|
KMID : 0861120210250030025
|
|
Korean Journal of Oriental Preventive Medicine
2021 Volume.25 No. 3 p.25 ~ p.37
|
|
|
The Relation of Korean Medicine Services Use on the All-cause Mortality and Incidence of Parkinson’s disease and Elderly Patients with Chronic Disease in Korea
|
|
Woo Yeon-Ju
|
|
|
Abstract
|
|
|
Objectives : To investigate the effectiveness of Korean Medicine services use on the all-cause mortality and incidence of Parkinson’s disease(PD) in elderly patients with chronic disease based on the National Health Insurance Service Corhort Database (elderly), called as the NHIS-senior.
Methods : This study was a retrospective cohort analysis conducted using the NHIS-senior. Patients with chronic diseases over 65 years old who were not diagnosed PD during 2007?2009 were identified. The case group was defined as patients who used both Korean Medicine and Western Medicine services and the control group consisted of patients who used Western Medicine service only. The all-cause mortality and incidence of PD was analyzed using the Cox proportional hazard model after a propensity score matching(PSM) with a 1:1 ratio.
Results : After PSM, the cohort included 47,546 subjects (23,773 in the case group, 23,773 in the control group). Sex, age, comorbidity, severity of disability, and neurology medical service utilization were adjusted in both groups. The mortality was 0.668 times (95% C.I.: 0.646?0.690) lower in the case group than the control group, which was statistically significant (p<0.001). The incidence of PD was 1.051 times (95% C.I.: 0.962?1.148) higher in the case group than the control group, which was not statistically significant(p=0.272).
Conclusion : It was not obvious that the use of both Korean Medicine service and Western Medicine services for prevention of PD is benefitial than using only Western Medicine. But it would be possible that using both Korean Medicine and Western Medicine services decreases the mortality than using Western Medicine alone.
|
|
|
KEYWORD
|
|
|
Parkinson’s Disease, Chronic Disease, Elderly Patients, Korean Medicine, National Health Insurance Database Cohort
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|