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전립선비대증 변증도구의 신뢰도 평가 및 IPSS, 요속과의 상관관계에 대한 탐색적 연구

A Pilot Study to Evaluate the Reliability of a Pattern Identification Tool for Benign Prostatic Hyperplasia and to Analyze Correlations between Pattern Identification Tools and International Prostate Symptom Score (IPSS) and Uroflowmetry

대한한방내과학회지 2020년 41권 6호 p.1052 ~ 1065
전천후, 구지향, 강위창, 장은수, 이은정, 정인철, 조충식,
소속 상세정보
전천후 ( Jeon Cheon-Hoo ) - Daejeon University College of Korean Medicine Department of Internal Medicine
구지향 ( Gu Ji-Hyang ) - Daejeon University College of Korean Medicine Department of Korean Medicine Rehabilitation
강위창 ( Kang Wee-Chang ) - Daejeon University Department of Statistics
장은수 ( Jang Eun-Su ) - Daejeon University College of Korean Medicine Department of Diagnosis
이은정 ( Lee Eun-Jung ) - Daejeon University College of Korean Medicine Department of Korean Medicine Rehabilitation
정인철 ( Jung In-Chul ) - Daejeon University College of Korean Medicine Department of Oriental Neuropsychiatry
조충식 ( Cho Chung-Sik ) - Daejeon University College of Korean Medicine Department of Internal Medicine

Abstract


Objectives: To evaluate the reliability of a pattern identification tool for benign prostatic hyperplasia and to examine the relationship between pattern identification tool readings and IPSS and uroflowmetry.

Methods: We analyzed 56 patients diagnosed with benign prostatic hyperplasia from December 27th, 2017 to December 26th, 2018 by two different Korean medical doctors and followed with a pattern identification tool and by IPSS and uroflowmetry. One week later, the patients were retested to analyze the reliability of the pattern identification tool, determined with the intraclass correlation coefficient (ICC) using the test-retest method. The correlation between IPSS and uroflowmetry was analyzed with the Pearson coefficient.

Result: The reliability of the pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance” (ICC=0.349). The reliability of each pattern identification score was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, Deficiency of Middle Qi, and Dampness-heat of Lower Energizer. The internal consistency was evaluated as “good” for Yang Deficiency of Kidney, Yin Deficiency of Kidney, and Dampness-heat of Lower Energizer, and as “excellent” for Deficiency of Middle Qi. The correlation between pattern identification and IPSS was evaluated as a “moderate positive correlation” for all pattern identifications. The average flow rate and maximum flow rate using uroflowmetry was evaluated with “moderate negative correlation” for Yang Deficiency of Kidney and Dampness-heat of Lower Energizer.

Conclusion: The reliability of a pattern identification tool for benign prostatic hyperplasia was evaluated as “poor agreement beyond chance.” Further research is needed.

키워드

benign prostatic hyperplasia; pattern identification tool; reliability; IPSS; uroflowmetry

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