Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption
The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 a...
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| Veröffentlicht in: | Evidence-based complementary and alternative medicine 2017-01, Vol.2017 (2017), p.1-10 |
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| creator | Yoo, Su-bin Hong, Jungsoo Ha, In-Hyuk Yoon, Tae Kyung Choi, Young-jun Jeong, Seon-Yeong Kim, Me-riong Lee, Yoon Jae Shin, Joon-Shik Kim, Joowon Lee, Jinho Moon, Byung-heon |
| description | The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the “longitudinal project for LDH on MRI” were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82±594.96 mm3, and that on follow-up MRI was 734.37±303.33 mm3, indicating a 47.5% decrease (p |
| doi_str_mv | 10.1155/2017/2147408 |
| format | Article |
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LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the “longitudinal project for LDH on MRI” were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82±594.96 mm3, and that on follow-up MRI was 734.37±303.33 mm3, indicating a 47.5% decrease (p<0.0001). Predictive factors for disc resorption were disc extrusion, Komori migration classification, and LDH amount. Approximately 68.4% did not experience symptom recurrence over the 51.86±19.07-month follow-up, and 90.3% were satisfied with Korean medicine treatment. The majority of LDH patients who improved after integrative Korean medicine treatment showed disc resorption within 1 year with favorable long-term outcomes. Predictive factors for disc resorption should be duly considered for informed decision-making. This trial is registered with ClinicalTrials.gov NCT02841163.</description><identifier>ISSN: 1741-427X</identifier><identifier>EISSN: 1741-4288</identifier><identifier>DOI: 10.1155/2017/2147408</identifier><identifier>PMID: 28769985</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Ambulatory care ; Care and treatment ; Decision making ; Forecasts and trends ; Hernia ; Hospitals ; Integrative medicine ; Intervertebral disk ; Intervertebral disk displacement ; Medicine ; Methods ; Modernization ; Multivariate analysis ; NMR ; Nuclear magnetic resonance ; Pain ; Patient outcomes ; Patients ; Prognosis ; Studies ; Surgery</subject><ispartof>Evidence-based complementary and alternative medicine, 2017-01, Vol.2017 (2017), p.1-10</ispartof><rights>Copyright © 2017 Jinho Lee et al.</rights><rights>COPYRIGHT 2017 John Wiley & Sons, Inc.</rights><rights>Copyright © 2017 Jinho Lee et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2017 Jinho Lee et al. 2017</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c499t-8d0a65f3855d1652d9745c9df194e6f0c96fd2202f6024b60f1b04e1eaa9eddb3</citedby><cites>FETCH-LOGICAL-c499t-8d0a65f3855d1652d9745c9df194e6f0c96fd2202f6024b60f1b04e1eaa9eddb3</cites><orcidid>0000-0003-0672-6892 ; 0000-0002-7807-4232 ; 0000-0001-5488-3273 ; 0000-0002-5020-6723 ; 0000-0002-6986-5016 ; 0000-0002-5245-6187 ; 0000-0001-7172-2260 ; 0000-0002-1532-0942 ; 0000-0003-0165-0008 ; 0000-0002-1939-8026 ; 0000-0001-6093-9552 ; 0000-0002-7248-5831</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523460/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5523460/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28769985$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Lee, Gihyun</contributor><creatorcontrib>Yoo, Su-bin</creatorcontrib><creatorcontrib>Hong, Jungsoo</creatorcontrib><creatorcontrib>Ha, In-Hyuk</creatorcontrib><creatorcontrib>Yoon, Tae Kyung</creatorcontrib><creatorcontrib>Choi, Young-jun</creatorcontrib><creatorcontrib>Jeong, Seon-Yeong</creatorcontrib><creatorcontrib>Kim, Me-riong</creatorcontrib><creatorcontrib>Lee, Yoon Jae</creatorcontrib><creatorcontrib>Shin, Joon-Shik</creatorcontrib><creatorcontrib>Kim, Joowon</creatorcontrib><creatorcontrib>Lee, Jinho</creatorcontrib><creatorcontrib>Moon, Byung-heon</creatorcontrib><title>Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption</title><title>Evidence-based complementary and alternative medicine</title><addtitle>Evid Based Complement Alternat Med</addtitle><description>The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the “longitudinal project for LDH on MRI” were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82±594.96 mm3, and that on follow-up MRI was 734.37±303.33 mm3, indicating a 47.5% decrease (p<0.0001). Predictive factors for disc resorption were disc extrusion, Komori migration classification, and LDH amount. Approximately 68.4% did not experience symptom recurrence over the 51.86±19.07-month follow-up, and 90.3% were satisfied with Korean medicine treatment. The majority of LDH patients who improved after integrative Korean medicine treatment showed disc resorption within 1 year with favorable long-term outcomes. Predictive factors for disc resorption should be duly considered for informed decision-making. 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Gihyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption</atitle><jtitle>Evidence-based complementary and alternative medicine</jtitle><addtitle>Evid Based Complement Alternat Med</addtitle><date>2017-01-01</date><risdate>2017</risdate><volume>2017</volume><issue>2017</issue><spage>1</spage><epage>10</epage><pages>1-10</pages><issn>1741-427X</issn><eissn>1741-4288</eissn><abstract>The long-term course to lumbar intervertebral disc herniation (LDH) patients receiving integrative Korean medicine treatment and predictive factors associated with disc resorption were investigated. LDH patients who received integrative Korean medicine treatment from February 2012 to December 2015 and were registered in the “longitudinal project for LDH on MRI” were included. Disc resorption amount was measured 3-dimensionally with disc degeneration and modic change levels on baseline and follow-up MRIs. Patient characteristics, Korean medicine use, pain, symptom recurrence, and satisfaction were assessed through medical records and phone surveys. Of 505 participants, 19 did not show disc resorption, while 486 did. A total of 220 displayed resorption rates of ≥50%. LDH volume at baseline was 1399.82±594.96 mm3, and that on follow-up MRI was 734.37±303.33 mm3, indicating a 47.5% decrease (p<0.0001). Predictive factors for disc resorption were disc extrusion, Komori migration classification, and LDH amount. Approximately 68.4% did not experience symptom recurrence over the 51.86±19.07-month follow-up, and 90.3% were satisfied with Korean medicine treatment. The majority of LDH patients who improved after integrative Korean medicine treatment showed disc resorption within 1 year with favorable long-term outcomes. Predictive factors for disc resorption should be duly considered for informed decision-making. 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| source | Wiley Online Library Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Ambulatory care Care and treatment Decision making Forecasts and trends Hernia Hospitals Integrative medicine Intervertebral disk Intervertebral disk displacement Medicine Methods Modernization Multivariate analysis NMR Nuclear magnetic resonance Pain Patient outcomes Patients Prognosis Studies Surgery |
| title | Long-Term Course to Lumbar Disc Resorption Patients and Predictive Factors Associated with Disc Resorption |
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