The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology (한방안이비인후피부과학회지)

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
권호 표지
DOI QR코드

DOI QR Code

Developing Pattern Identification Questionnaire of Allergic Rhinitis

알레르기 비염의 변증을 위한 설문문항 개발

  • Kim, Min-Hee (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Yun, Young-Hee (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Ahn, Jin-Hyang (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong) ;
  • Ko, Seoung-Gyu ()Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University) ;
  • Choi, In-Hwa (Department of Ophthalmology, Otolaryngology and Dermatology of Korean Medicine, Kyung Hee University Hospital at Gangdong)
  • 김민희 (강동경희대학교한방병원 한방안이비인후피부과) ;
  • 윤영희 (강동경희대학교한방병원 한방안이비인후피부과) ;
  • 안진향 (강동경희대학교한방병원 한방안이비인후피부과) ;
  • 고성규 (경희대학교 한의과대학 예방의학교실) ;
  • 최인화 (강동경희대학교한방병원 한방안이비인후피부과)
  • Received : 2017.04.17
  • Accepted : 2017.05.15
  • Published : 2017.05.25
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : The prevalence of allergic rhinitis (AR) is 10-40% worldwide and there are many demands for Traditionl Medicine (TM) treatment for AR. Pattern identification (PI) is essential process in diagnosis and treatment of TM, however, objective assessment measurement for PI of AR in TM is lacked. Methods : PI questionnaire for AR was developed in 2008 by specialists in the department of Otolaryngology of TM, based on systemic and nasal symptoms and signs. However, that questionnaire had many problems in application to clinical practice and has since been revised based on several studies and delphi method. Consequently, the PI questionnaire for AR version 3.0 has been developed. Results & Conclusions : This questionnaire classifies patients with AR as possessing lung-heat, lung-cold, or spleen qi deficiency based on nasal symptoms and general conditions of AR patients. This is first questionnaire for pattern identification of AR. We plan to conduct a validation and reliability study, and revise the questionnaire based on the results of this study.

Keywords

References

  1. Bae NS, Park YJ, OH HS, Park YB. Preceding Studies for Questionnaires on Han-Yol Patternization. J Kor Institute Orient Med Diagnostics. 2005;9(1):98-111.
  2. E. Middleton Jr. Chronic rhinitis in adults. J Allergy Clin Immunol. 1988;81:971-5. https://doi.org/10.1016/0091-6749(88)90163-7
  3. MF Mullarkey, JS Hill, DR Webb. Allergic and nonallergic rhinitis: their characterization with attention to the meaning of nasal eosinophilia. J Allergy Clin Immunol. 1980;65:122-6. https://doi.org/10.1016/0091-6749(80)90196-7
  4. RA Settipane, P Lieberman. Update on nonallergic rhinitis. Ann Allergy Asthma Immunol. 2001;86:494-507. https://doi.org/10.1016/S1081-1206(10)62896-7
  5. C Bachert, P van Cauwenberge, J Olbrecht, J van Schoor. Prevalence, classification and perception of allergic and nonallergic rhinitis in Belgium. Allergy. 2006;61(6):693-8. https://doi.org/10.1111/j.1398-9995.2006.01054.x
  6. Juniper EF, Guyatt GH, Dolovich J. Assessment of quality of life in adolescents with allergic rhinoconjunctivitis: development and testing of a questionnaire for clinical trials. J Allergy Clin Immunol. 1994;93(2): 413-23. https://doi.org/10.1016/0091-6749(94)90349-2
  7. Juniper EF. Measuring health-related quality of life in rhinitis. J Allergy Clin Immunol. 1997;99:742-9. https://doi.org/10.1016/S0091-6749(97)90000-2
  8. Baiardini I, Braido F, Tarantini F, Porcu A, Bonini S, Bousquet PJ, et al. ARIA-suggested drugs for allergic rhinitis: what impact onquality of life? A GA2LEN Review. Allergy. 2008;63:660-9. https://doi.org/10.1111/j.1398-9995.2008.01649.x
  9. Ko SK, Shin YC, Kwon DY, Lee JY, Park BJ, Choi IH, et al. The Research on evaluation endpoint development for clinical trial of herbal medicinal products about atopic dermatitis and allergic rhinitis. Korean Food and Drug Administration report. 2008.
  10. Kim NK, Lee DH, Choi I, Ko SG. An expert survey for developing pattern diagnosis instrument of persistent allergic rhinitis. J Korean Med Ophthalmol Otolaryngol Dermatol. 2013;26(2):1-9. https://doi.org/10.6114/JKOOD.2013.26.2.001
  11. Yun YH, Park JS, Kim KS, Kim NK, Kim KJ, Kim HT, et al. A study on the development of guideline for assessing anterior nasal cavity using nasal endoscopy on allergic rhinitis patients. Kor J Oriental Preventive Medical Society. 2013;17(1): 199-207.
  12. Kim KS, Yun YH, Nam HJ, Choi IH, Ko SG. Inter- and intra-rater reliability of a nasal endoscopy index for pattern identification in patients with allergic rhinitis. Orient Pharm Exp Med. 2015;15(3):167-71. https://doi.org/10.1007/s13596-015-0191-9
  13. Ahn JH, Kim MH, Yun Y, Choi I. Relationship between Nasal Endoscopy Index for Pattern Identification and Cold-heat Pattern Identification in Allergic Rhinitis Patients. J Korean Med Ophthalmol Otolaryngol Dermatol. 2015;28(4):1-11. https://doi.org/10.6114/JKOOD.2015.28.4.001
  14. Lee KJ, Kim HT, Jang BH, Choi I, Ko SG. Assessment of Concordance Rate in Pattern Analysis between Pattern Diagnosis of KiFDA on Allergic Rhinitis in 2008 and Doctor of Korean Medicine. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(1):91-8. https://doi.org/10.6114/jkood.2014.27.1.091
  15. Kim NK, Lee DH, Seo ES, Choi EJ, Jang BH, Choi I, et al. Treatment packages of persistent allergic rhinitis for developing PRCT protocols : An expert survey. Kor J Oriental Preventive Medical Society. 2013;17 (3):143-53.
  16. Kim MH, Son JW, Nam HJ, Ko SG, Choi I. Hyeonggaeyeongyo-tang for treatment of allergic and nonallergic rhinitis: a prospective, non-randomized, pre-post study. Evid Based Complement Alternat Med. 2016.