Clinical Practice Patterns for Benign Prostatic Hyperplasia: An Online Survey

Ji-soo Baek, Seon-mi Shin, Chung-sik Cho
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Abstract

Objectives: This study investigated Korean medicine doctors’ perspectives on clinical practice patterns in the process of developing Korean medicine clinical practice guidelines for benign prostatic hyperplasia.Methods: A questionnaire was developed for Korean medicine doctors. A total of 323 oriental medicine doctors participated in the survey, which was live for a total of 9 days from September 22, 2022, to September 30, 2022.Results: Regarding awareness of treatments for benign prostatic hyperplasia, 63.8% of respondents showed high awareness of Korean medical treatments. However, items such as diagnostic criteria (17.7%), evaluation methods (17.0%), and Western medical treatments (22.9%) showed low recognition rates. In clinical practice, 76.2% of respondents were found to treat five or fewer patients with benign prostatic hyperplasia per month, and the average treatment period was 1 to 3 months for most at 41.2%. Korean medicine doctors diagnosed benign prostatic hyperplasia based on clinical features. The main interventions used were acupuncture, herbal medicine (prescription medicine), and moxibustion. This study has several limitations because of the low response rate for this survey; therefore, the participants are not representative of all Korean medicine doctors. In addition, because the study was conducted broadly on various topics related to benign prostatic hyperplasia, sufficient quality management was not carried out. Further studies that include a larger sample size and more in-depth studies on benign prostatic hyperplasia are needed.Conclusions: It is necessary to develop appropriate and reasonable Korean medicine clinical practice guidelines for benign prostatic hyperplasia.
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良性前列腺增生的临床实践模式:在线调查
目的:探讨韩医医师在制定良性前列腺增生韩医临床实践指南过程中对临床实践模式的看法。方法:对韩医医师进行问卷调查。共有323名东方医学医生参与了调查,从2022年9月22日到9月30日共进行了9天的现场调查。结果:在对良性前列腺增生治疗的认知度方面,63.8%的受访者对韩国医疗的认知度较高。而诊断标准(17.7%)、评价方法(17.0%)、西医治疗(22.9%)等项目的认知率较低。在临床实践中,76.2%的受访者发现每月治疗5例及以下良性前列腺增生患者,平均治疗时间为1至3个月,占41.2%。韩国医生根据临床特征诊断为良性前列腺增生。使用的主要干预措施是针灸、草药(处方药)和艾灸。由于本调查的回复率低,本研究存在一些局限性;因此,参加者并不能代表所有的韩国医生。此外,由于本研究涉及的良性前列腺增生相关课题比较广泛,没有进行足够的质量管理。需要进一步的研究,包括更大的样本量和更深入的研究良性前列腺增生。结论:有必要制定适当、合理的韩医良性前列腺增生临床诊疗指南。
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