A survey on the clinical practice of rheumatoid arthritis management by Korean medicine doctors

Choi, Seong-Kyeong; Moon, Jeong-Hyun; Kim, Joohee; Kim, Eun-Jung; Seo, Byung-Kwan; Sung, Won-Suk

doi:10.1016/j.eujim.2023.102227

Cited by 4 publications

(2 citation statements)

References 36 publications

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“…Recently, pharmacopuncture has been considered in the context of developing clinical practice guidelines (CPGs) for KM. According to a survey for developing KM CPGs for rheumatoid arthritis in 2023, pharmacopuncture was a highly preferred treatment by KMDs for this condition, followed by acupuncture and herbal medicine [ 17 ]. According to the estimated linear trend line, pharmacopuncture studies have increased with a slope of 1.70 ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Over time, studies on pharmacopuncture have increased the level of evidence in the context of EBM. For example, recent surveys of KMDs [ 17 , 34 ] examining the use of pharmacopuncture in the context of KM CPG development, randomized controlled trials [ 3 , 4 , 22 , 35 ] using pharmacopuncture, and a meta-analysis [ 1 ] have been conducted. These results can be interpreted as the quantitative and qualitative growth of pharmacopuncture studies in Korea.…”

Section: Discussionmentioning

confidence: 99%

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Research Trends of Pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023)

Kwon

2023

J Pharmacopuncture

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Objectives Pharmacopuncture is considered a unique new type of acupuncture in Korean medicine (KM). This study was performed to investigate the research trends regarding pharmacopuncture through a bibliometric analysis using VOSviewer. Methods The Web of Science Core Collection was searched for this study. The search terms were pharmacopuncture and pharmaco-puncture. The search was conducted on May 23, 2023, and 185 studies retrieved up to this date were included. Software VOSviewer version 1.6.19 was used to perform the bibliometric analysis. After data clearing, keyword co-occurrence and cooperation pattern analyses were performed. Results The number of studies on pharmacopuncture have gradually increased since the mid-2000s, with the most published in 2020 (46 studies). The quality of the studies has also steadily increased, and recently, several randomized controlled trials of pharmacopuncture have been conducted. Moreover, this treatment has been investigated in the context of KM clinical practice guideline development in Korea. The scope of pharmacopuncture studies to date seems to be limited to musculoskeletal pain and bee venom pharmacopuncture. The researchers from Jaseng Medical Foundation have been the core researchers in the field of pharmacopuncture in Korea. They collaborated with researchers from universities or government-funded research institutes. However, small-scale research teams from KM clinics and university researchers were also identified as independent clusters. Conclusion Pharmacopuncture research has grown both quantitatively and qualitatively, but the scope needs to be further expanded. There is also a gap between the use of pharmacopuncture by KM doctors in clinical settings and pharmacopuncture research. Based on these findings, some suggestions for future studies in this field are discussed. Furthermore, these findings may be used as data to expand and globalize pharmacopuncture research in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Research Trends of Pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023)

Kwon

2023

J Pharmacopuncture

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Attitudes, practices and perceived barriers toward implementing non-pharmacological management for rheumatoid arthritis among rheumatologists: an online cross-sectional survey

Kronbi,

Rkain,

Ez-zaoui

et al. 2024

Reumatologia

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ObjectivesOur study aimed to evaluate the integration level of non-pharmacological management (NPM) for rheumatoid arthritis (RA), analyze attitudes, practices, and perceived barriers towards NPM implementation, and identify factors contributing to the underutilization of non- pharmacological treatment in RA.Material and methodsA descriptive and analytical cross-sectional study was conducted among rheumatologists in Morocco. Rheumatologists received an online questionnaire gathering sociodemographic data, NPM integration level for RA, exploring their attitudes, practices and perceived barriers regarding the integration of NPM for RA, using a Likert scale ranging from 1 to 5. Univariate analyses were conducted to identify risk factors for under-integration of NPM for RA.ResultsOut of 440 questionnaires sent, 132 rheumatologists responded to the survey (mean age of 44 ±12 years, 112 (84.8%) females, median professional experience of 15 years [4.7; 26.3]) with a response rate of 30%. All rheumatologists agreed on the importance of NPM integration into their practice with 130 (98.5%) supporting the necessity of tailored recommendations of NPM of RA for the Moroccan context. Sixty-nine (52.3%) reported a lack of NPM integration for RA. Only 36 (27.3%) consistently provided personalized NPM from RA diagnosis and 47 (35.6%) involved patients in decision-making. Comment perceived barriers included difficulties in organizing multidisciplinary care (122; 92.4%), difficulties with time management in consultation (119; 90.2%), and lack of multidisciplinary team members (116; 87.9%). In univariate analysis, lack of suitable training and lack of knowledge on NPM of RA were risk factors of under-integration of NPM of RA with respectively an odds ratio (OR) of 0.09, 95% CI: 0.01–0.86 and OR of 0.34, 95% CI: 0.15–0.76.ConclusionsOur study revealed significant insufficiencies in the integration of NPM of RA among Moroccan rheumatologists. Perceived barriers, including insufficient training, lack of knowledge, and infrastructural limitations, hinder effective implementation. Addressing these through tailored education and multidisciplinary collaboration is essential for improving RA management.

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Effectiveness and Safety of Duantengyimu-tang for Rheumatoid Arthritis: A Protocol for a Systematic Review and Meta-Analysis

Park

Moon

Kim

et al. 2023

PIM

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Background: Per-oral pharmacological medication is a representative treatment for rheumatoid arthritis (RA), and has improved over several guidelines. However, limitations of long-term use of these medications including adverse events, led to the introduction and utilization of complementary and alternative treatments for RA. Several herbal medicine decoctions have been reported to be effective and safe; a recent study introduced Duantengyimu-tang (DTYMT). Regardless of the pharmacological effects of the DTYMT components, there are concerns about its safety. Therefore, this systematic review (SR) will focus on the effectiveness and safety of DTYMT treatment for RA.Methods: Searches for randomized controlled trials using DTYMT treatment for RA will be performed using multiple electronic databases, manual searches, and emails (if necessary). A summary will be written using data on outcome measurements of the study participants, interventions, adverse events, and risk of bias in the studies. The primary outcomes will be disease activity scores including effective rate, tender joints, swollen joints, and morning stiffness. The secondary outcomes will include adverse events and blood tests for RA (erythrocyte sedimentation rate, C-reactive protein, and rheumatoid factors). This SR will use Review Manager software to perform a meta-analysis, the Cochrane Collaboration “risk of bias” tool, and determine the quality of evidence using the Grades of Recommendation, Assessment, Development, and Evaluation method.Results: This SR will investigate the clinical effectiveness and safety of DTYMT treatment in patients with RA.Conclusion: This SR aims to be informative for patients and clinicians in clinical practice, researchers, and policymakers in managing RA.

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A survey on the clinical practice of rheumatoid arthritis management by Korean medicine doctors

Cited by 4 publications

References 36 publications

Research Trends of Pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023)

Research Trends of Pharmacopuncture: a bibliometric analysis using VOSviewer (2007-2023)

Attitudes, practices and perceived barriers toward implementing non-pharmacological management for rheumatoid arthritis among rheumatologists: an online cross-sectional survey

Effectiveness and Safety of Duantengyimu-tang for Rheumatoid Arthritis: A Protocol for a Systematic Review and Meta-Analysis

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