PMID- 27213976
OWN - NLM
STAT- MEDLINE
DCOM- 20170221
LR  - 20171127
IS  - 1557-7708 (Electronic)
IS  - 1075-5535 (Linking)
VI  - 22
IP  - 7
DP  - 2016 Jul
TI  - The Short-Term Effect of Integrated Complementary and Alternative Medicine 
      Treatment in Inpatients Diagnosed with Lumbar Intervertebral Disc Herniation: A 
      Prospective Observational Study.
PG  - 533-43
LID - 10.1089/acm.2014.0368 [doi]
AB  - OBJECTIVES: This study aimed to investigate the short-term effect of 
      hospital-based intensive nonsurgical treatment in lumbar intervertebral disc 
      herniation (IDH) inpatients admitted to an integrated hospital that offers both 
      complementary and alternative medicine (CAM) and conventional medicine treatment. 
      DESIGN: A prospective observational study. SETTINGS: A private Korean medicine 
      hospital inpatient setting in Korea. PATIENTS: A total of 524 inpatients 
      diagnosed with lumbar IDH admitted from June 1, 2012, to May 31, 2013. 
      INTERVENTIONS: The participants received treatment according to a CAM treatment 
      protocol (herbal medicine, acupuncture, bee venom pharmacopuncture, and Chuna 
      manipulation) and conventional medicine treatment as needed. OUTCOME MEASURES: 
      Numeric rating scale (NRS) of low back pain (LBP) and leg pain, Oswestry 
      Disability Index (ODI), and patient global impression of change. The study also 
      assessed whether improvement was obtained over minimal clinically important 
      difference (MCID) in LBP or leg pain. RESULTS: The average hospital stay was 
      24.4 +/- 13.2 days. The majority of patients received CAM treatment and a few 
      selected conventional medicine, such as pain killers (22.7%; 4.2 +/- 3.0 
      administrations) or nerve blocks (14.1%; 1.4 +/- 0.7 sessions). At discharge, the 
      average reduction in NRS was 3.18 +/- 2.29 (95% confidence interval [CI], 
      2.99-3.38) for LBP and 2.61 +/- 2.60 (95% CI, 2.38-2.83) for leg pain the average 
      reduction in ODI was 19.45 +/- 19.53 (95% CI, 17.77-21.12). Two-hundred and seventy 
      patients (51.5%) showed improvement over MCID in both NRS and ODI, 150 (28.6%) in 
      either NRS or ODI, and 104 (19.8%) in neither. CONCLUSIONS: Integrated CAM 
      treatment during hospitalization was effective for patients with lumbar IDH who 
      had severe LBP and disability. However, these results must be investigated 
      further to assess whether the effects surpass those seen with placebo and are 
      cost-effective.
FAU - Shin, Joon-Shik
AU  - Shin JS
AD  - 1 Jaseng Spine and Joint Research Institute , Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Lee, Jinho
AU  - Lee J
AD  - 1 Jaseng Spine and Joint Research Institute , Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Kim, Me-Riong
AU  - Kim MR
AD  - 1 Jaseng Spine and Joint Research Institute , Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Jung, Jaehoon
AU  - Jung J
AD  - 1 Jaseng Spine and Joint Research Institute , Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
FAU - Shin, Byung-Cheul
AU  - Shin BC
AD  - 2 Division of Clinical Medicine, School of Korean Medicine, Pusan National 
      University , Yangsan, Republic of Korea.
FAU - Lee, Myeong Soo
AU  - Lee MS
AD  - 3 Clinical Research Division, Korea Institute of Oriental Medicine , Daejeon, 
      Republic of Korea.
FAU - Ha, In-Hyuk
AU  - Ha IH
AD  - 1 Jaseng Spine and Joint Research Institute , Jaseng Medical Foundation, Seoul, 
      Republic of Korea.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20160523
PL  - United States
TA  - J Altern Complement Med
JT  - Journal of alternative and complementary medicine (New York, N.Y.)
JID - 9508124
SB  - IM
CIN - J Am Osteopath Assoc. 2017 Oct 1;117(10 ):668-669. PMID: 28973187
MH  - *Complementary Therapies
MH  - Female
MH  - Humans
MH  - Inpatients/*statistics & numerical data
MH  - Intervertebral Disc Displacement/*therapy
MH  - Length of Stay/statistics & numerical data
MH  - Lumbar Vertebrae/*physiopathology
MH  - Male
MH  - Prospective Studies
MH  - Treatment Outcome
EDAT- 2016/05/24 06:00
MHDA- 2017/02/22 06:00
CRDT- 2016/05/24 06:00
PHST- 2016/05/24 06:00 [entrez]
PHST- 2016/05/24 06:00 [pubmed]
PHST- 2017/02/22 06:00 [medline]
AID - 10.1089/acm.2014.0368 [doi]
PST - ppublish
SO  - J Altern Complement Med. 2016 Jul;22(7):533-43. doi: 10.1089/acm.2014.0368. Epub 
      2016 May 23.