Korean Journal of Pain最新文献_第10页

A comprehensive overview and scope of interventional pain management. 介入疼痛治疗的全面概述和范围。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 DOI: 10.3344/kjp.24076

Daehyun Jo

引用次数: 0

Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan. 介入性疼痛治疗的国际医疗成本比较：以韩国和日本为重点。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-11 DOI: 10.3344/kjp.23254

Eun Young Lee, Hyung-Sun Won, Miyoung Yang, Hyungtae Kim, Yeon-Dong Kim

{"title":"Comparison of international medical costs for interventional pain treatment: a focus on Korea and Japan.","authors":"Eun Young Lee, Hyung-Sun Won, Miyoung Yang, Hyungtae Kim, Yeon-Dong Kim","doi":"10.3344/kjp.23254","DOIUrl":"10.3344/kjp.23254","url":null,"abstract":"Background: The rise in national health care costs has emerged as a global problem given the ever-aging population and rapid development of medical technology. The utilization of interventional pain management has, similarly, shown a continued rise worldwide. This study evaluates the differences in the medical costs in the field of interventional pain treatment (IPT) between two countries: Korea and Japan.Methods: Korean medical insurance costs for 2019 related to pain management focused on IPT were compared to those of Japan. Purchasing power parity (PPP) was used to adjust the exchange rate differences and to compare prices in consideration of the respective societies' economic power.Results: The cost of trigger point injections in Japan was 1.06 times higher than that of Korea, whereas the perineural and intraarticular injection prices were lower in Japan. The cost of epidural blocks was higher in Japan compared to Korea in both cervical/thoracic and lumbar regions. As for blocks of peripheral branches of spinal nerves, the cost of scapular nerve blocks in Japan was lower than that in Korea, given a PPP ratio 0.09. For nerve blocks in which fluoroscopy guidance is mandatory, the costs of epidurography in Japan were greater than those in Korea, given a PPP ratio 1.04.Conclusions: This is the first comparative study focusing on the medical costs related to IPT between Korea and Japan, which reveals that the costs differed along various categories. Further comparisons reflecting more diverse countries and socio-economic aspects will be required.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"51-58"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Anti-inflammatory and antinociceptive effects of sitagliptin in animal models and possible mechanisms involved in the antinociceptive activity. 西他列汀在动物模型中的抗炎和抗痛觉作用以及抗痛觉活性的可能机制。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-21 DOI: 10.3344/kjp.23262

Valiollah Hajhashemi, Hossein Sadeghi, Fatemeh Karimi Madab

{"title":"Anti-inflammatory and antinociceptive effects of sitagliptin in animal models and possible mechanisms involved in the antinociceptive activity.","authors":"Valiollah Hajhashemi, Hossein Sadeghi, Fatemeh Karimi Madab","doi":"10.3344/kjp.23262","DOIUrl":"10.3344/kjp.23262","url":null,"abstract":"Background: Sitagliptin is an antidiabetic drug that inhibits dipeptidyl peptidase-4 enzyme. This study aimed to investigate the antinociceptive and anti-inflammatory effects of sitagliptin in formalin and carrageenan tests and determine the possible mechanism(s) of its antinociceptive activity.Methods: Male Swiss mice (25-30 g) and male Wistar rats (180-220 g) were used for formalin and carrageenan tests, respectively. In the formalin test, paw licking time and in the carrageenan test, paw thickness were considered as indexes of pain behavior and inflammation respectively. Three doses of sitagliptin (2.5, 5, and 10 mg/kg) were used in these tests. Also, several antagonists and enzyme inhibitors were used to evaluate the role of adrenergic, serotonergic, dopaminergic, and opioid receptors as well as the NO/cGMP/KATP pathway in the antinociceptive effect of sitagliptin (5 mg/kg).Results: Sitagliptin showed significant antinociceptive and anti-inflammatory effects in the formalin and carrageenan tests respectively. In the carrageenan test, all three doses of sitagliptin significantly (P < 0.001) reduced paw thickness. Pretreatment with yohimbine, prazosin, propranolol, naloxone, and cyproheptadine could not reverse the antinociceptive effect of sitagliptin (5 mg/Kg), which indicates that adrenergic, opioid, and serotonin receptors (5HT2) are not involved in the antinociceptive effects. L-NAME, methylene blue, glibenclamide, ondansetron, and sulpiride were able to reverse this effect.Conclusions: NO/cGMP/KATP, 5HT3 and D2 pathways play an important role in the antinociceptive effect of sitagliptin. Additionally significant anti-inflammatory effects observed in the carrageenan test might contribute in reduction of pain response in the second phase of the formalin test.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"26-33"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Postoperative analgesic effects of the quadratus lumborum block in pediatric patients: a systematic review and meta-analysis. 小儿腰方肌阻滞术的术后镇痛效果：系统回顾和荟萃分析。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-21 DOI: 10.3344/kjp.23268

Insun Park, Jae Hyon Park, Hyun-Jung Shin, Hyo-Seok Na, Bon-Wook Koo, Jung-Hee Ryu, Ah-Young Oh

{"title":"Postoperative analgesic effects of the quadratus lumborum block in pediatric patients: a systematic review and meta-analysis.","authors":"Insun Park, Jae Hyon Park, Hyun-Jung Shin, Hyo-Seok Na, Bon-Wook Koo, Jung-Hee Ryu, Ah-Young Oh","doi":"10.3344/kjp.23268","DOIUrl":"10.3344/kjp.23268","url":null,"abstract":"Background: This study assessed the postoperative analgesic efficacy and safety of the quadratus lumborum block (QLB) in pediatric patients.Methods: Electronic databases were searched for studies comparing the QLB to conventional analgesic techniques in pediatric patients. The primary outcome was the need for rescue analgesia 12 and 24 hours after surgery. Secondary outcomes covered the Face-Legs-Activity-Cry-Consolability Scale (FLACC) scores at various time points; parental satisfaction; time to the first rescue analgesia; hospitalization time; block execution time; block failure rates, and adverse events.Results: Sixteen randomized controlled trials were analyzed involving 1,061 patients. The QLB significantly reduced the need for rescue analgesia both at 12 and 24 hours after surgery (12 hours, relative risk [RR]: 0.45; 95% confidence interval [CI]: 0.01, 0.88; 24 hours, RR: 0.51; 95% CI: 0.31, 0.70). In case of 24 hours after surgery, type 1 QLB significantly reduced the need for rescue analgesia (RR: 0.56; 95% CI: 0.36, 0.76). The QLB also exhibited lower FLACC scores at 1 hour (standardized mean difference [SMD]: -0.87; 95% CI: -1.56, -0.18) and 6 hours (SMD: -1.27; 95% CI: -2.33, -0.21) following surgery when compared to non-QLB. Among QLBs, type 2 QLB significantly extended the time until the first rescue analgesia (SMD: 1.25; 95% CI: 0.84, 1.67). No significant differences were observed in terms of parental satisfaction, hospitalization time, block execution time, block failure, or adverse events between QLB and non-QLB groups.Conclusions: The QLB provides non-inferior analgesic efficacy and safety to conventional methods in pediatric patients.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"59-72"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facet joint disorders: from diagnosis to treatment. 面关节疾病：从诊断到治疗。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-11 DOI: 10.3344/kjp.23228

Yeong-Min Yoo, Kyung-Hoon Kim

{"title":"Facet joint disorders: from diagnosis to treatment.","authors":"Yeong-Min Yoo, Kyung-Hoon Kim","doi":"10.3344/kjp.23228","DOIUrl":"10.3344/kjp.23228","url":null,"abstract":"One of the most common sources of spinal pain syndromes is the facet joints. Cervical, thoracic, and lumbar facet joint pain syndromes comprise 55%, 42%, and 31% of chronic spinal pain syndromes, respectively. Common facet joint disorders are degenerative disorders, such as osteoarthritis, hypertrophied superior articular process, and facet joint cysts; septic arthritis; systemic and metabolic disorders, such as ankylosing spondylitis or gout; and traumatic dislocations. The facet pain syndrome from osteoarthritis is suspected from a patient's history (referred pain pattern) and physical examination (tenderness). Other facet joint disorders may cause radicular pain if mass effect from a facet joint cyst, hypertrophied superior articular process, or tumors compress the dorsal root ganglion. However, a high degree of morphological change does not always provoke pain. The superiority of innervating nerve block or direct joint injection for diagnosis and treatment is still a controversy. Treatment includes facet joint injection in facet joint osteoarthritis or whiplash injury provoking referred pain or decompression in mass effect in cases of hypertrophied superior articular process or facet joint cyst eliciting radicular pain. In addition, septic arthritis is treated using a proper antibiotic, based on infected tissue or blood culture. This review describes the diagnosis and treatment of common facet joint disorders.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"3-12"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764212/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trends in the prescription of opioids and gabapentinoids in patients with failed back surgery syndrome in Korea: a population-based study. 韩国背部手术失败综合征患者阿片类药物和加巴喷丁类药物的处方趋势：一项基于人群的研究。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-22 DOI: 10.3344/kjp.23246

Jinyoung Oh, Jinseok Yeo

{"title":"Trends in the prescription of opioids and gabapentinoids in patients with failed back surgery syndrome in Korea: a population-based study.","authors":"Jinyoung Oh, Jinseok Yeo","doi":"10.3344/kjp.23246","DOIUrl":"10.3344/kjp.23246","url":null,"abstract":"Background: Failed back surgery syndrome (FBSS) is a chronic condition that is characterized by persistent back pain following one or more spinal surgeries. Pharmacological interventions, such as the use of opioids and gabapentinoids, are frequently used in the treatment of FBSS. However, prolonged and excessive use of these medications can lead to dependence and adverse effects. This study investigates trends in opioid and gabapentinoid prescriptions among patients with FBSS in Korea from 2016 to 2020.Methods: Data from the Health Insurance and Review Agency were analyzed, and claims listing FBSS were selected for the study. Prescription patterns of opioids and gabapentinoids were classified based on the number of days prescribed per year.Results: Of the 390,095 patients diagnosed with FBSS, 41.6% of the patients were prescribed gabapentinoids, and 42.0% of them were prescribed opioids, while 10.6% of the patients were classified as long-term gabapentinoid users, 11.4% as long-term opioid users, and 7.4% of the patients were found to have long-term prescriptions for both drugs. The proportion of patients who received both gabapentinoid and opioid prescriptions increased annually. The doses of opioids prescribed have also increased along with the increase in the number of patients receiving opioid prescriptions.Conclusions: The prescription rates of opioids and gabapentinoids among patients with FBSS in Korea continue to increase steadily, posing potential risks of addiction and adverse effects. Further research is needed to better understand the actual status of addiction in patients with FBSS.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":" ","pages":"73-83"},"PeriodicalIF":2.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10764216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138833250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The downsides of artificial intelligence in healthcare. 人工智能在医疗保健领域的弊端。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-14 DOI: 10.3344/kjp.23312

Dalmacito Cordero

引用次数: 0

Necessity of professional medical illustration for increasing the value of the journal. 专业医学插图对提高期刊价值的必要性。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 Epub Date: 2023-12-19 DOI: 10.3344/kjp.23288

Hyung-Sun Won, Miyoung Yang, Yeon-Dong Kim

引用次数: 0

Cooled radiofrequency ablation of genicular nerves for knee osteoarthritis. 膝关节骨关节炎的膝神经冷却射频消融术

IF 3.4 3区医学

Korean Journal of Pain Pub Date : 2024-01-01 DOI: 10.3344/kjp.23344

Myong-Hwan Karm, Hyun-Jung Kwon, Chan-Sik Kim, Doo-Hwan Kim, Jin-Woo Shin, Seong-Soo Choi

引用次数: 0

Repetitive transcranial magnetic stimulation in central post-stroke pain: current status and future perspective. 重复性经颅磁刺激治疗脑卒中后中枢性疼痛：现状和未来展望。

IF 2.8 3区医学

Korean Journal of Pain Pub Date : 2023-10-01 DOI: 10.3344/kjp.23220

Riva Satya Radiansyah, Deby Wahyuning Hadi

{"title":"Repetitive transcranial magnetic stimulation in central post-stroke pain: current status and future perspective.","authors":"Riva Satya Radiansyah, Deby Wahyuning Hadi","doi":"10.3344/kjp.23220","DOIUrl":"https://doi.org/10.3344/kjp.23220","url":null,"abstract":"Central post-stroke pain (CPSP) is an incapacitating disorder that impacts a substantial proportion of stroke survivors and can diminish their quality of life. Conventional therapies for CPSP, including tricyclic antidepressants, anticonvulsants, and opioids, are frequently ineffective, necessitating the investigation of alternative therapeutic strategies. Repetitive transcranial magnetic stimulation (rTMS) is now recognized as a promising noninvasive pain management method for CPSP. rTMS modulates neural activity through the administration of magnetic pulses to specific cortical regions. Trials analyzing the effects of rTMS on CPSP have generated various outcomes, but the evidence suggests possible analgesic benefits. In CPSP and other neuropathic pain conditions, high-frequency rTMS targeting the primary motor cortex (M1) with figure-eight coils has demonstrated significant pain alleviation. Due to its associaton with analgesic benefits, M1 is the most frequently targeted area. The duration and frequency of rTMS sessions, as well as the stimulation intensity, have been studied in an effort to optimize treatment outcomes. The short-term pain relief effects of rTMS have been observed, but the long-term effects (> 3 months) require further investigation. Aspects such as stimulation frequency, location, and treatment period can influence the efficacy of rTMS and ought to be considered while planning the procedure. Standardized guidelines for using rTMS in CPSP would optimize therapy protocols and improve patient outcomes. This review article provides an up-to-date overview of the incidence, clinical characteristics, outcome of rTMS in CPSP patients, and future perspective in the field.","PeriodicalId":56252,"journal":{"name":"Korean Journal of Pain","volume":"36 4","pages":"408-424"},"PeriodicalIF":2.8,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/42/14/kjp-36-4-408.PMC10551398.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41122569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0