MedPath

Characteristics and Medical Resource Utilization of Postoperative Patients

Completed
Conditions
Pain, Postoperative
Registration Number
NCT03293212
Lead Sponsor
Jaseng Medical Foundation
Brief Summary

The objective of this study is to assess and analyze the characteristics and usage of conventional and Korean medical services in postoperative patients. This study therefore investigates the proportion of patients with a history of surgery out of patients visiting a spine-specialty Korean medicine hospital, and the prognosis and preference for conventional and Korean medicine treatment by previous treatment history in postoperative patients.

Detailed Description

A considerable number of patients suffer prolonged chronic pain that does not retract or diminish after surgery, and are thus unable to achieve the desired results in receiving surgical treatment. Postoperative pain is gradually being perceived as a social issue as opposed to a personal health condition. Meanwhile, although efforts to address chronic pain with integrative medicine are continued in answer to the lack of success of pain management through surgery, there is still a lack of supporting evidence.

The objective of this survey study is to assess the characteristics, usage of conventional and Korean medical services, and prognosis by period before and after surgery in postoperative patients visiting a Korean medicine hospital, and analyze the associations between the preference for conventional and Korean medicine treatment. This study therefore investigates the usage of conventional and Korean medical services in postoperative patients, and is expected to provide information that will potentially aid patient decision making.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
102
Inclusion Criteria
  • Patients with chief complaint(s) of at least one or more of the following: low back pain (or radiating leg pain), neck pain (or radiating arm pain), knee pain, or shoulder pain
  • Patients with a history of musculoskeletal surgery related to the chief complaint(s)
  • Patients capable of effective communication with the researcher(s) and understanding the survey items
  • Patients who have given written informed consent
Exclusion Criteria
  • Patients without a history of musculoskeletal surgery associated with the low back, neck, shoulder, or knee region(s)
  • Patients whose current pain is mainly attributed to traffic accident injury
  • Patients incapable of answering the researcher interviews and surveys
  • Patients with other reasons rendering study participation inappropriate as judged by the researcher(s)

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Numeric rating scale (NRS) of painWithin 7 days after 1st visit

11-point pain scale

Secondary Outcome Measures
NameTimeMethod
Functional disability questionnaire (for knee pain patients as indicated by postoperative condition)Within 7 days after 1st visit

Western Ontario McMaster Universities Osteoarthritis Index (WOMAC)

Beck Depression Inventory-II (BDI-II)Within 7 days after 1st visit

The Korean version of the BDI-II has been validated and consists of 21 multiple choice items for diagnosis of depression.

Five level version of EuroQol-5 Dimension (EQ-5D-5L)Within 7 days after 1st visit

Health-related quality of life questionnaire consisting of 5 descriptive items and EQ Visual Analogue Scales (EQ-VASs)

Functional disability questionnaire (for shoulder pain patients as indicated by postoperative condition)Within 7 days after 1st visit

Shoulder Pain and Disability Index (SPADI)

Satisfaction with and preference for conventional and Korean medicineWithin 7 days after 1st visit

Satisfaction with and preference for conventional and Korean medicine as measured using a 9-point Likert scale

Functional disability questionnaire (for low back pain patients as indicated by postoperative condition)Within 7 days after 1st visit

Oswestry Disability Index (ODI)

Functional disability questionnaire (for neck pain patients as indicated by postoperative condition)Within 7 days after 1st visit

Neck Disability Index (NDI)

Work Productivity and Activity Impairment Questionnaire: General Health (WPAI-GH)Within 7 days after 1st visit

Questionnaire assessing the effect of health problems on the ability to work and to perform regular activities

Medical service useWithin 7 days after 1st visit

Type(s) of medical service use before and after surgery post-onset

Medical costsWithin 7 days after 1st visit

Medical costs from medical service use before and after surgery post-onset

Trial Locations

Locations (1)

Jaseng Medical Foundation

🇰🇷

Seoul, Korea, Republic of

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