[논문]국내 만성질환 노인환자의 한의과 진료서비스 이용과 사망률 및 파킨슨병 발생률의 관계연구

우연주

doi:10.25153/spkom.2021.25.3.003

국내 만성질환 노인환자의 한의과 진료서비스 이용과 사망률 및 파킨슨병 발생률의 관계연구
The Relation of Korean Medicine Services Use on the All-cause Mortality and Incidence of Parkinson's disease and Elderly Patients with Chronic Disease in Korea 원문보기

대한예방한의학회지 = Journal of Society of Preventive Korean Medicine, v.25 no.3, 2021년, pp.25 - 37

우연주 (상지대학교 한의과대학 생리학교실)

Abstract ▼ AI-Helper

Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson's disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior. Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007-2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio. Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646-0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962-1.148) higher in the case group than the control group, which was not statistically significant(p=0.272). Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.

주제어

표/그림 (9)

표 Table 1. Disease Codes of Chronic Disease Based on Charlson Comorbidity Index(CCI)
그림 Fig. 1. Cohort Design of PD Incidence and All-cause Mortality for Elderly Patients with Chronic Diseases
그림 Fig. 2. Establishment of Cohort and Selection of Subjects
표 Table 2. Subjecrts Characteristics of before and after Propensit Score Matching(PSM)
그림 Fig. 3 Effect of Propensity Score Matching(PSM) for Heterogeneity Removal between the Case and Control Groups
표 Table 3. Comparison of All-cause Mortality between the Case and Control Groups in Elderly Patients with Chronic Diseases
표 Table 4. Comparison of PD Incidence between the Case and Control Groups in Elderly Patients with Chronic Diseases
그림 Fig. 4. Log-Log Plot of All-cause Mortality and PD Incidence between the Case and Control Groups in Elderly Patients with Chronic Diseases
그림 Fig. 5. Kaplan-Meier Curve of All-cause Mortality and PD Incidence between the Case and Control Groups in Elderly Patients with Chronic Diseases

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