulder

Identifiers

PMID28706100
PMCPMC5726070
OpenAlexW2735552224

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.