Integrative Korean Medicine Treatment for Inpatients With Failed Back Surgery Syndrome: A Retrospective Study With Survey

Study Overview
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Brief Summary
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The purpose of this study is to reveal the effectiveness and safety of integrative Korean medicine for Failed Back Surgery Syndrome(FBSS) by observing inpatients treated with integrative Korean medicine. This study is a retrospective observational study. The subjects for study are patients diagnosed with FBSS and who have been admitted to four Jaseng Hospital of Korean medicine (Gangnam, Bucheon, Daejeon, and Haeundae) for 2015.01.01-2019.12.31. Medical records of selected patients will be analyzed, and telephone surveys will be conducted for each patient. The survey questions are Numeric ratinc scale (NRS), Oswestry Disability Index(ODI), quality of life, and Patient Global Impression of Change (PGIC), etc.

Official Title
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Integrative Korean Medicine Treatment for Inpatients With Failed Back Surgery Syndrome: A Retrospective Study With Survey

Conditions
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FBSS, Medicine, Korean Traditional

Intervention / Treatment
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* Other: phone survey


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient who has a past history of lumbar surgery and has been hospitalized for persistent or recurrent pain and discomfort Patient hospitalized for more than a week Pateints above 19 years old and below 70 years old Patients who have agreed to participate the study Exclusion Criteria: Patients who have been diagnosed with certain serious diseases that may cause back pain or limb pain (tumor metastases to the spine, spinal infections, ankylosing spondylitis(AS), acute fractures, spinal dislocation and so on) Patients who have progressive neurological defects or severe synchronic neurological symptoms The cause of the pain is soft tissue problems(tumor, fibromyalgia, rheumatoid arthritis, gout) and not related to spine Patients who have been diagnosed with certain serious diseases that may cause disturbance to interpretation of conclusion (cardiovascular problems, kidney disease, diabetic neuropathy, dementia, epilepsy, and so on) Patients who took steroids, immunosuppressants, psychiatric medications, or other drugs deemed inappropriate by researchers during hospitalization Patient who has visited this medical institution within the last six months. Patients deemed unable to participate in the clinical research by other researchers Patients who haven't agreed to participate the study

Ages Eligible for Study
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Minimum Age: 19 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: phone survey|A questionnaire about the current symptoms and satisfaction for received treatment will be conducted over the phone for patients.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numeric rating scale (NRS) | NRS uses an 11-point scale to evaluate current neck pain and radiating pain where no pain is indicated by '0', and the worst pain imaginable by '10'. NRS was assessed at admission, 2 weeks after admission, discharge, and long term follow up. | Finish survey by November 2020 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Oswestry Disability Index(ODI) | ODI is a 10-item questionnaire developed to evaluate the degree of disability for lower back pain. Each item is divided into 6 levels, and 0 to 5 points are awarded. The higher the score, the greater the degree of disability. We will conduct an validated Korean NDI questionnaire | Finish survey by November 2020 | 
| The five level version of EuroQol-5 Dimension (EQ-5D) | EQ-5D is most widely used as a method of indirectly calculating the quality of life from various aspects. The EQ-5D-5L consists of 5 questions (mobility, self-care, usual activities, pain, anxiety/depression) that ask about the current state of health, and answers each question with 5 likert. (1=I have no problems about, 2=I have slight problems about, 3=I have moderate problems about, 4=I have severe problems about, 5=I am unable to about) In this study, the validated Korean version questionnaire will be used. | Finish survey by November 2020 | 
| Patient Global Impression of Change (PGIC) | PGIC is an indicator that evaluates the improvement of patients in 7 steps, and the subject responds with improvement of functional limitation after treatment with 7 likert. (1=very much improved, 2=much improved, 3=minimally improved, 4=no change, 5=minimally worse, 6=much worse, 7=very much worse). | Finish survey by November 2020 | 
| Spine surgery | The number of spinal surgery after discharge | Finish survey by November 2020 | 
| Current symptoms survey | Pain, neurological problems, etc. | Finish survey by November 2020 | 
| Treatment after discharge survey | Treatment history in the last 3 month | Finish survey by November 2020 | 
| Satisfaction with integrative Korean medicine survey | Preference for integrative Korean medicine, satisfaction with integrative Korean medicine, How helpful hospitalization has been for returning to work and adjusting to daily life. | Finish survey by November 2020 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acupuncture therapy, herbal medicine