1Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul,
Republic of Korea
2Jaseng Hospital of Korean Medicine, Seoul,
Republic of Korea
Correspondence to: 정보영 (Boyoung Jung), 서울특별시 강남구 강남대로 538 (논현동, JS타워) 3층 척추관절연구소, Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 538, Gangnam-daero, Gangnam-gu, Seoul, Republic of Korea, Tel: +82-2-2222-2745, FAX: +82-2-2222-2737, E-mail: happiness630@jaseng.org
Received February 21, 2019 Revised March 15, 2019 Accepted March 15, 2019
This study analyzes the electronic medical record (EMR) data of the spine specialist oriental hospital and clinic in various regions, and reports the actual number and used cases of Chuna therapy.
Methods
2,470,772 data was extracted retrospectively from electronic medical records of all inpatients and outpatients who were treated chuna therapy at 21 Korean medicine hospitals and clinics from January 1, 2018 to December 31, 2018. The characteristics of medical treatment using chuna therapy reflect the minimum, maximum and average values of the number of hospitalized patients, length of hospitalization, frequency of hospitalization, number of outpatients, frequency of treatment and frequency of visit. Diseases were classified in the proportion of Chuna treatment according to the KCD, 7th edition. The chuna and blindness charts were derived accordingly from illness and disease of each part of the body.
Results
During the study period, a total 1,342,022 inpatients and outpatients visited the study sites. The male proportion was a little higher than the females’ (male: 53.7%, female: 46.3%). According to age, the 30s and 40s were more than half the total(30s: 33.0% and 40s: 20.1%). Chuna therapy was treated to more outpatients than hospitalized patients (outpatient: 83.6%, hospitalization: 16.4%), and most treatments were related to musculoskeletal illness(99.06%).
Conclusions
As a result of this study, 1,342,389 chuna therapy was performed in 21 hospitals for one year. As highly demanded by the public, we look forward to ensuring national health care options and medical access when health insurance for chuna therapy is applied beginning March 2019.
Characteristics of Patients who Received Chuna Treatment in 2018
Variable
N
%
Total
164,598
100.0
Sex
Male
88,370
53.7
Female
76,228
46.3
Age
Mean±SD
43.6±13.9
≦19
3,653
2.2
20–29
31,992
19.4
30–39
54,366
33.0
40–49
33,020
20.2
50–59
23,934
14.5
60–69
13,723
8.3
70≦
3,910
2.5
Urbanization
Seoul
47,287
28.7
Metropolitan
57,976
35.3
Etc.
59,335
36.0
Clinic level
Hospital
157,916
95.9
Clinic
6,682
4.1
Inpatient
Total
30,894
16.4
Number of admissions per year (Mean±SD)
1.1± 0.3
Minimum and maximum value (N)
Minimum value: 1
Maximum value: 7
Duration of hospitalization (Mean±SD)
10.7±12.3
Minimum and maximum value (day)
Minimum value: 1
Maximum value: 195
Number of chuna procedures (Mean±SD)
8.6±9.0
Minimum and maximum value (N)
Minimum value: 1
Maximum value: 147
Outpatient
Total (N, %)
157,803
83.6
Number of visit (Mean±SD)
6.8+9.2
Min. and max. number of visit for one year (N)
Minimum value: 1
Maximum value: 118
Chuna treatment (N) (Mean±SD)
6.8+9.2
Min. and max. number of Chuna treatment (N)
Minimum value: 1
Maximum value: 118
Table 2
Frequency of Chuna Treatment according to KCD-22 Major Classification
Classification
Chuna Treatment (N)
Frequency (%)
Certain infectious and parasitic diseases(A00-B99)
20
0.00
Neoplasms(C00-D48)
49
0.00
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism(D50-D89)
1
0.00
Endocrine, nutritional and metabolic diseases(E00-E90)
603
0.04
Mental and behavioural disorders(F00-F99)
513
0.04
Diseases of the nervous system(G00-G99)
2,183
0.16
Diseases of the eye and adnexa(H00-H59)
4
0.00
Diseases of the ear and mastoid process (H60-H95)
74
0.01
Diseases of the circulatory system(I00-I99)
253
0.02
Diseases of the respiratory system(J00-J99)
1,441
0.11
Diseases of the digestive system(K00-K93)
2,858
0.21
Diseases of the skin and subcutaneous tissue(L00-L99)
93
0.01
Diseases of the musculoskeletal system and connective tissue(M00-M99)
335,966
25.03
Diseases of the genitourinary system(N00-N99)
100
0.01
Pregnancy, childbirth and the puerperium (O00-O99)
15
0.00
Congenital malformations, deformations and chromosomal abnormalities(Q00-Q99)
1
0.00
Symptoms, signs and abnormal clinical and laboratory findings, NEC(R00-R99)
4,001
0.30
Injury, poisoning and certain other consequences of external causes(S00-T98)
993,507
74.03
Codes for special purposes(U00-U99)
277
0.02
External causes of morbidity and mortality(V01-Y98)
43
0.00
Factors influencing health status and contact with health services(Z00-Z99)
20
0.00
Total
1,342,022
100.00
Table 3
Frequency of Chuna Treatment according to Musculoskeletal Disorders
Musculoskeletal Disorders
N
%
Lumbar Intervertebral Disc Disorder
125,115
57.5
Cervical Intervertebral Disc Disorder
50,055
23.0
Spinal Stenosis
31,480
14.5
Fracture
5,336
2.5
Spondylolisthesis
4,828
2.2
Scoliosis
556
0.3
Dislocation, Subluxation
67
0.0
Total
217,437
100.0
Table 4
Frequency of Chuna Treatment according to Principle Diagnosis Code
Rank
KCD
Diagnosis Name
N
%
1
S3350
Sprain and strain of lumbar spine
487,929
36.3
2
S134
Sprain and strain of cervical spine
426,309
31.8
3
M511
Lumbar and other intervertebral disc disorders with radiculopathy
84,244
6.3
4
M5456
Low back pain, lumbar region
50,020
3.7
5
M5422
Cervicalgia, cervical region
31,079
2.3
6
M4806
Spinal stenosis, lumbar region
30,870
2.3
7
M501
Cervical disc disorder with radiculopathy
30,198
2.2
8
M518
Other specified intervertebral disc disorders
20,933
1.6
9
M519
Intervertebral disc disorder, unspecified
15,622
1.2
10
S434
Sprain and strain of shoulder joint
15,405
1.1
11
S836
Sprain and strain of other and unspecified parts of knee
12,224
0.9
12
M508
Other cervical disc disorders
9,854
0.7
13
M5446
Lumbago with sciatica, lumbar region
8,310
0.6
14
S233
Sprain and strain of thoracic spine
8,275
0.6
15
M509
Cervical disc disorder, unspecified
8,171
0.6
16
M179
Gonarthrosis, unspecified
5,384
0.4
17
M4316
Spondylolisthesis, lumbar region
4,794
0.4
18
S9349
Sprain and strain of ankle, part unspecified
4,441
0.3
19
S6359
Sprain and strain of wrist, part unspecified
4,104
0.3
20
S3351
Sprain and strain of lumbosacral [joint][ligament]
3,985
0.3
21
S337
Sprain and strain of other and unspecified parts of lumbar spine and pelvis
3,879
0.3
22
S0600
Concussion, without open intracranial wound
3,243
0.2
23
M5457
Low back pain, lumbosacral region
3,156
0.2
24
M2551
Pain in joint, shoulder region
3,131
0.2
25
M512
Other specified intervertebral disc displacement
3,011
0.2
26
M5423
Cervicalgia, cervicothoracic region
2,933
0.2
27
R51
Headache
2,604
0.2
28
M7980
Other specified soft tissue disorders, multiple sites
2,478
0.2
29
S7319
Sprain and strain of unspecified site of hip
2,367
0.2
30
S034
Sprain and strain of jaw
1,832
0.1
Table 5
Frequency of Chuna Treatment according to Body Part
Body part
N
%
L-spine
723,486
53.9
C-spine
512,379
38.2
Shoulder
23,918
1.8
Knee
23,817
1.8
Etc.
19,763
1.5
T-spine
13,016
1.0
Ankle
7,830
0.6
Wrist
5,970
0.4
Pelvis
4,464
0.3
Elbow
3,676
0.3
Temporomandibular joint
3,514
0.2
Scoliosis (spine)
556
0.0
Total
1,342,389
100.0
Table 6
Frequency of Chuna Treatment according to Main Body Part and Diagnosis Code
Main body part
KCD
Diagnosis Name
N
%
Lumbar Disease
S3350
Sprain and strain of lumbar spine
487,929
67.4
M511
Lumbar and other intervertebral disc disorders with radiculopathy
84,244
11.6
M5456
Low back pain, lumbar region
50,020
6.9
M4806
Spinal stenosis, lumbar region
30,870
4.3
M518
Other specified intervertebral disc disorders
20,933
2.9
M519
Intervertebral disc disorder, unspecified
15,622
2.2
M5446
Lumbago with sciatica, lumbar region
8,310
1.2
Etc.
Lumbar disease, Etc.
25,558
3.5
Cervical Disease
S134
Sprain and strain of cervical spine
426,309
83.2
M5422
Cervicalgia, cervical region
31,079
6.1
M501
Cervical disc disorder with radiculopathy
30,198
5.9
M508
Other cervical disc disorders
9,854
1.9
M509
Cervical disc disorder, unspecified
8,171
1.6
Etc.
Cervical disease, Etc
6,768
1.3
Shoulder Disease
S434
Sprain and strain of shoulder joint
15,405
64.4
M2551
Pain in joint, shoulder region
3,131
13.1
S4600
Injury of muscle(s) and tendon(s) of the rotator cuff of shoulder, laceration
1,104
4.6
M751
Rotator cuff syndrome
1,022
4.3
M750
Adhesive capsulitis of shoulder
722
3.0
M759
Shoulder lesion, unspecified
564
2.4
M1911
Post-traumatic arthrosis of other joints, shoulder region
312
1.3
Etc.
Shoulder disease, Etc
1,658
6.9
Knee Disease
S836
Sprain and strain of other and unspecified parts of knee
12,224
51.3
M179
Gonarthrosis, unspecified
5,384
22.6
M2556
Pain in joint, lower leg
1,524
6.4
M2321
Derangement of meniscus due to old tear or injury, medial meniscus
531
2.2
M2389
Other internal derangements of knee, unspecified meniscus or ligament
504
2.1
S800
Contusion of knee
403
1.7
S8320
Tear of medial meniscus
394
1.6
M173
Other post-traumatic gonarthrosis
393
1.6
Etc.
Knee disease, Etc
2,460
10.3
Table 7
Frequency of Chuna Treatment in Other Diseases Except Musculoskeletal Disorders
Rank
KCD
Diagnosis Name
N
%
1
R51
Headache
2,604
23.8
2
J00
Acute nasopharyngitis[common cold]
866
7.9
3
G442
Tension-type headache
811
7.4
4
K30
Functional dyspepsia
796
7.3
5
R42
Dizziness and giddiness
615
5.6
6
E149
Unspecified diabetes mellitus, without complications
413
3.8
7
J069
Acute upper respiratory infection, unspecified
408
3.7
8
F072
Postconcussional syndrome
398
3.6
9
K5909
Other and unspecified constipation
238
2.2
10
G510
Bell’s palsy
218
2.0
11
G470
Disorders of initiating and maintaining sleep [insomnias]
217
2.0
12
G519
Disorder of facial nerve, unspecified
142
1.3
13
G439
Migraine, unspecified
125
1.1
14
R002
Palpitations
121
1.1
15
K591
Functional diarrhoea
109
1.0
16
R1049
Unspecified abdominal pain
102
0.9
17
R53
Malaise and fatigue
100
0.9
18
E139
Other specified diabetes mellitus, without complications
99
0.9
19
G560
Carpal tunnel syndrome
97
0.8
20
R05
Cough
86
0.7
21
G540
Brachial plexus disorders
81
0.7
22
I639
Cerebral infarction, unspecified
75
0.7
23
F453
Somatoform autonomic dysfunction
70
0.6
24
U600
Qi deficiency pattern (少氣)
68
0.6
25
G530
Postzoster neuralgia (B02.2†)
64
0.6
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