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Usage Report of Chuna Manual Therapy in Patients Visiting Korean Medical Institutions:

-Using Electronic Medical Records(EMR) of 21 Korean Medicine Hospitals and Clinics -

Article information

J Korean Med. 2019;40(1):86-98
Min-Young Kim, K.M.D.1orcid_icon, In-Hyuk Ha, K.M.D.1orcid_icon, Jin-Ho Lee, K.M.D.2,orcid_icon, Jong-Ho Kim, K.M.D.2orcid_icon, Boyoung Jung, Ph.D.1orcid_icon
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 2019 February 21; Revised 2019 March 15; Accepted 2019 March 15.

Abstract

Objectives

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.

Keywords: Chuna Manual Therapy(CMT); Electronic Medical Record(EMR); Korean Medicine Hospitals and Clinics; Health Insurance Data

Characteristics of Patients who Received Chuna Treatment in 2018

Frequency of Chuna Treatment according to KCD-22 Major Classification

Frequency of Chuna Treatment according to Musculoskeletal Disorders

Frequency of Chuna Treatment according to Principle Diagnosis Code

Frequency of Chuna Treatment according to Body Part

Frequency of Chuna Treatment according to Main Body Part and Diagnosis Code

Frequency of Chuna Treatment in Other Diseases Except Musculoskeletal Disorders

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Article information Continued

Copyright © 2019 The Society of Korean Medicine all rights reserved

Table 1

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