Evidence map›Paper›PMID 38056939›Full record

Observational studyBMJ open2023

Trends in the treatment of fibromyalgia in South Korea between 2011 and 2018: a retrospective analysis of cross-sectional health insurance data.

Jin-Sil Yu, Eun-San Kim, Kyoung Sun Park, Yoon Jae Lee, Yeon Cheol Park, Dongwoo Nam, Eun-Jung Kim, In-Hyuk Ha

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

8 authors.

Jin-Sil YuJaseng Hospital of Korean Medicine, Seoul, South Korea.
Eun-San KimJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea.ORCID 0000-0002-7927-9811
Kyoung Sun ParkJaseng Hospital of Korean Medicine, Seoul, South Korea.
Yoon Jae LeeJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea.ORCID 0000-0002-1532-0942
Yeon Cheol ParkAcupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, South Korea.
Dongwoo NamDepartment of Acupuncture and Moxibustion, Kyung Hee University, Seoul, South Korea.
Eun-Jung KimDepartment of Acupuncture and Moxibustion, College of Oriental Medicine, Dongguk University, Seongnam-si, South Korea.ORCID 0000-0002-4547-9305
In-Hyuk HaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, South Korea hanihata@gmail.com.ORCID 0000-0002-5020-6723

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesFibromyalgia treatment trends vary globally; however, the trend in South Korea has not been investigated yet. This study aimed to analyse the fibromyalgia treatment trends in South Korea.

designRetrospective, observational study using serial cross-sectional data.

settingThe National Patient Samples of the Korean Health Insurance Review & Assessment Service from 2011 to 2018 were used.

participantsA total of 31 059 patients with fibromyalgia were included in this study. The basic characteristics of the patients were stratified by sex, age and comorbidity. A patient was considered to have a condition if it was recorded as a principal diagnosis at least once in a year. PRIMARY AND SECONDARY OUTCOME MEASURES: Trends in the types of medical visits and prescribed treatments were investigated and the values are presented as rates per 100 patients. The types of pharmacological treatment were presented according to the existing clinical guidelines. Additionally, combination prescription trends and associated characteristics were investigated.

resultsOf the patients, 66.2% were female. Visits to internal medicine departments showed the most significant increase (2011: 11.34; 2018: 21.99; p<0.001). Non-pharmacological treatment rates declined (physical therapy 2011: 18.11; 2018: 13.69; p<0.001, acupuncture 2011: 52.03; 2018: 30.83; p<0.001). Prescription rates increased for analgesics, relaxants, antiepileptics and antidepressants. Non-steroidal anti-inflammatory drug prescriptions had the highest increase (2011: 27.65; 2018: 40.02; p<0.001). Serotonin-norepinephrine reuptake inhibitor prescriptions showed significant growth (2011: 2.4; 2018: 8.05; p<0.001). Prescription durations were generally longer for women (p<0.001), with higher rate increases in this group. Combinations of ≥3 medication classes increased (2011: 8.2; 2018: 9.64; p=0.041). Women were more likely to receive combination prescriptions (crude OR 1.47 (95% CI 1.29 to 1.68), adjusted 1.18 (95% CI 1.03 to 1.36)).

conclusionsOur findings provide basic reference data for the development and application of national guidelines for fibromyalgia.

Indexed as

FibromyalgiaAnalgesicsCross-Sectional StudiesFemaleHumansInsurance, HealthMaleRetrospective StudiesSelective Serotonin Reuptake InhibitorsAnalgesicsSelective Serotonin Reuptake InhibitorsCLINICAL PHARMACOLOGYMusculoskeletal disordersPAIN MANAGEMENT

Identifiers

PMID38056939
PMCPMC10711815

What OpenQuestion holds

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LicenceCC BY-NC
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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.