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KMID : 0363120140270010035
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Korean Journal of Pain
2014 Volume.27 No. 1 p.35 ~ p.42
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Epidural Steroid Injection in Korean Pain Physicians:A National Survey
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Kim Eun-Jung
Moon Jee-Youn
Park Keun-Suk
Yoo Da-Hye
Kim Yong-Chul
Sim Woo-Seog
Lee Chul-Joong
Shin Hwa-Yong
Kim Jae-Hun
Kim Yeon-Dong
Lee Se-Jin
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Abstract
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Background: Epidural steroid injection (ESI) is one of the most common procedures for patients presenting low back pain and radiculopathy. However, there is no clear consensus on what constitutes appropriate steroid use for ESIs. To investigate optimal steroid injection methods for ESIs, surveys were sent to all academic pain centers and selected private practices in Korea via e-mail.
Methods: Among 173 pain centers which requested the public health insurance reimbursements for their ESIs and were enrolled in the Korean Pain Society, 122 completed questionnaires were returned, for a rate of 70.5%; also returned were surveys from 39 academic programs and 85 private practices with response rates of 83.0% and 65.9%, respectively.
Results: More than half (55%) of Korean pain physicians used dexamethasone for ESIs. The minimum interval of subsequent ESIs at the academic institutions (3.1 weeks) and the private practices (2.1 weeks) were statistically different (P = 0.01).
Conclusions: Although there was a wide range of variation, there were no significant differences between the academic institutions and the private practices in terms of the types and single doses of steroids for ESIs, the annual dose of steroids, or the limitations of doses in the event of diabetes, with the exception of the minimum interval before the subsequent ESI.
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KEYWORD
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dexamethasone, dose, epidural, radiculopathy, spinal pain, steroid, survey, triamcinolone
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