Evidence map›Paper›PMID 32973065›Full record

Observational studyBMJ open2020

Analysis of medical services provided to patients with ankle sprains in Korea between 2015 and 2017: a cross-sectional study of the health insurance review and assessment service national patient sample database.

Ho-Sun Ryu, Boyoung Jung, Jiyoon Yeo, Jae-Hong Kim, Dongwoo Nam, In-Hyuk Ha

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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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

6 authors at 5 institutions in 1 country.

Ho-Sun RyuJaseng Hospital of Korean Medicine, Gangnam-gu, Republic of Korea.
Boyoung JungDepartment of Health Administration, Hanyang Women's University, Seoul, Republic of Korea.ORCID 0000-0001-9812-0745
Jiyoon YeoJaseng Spine & Joint Research Institute, Jaseng Medical Foundation, Gangnam-gu, Republic of Korea.
Jae-Hong KimAcupuncture & Moxibustion, Dongshin University College of Korean Medicine, Naju, Republic of Korea.
Dongwoo NamDepartment of Acupuncture & Moxibustion, Kyung Hee University, Dongdaemun-gu, Seoul, Republic of Korea.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Gangnam-gu, Republic of Korea hanihata@gmail.com.ORCID 0000-0002-5020-6723
Jaseng Medical Foundation · KRDongshin University · KRHanyang Women's University · KRJaseng Hospital of Korean Medicine · KRKyung Hee University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo provide useful information for policy-makers and clinicians by analysing the medical service use-divided into Western medicine (WM) and Korean medicine (KM)-of patients with ankle sprains in South Korea between 2015 and 2017.

designCross-sectional, retrospective, observational study.

settingTertiary hospitals, WM hospitals, WM clinics, KM hospitals, KM clinics and others in South Korea.

participantsWe analysed claim data and patient information from the 2015 to 2017 Health Insurance Review and Assessment National Patient Sample (HIRA-NPS) dataset, including 151 415 patients diagnosed with a 'dislocation, sprain and strain of joints and ligaments at ankle and foot level' (10th revision of the International Statistical Classification of Diseases code S93) who used medical services at least once in 3 years between January 2015 and December 2017 in South Korea. PRIMARY AND SECONDARY OUTCOME MEASURES: Cost of medical care, number of consultations, type of institution visited, types of treatment.

resultsThere were 160 200 consultations and 53 044 patients in 2015, 149 956 consultations and 50 830 patients in 2016 and 140 651 consultations and 47 541 patients in 2017. The total treatment costs were US$3 355 044.21, US$3 245 827.70 and US$3 128 938.46 in 2015, 2016 and 2017, respectively. The most common age was 10-19 years. The most frequent type of visit was KM outpatient visit (56%). Physiotherapy was most common in WM outpatient visits, while acupuncture was most common in KM visits. Most patients used one institution, rather than alternating between WM and KM.

conclusionsBy identifying the trends and costs of treatment methods used for ankle sprains and comparing WM and KM, our data provide basic information for future health policy-making. In addition, the duality of the Korean medical system is highlighted as a possible cause of increased costs.

Indexed as

Ankle InjuriesAdolescentAdultChildCross-Sectional StudiesHumansInsurance, HealthRepublic of KoreaRetrospective StudiesYoung Adultepidemiologyfoot & anklehealth services administration & management

Identifiers

PMID32973065
PMCPMC7517580
OpenAlexW3088247185

What OpenQuestion holds

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LicenceCC BY-NC
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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.