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

The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology (대한한방안이비인후피부과학회)
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Outcomes Analysis for Western Medicine and Korean Medicine Using the Propensity Score Matching in Allergic Rhinitis: Data from the Health Insurance Review and Assessment Service

알레르기 비염에서 성향 점수 매칭을 이용한 의과·한의과 간 성과 분석: 건강보험심사평가원 청구 자료 이용

  • Kang, Chae-Yeong (Department of Statistics, Daegu University) ;
  • Kim, Hui-Jun (Department of Statistics, Daegu University) ;
  • Kim, Jeong-Hun (Evidence-based Healthcare Research Collaborating Center, Woosuk University) ;
  • Hwang, Jin-Seub (Division of Mathematics and big data science, Daegu University) ;
  • Lee, Dong-Hyo (Department of Opthalmology, Otolaryngology and Dermatology, College of Oriental Medicine, Woosuk University)
  • 강채영 (대구대학교 통계학과) ;
  • 김희준 (대구대학교 통계학과) ;
  • 김정훈 (우석대학교 근거중심보건의료연구협력센터) ;
  • 황진섭 (대구대학교 수리빅데이터학부) ;
  • 이동효 (우석대학교 한의과대학 한방안이비인후피부과)
  • Received : 2021.04.02
  • Accepted : 2021.05.01
  • Published : 2021.05.25
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Abstract

Objectives : The purpose of this study is to analyze the effects of treatment between Western medicine and Korean medicine on Allergic rhinitis patients using national population-based claim data from the Health Insurance Review and Assessment Service. Methods : The subjects of the study were 30,024 patients in the Korean medicine group and 30,024 in the Western medicine group who were diagnosed with Allergic rhinitis from September 1, 2018 to December 31, 2018. Propensity score analysis was used for matching age, sex, etc. at a ratio of 1:1. Cox regression and subgroup analysis were used to estimate the adjusted hazard ratio of recurrence, Asthma, and Atopic dermatitis in Korean medicine group and Western medicine group. In addition, the total treatment period, total treatment cost, and average cost per day of visit were compared and analyzed. Results : Compared to Korean medicine, Western medicine had a significantly higher risk of recurrence at 1.701 times, Asthma occurrence risk at 1.609 times and Atopic dermatitis occurrence risk at 1.098 times. Compared to Western medicine, the total treatment period of Korean medicine was 14.27 days longer, the total treatment cost was 53,591 won more, and the average cost per day was 7,539 won more. Conclusions : This study is a retrospective cohort study using the propensity score matching in Korea to compare the outcomes of Allergic rhinitis between Western medicine and Korean medicine. Further research is needed by considering patients characteristics, and linking with additional data.

Keywords

Acknowledgement

본 연구는 한국보건산업진흥원을 통해 보건복지부 「한의약선도기술개발사업」의 재정 지원을 받아 수행된 연구임(HB16C0009).

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