Evidence map›Paper›PMID 37628549›Full record

ArticleHealthcare (Basel, Switzerland)2023

Analysis of Conservative Treatment Trends for Lumbar Disc Herniation with Radiculopathy in Korea: A Population-Based Cross-Sectional Study.

Sohyun Cho, Yu-Cheol Lim, Eun-Jung Kim, Yeoncheol Park, In-Hyuk Ha, Ye-Seul Lee, Yoon Jae Lee

Open access · goldAbstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. 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

7 authors at 4 institutions in 1 country.

Sohyun ChoJaseng Korean Medicine Hospital, Seoul 06110, Republic of Korea.
Yu-Cheol LimJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06110, Republic of Korea.ORCID 0000-0001-8601-3117
Eun-Jung KimDepartment of Acupuncture & Moxibustion, College of Korean Medicine, Dongguk University Bundang Oriental Hospital, Seongnam 13601, Republic of Korea.ORCID 0000-0002-4547-9305
Yeoncheol ParkDepartment of Acupuncture & Moxibustion, Kyung Hee University at Gangdong, 892 Dongnam-ro, Gangdonggu, Seoul 05278, Republic of Korea.
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06110, Republic of Korea.ORCID 0000-0002-5020-6723
Ye-Seul LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06110, Republic of Korea.ORCID 0000-0001-6127-5401
Yoon Jae LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul 06110, Republic of Korea.ORCID 0000-0002-1532-0942
Jaseng Medical Foundation · KRDongguk University · KRJaseng Hospital of Korean Medicine · KRKyung Hee University Hospital at Gangdong · KR

Funding

Ministry of Health and Welfare HF21C0099
6 · The paper itself

Abstract

This study aimed to analyze the trends in conservative treatment and associated medical costs for lumbar intervertebral disc disorders with radiculopathy in Korea. This population-based cross-sectional study included patients aged ≥ 20 years with at least one "intervertebral disc disorder with radiculopathy" claim (Korean Standard Classification of Diseases (KCD)-7 code: M511) who sought treatment from tertiary, general, or Korean Medicine hospitals or clinics between 2010 and 2019 and whose data were extracted from the Korean Health Insurance Review and Assessment Service National Patients Sample database. Intervention frequency, ratio, and medical costs, including medication, were analyzed. The number of patients with lumbar intervertebral disc disorders and radiculopathy undergoing conservative treatment increased by >30%, and medical costs increased from USD 3,342,907 to USD 5,600,456 during the 10-year period. The non-surgical treatments mainly used were medication and physiotherapy, and the most commonly prescribed medication was non-opioid analgesics. Meanwhile, the number of patients who used nerve plexus and root and ganglion nerve blocks showed the most significant increase. In conclusion, the number of patients with radiculopathy who received nerve blocks, particularly nerve plexus and root and ganglion nerve blocks, and related expenditure increased, implying a gradual shift in medical decisions from systemic pain reduction to specific and targeted pain treatments. Future studies and clinical practice guidelines may require further inspection of real-world practice to advise optimal treatment choices for an effective treatment plan.

Indexed as

conservative treatmentcross-sectional studiesKorealumbar vertebraeradiculopathytrend

Identifiers

PMID37628549
PMCPMC10454101
OpenAlexW4386033081

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.