Korean Journal of Family Medicine (2025)

Editorial

Publication Delay in the Korean Journal of Family Medicine
Soo Young Kim
Korean J Fam Med 2013;34(5):297-297. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.297

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (1)

  • The Time from Submission to Publication in Primary Health Care Journals: A Cross-Sectional Study
    Tsung-An Chen, Ming-Hwai Lin, Yu-Chun Chen, Tzeng-Ji Chen
    Publications.2024; 12(2): 13.CrossRef
  • Online-to-print Lags and Baseline Number of Citations in 5 Science Citation Index Journals Related to Liver Diseases (2013–2014)
    Xingshun Qi, Hongyu Li, Xu Liu, Wenda Xu, Ming Bai, Xiaozhong Guo
    Journal of Clinical and Experimental Hepatology.2015; 5(2): 127.CrossRef
  • 3,212View
  • 24Download
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Korean Journal of Family Medicine (2)

Original Articles

Postmarketing Surveillance Study of the Efficacy and Safety of Phentermine in Patients with Obesity
Hyun Ok Kim, Jung Ah Lee, Hee Won Suh, Young Sik Kim, Bum Soo Kim, Eun Sook Ahn, Young Jun Roh, Seong Gil Jung, Jin Mok Kim, Moon Kuk Kang, In Soon Ahn, Young Gyu Park
Korean J Fam Med 2013;34(5):298-306. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.298
Background

Obesity is a complex problem that is now considered a chronic metabolic disease. In Korea, phentermine has been widely used for the treatment of obesity in the primary care setting since 2004. However, there have been very few studies on the safety and efficacy of phentermine. To investigate the safety and efficacy of this drug, a postmarketing surveillance study was performed.

Methods

A total of 795 patients with obesity (body mass index ≥ 25 kg/m2) were enrolled from 30 primary care centers in Korea from September 2006 to November 2007. Patients were examined to ascertain safety and efficacy at 4-, 8-, and 12-week intervals. The criterion for efficacy was defined as a weight loss ≥ 5% of body weight.

Results

Of the 795 enrolled patients, 735 (92.5%) were evaluated in safety assessments and 711 (89.4%) was included in efficacy assessments. A total of 266 adverse events (AEs) were reported by 218 patients (30.6%), and no serious AEs were reported. Among 711 patients, 324 patients (45.6%) lost ≥ 5% of their body weight. The mean weight loss was 3.8 ± 4.0 kg.

Conclusion

AEs are commonly associated with phentermine, even though phentermine is effective for weight loss and relatively well-tolerated.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (3)

  • Phentermine in the Modern Era of Obesity Pharmacotherapy: Does It Still Have a Role in Treatment?
    Kristina H. Lewis, Kimberly A. Gudzune, Jamy D. Ard
    Current Obesity Reports.2024; 13(1): 132.CrossRef
  • Effectiveness and safety of drugs for obesity
    Kristina Henderson Lewis, Caroline E Sloan, Daniel H Bessesen, David Arterburn
    BMJ.2024; : e072686.CrossRef
  • Efficacy and safety of intragastric balloon for obesity in Korea
    Kwang Gyun Lee, Seung-Joo Nam, Hyuk Soon Choi, Hang Lak Lee, Jai Hoon Yoon, Chan Hyuk Park, Kyoung Oh Kim, Do Hoon Kim, Jung-Wook Kim, Won Sohn, Sung Hoon Jung
    Clinical Endoscopy.2023; 56(3): 333.CrossRef
  • Biomaterial-Based Therapeutic Strategies for Obesity and Its Comorbidities
    Jing Li, Hongli Duan, Yan Liu, Lu Wang, Xing Zhou
    Pharmaceutics.2022; 14(7): 1445.CrossRef
  • Anorectic interaction and safety of 5-hydroxytryptophan/carbidopa plus phentermine or diethylpropion in rat
    Ernesto Limón-Bernal, José E. Roa-Coria, Ángel Zúñiga-Romero, Juan C. Huerta-Cruz, Irma R.C. Ruíz-Velasco, Francisco J. Flores-Murrieta, Eleazar Lara-Padilla, Juan G. Reyes-García, Héctor I. Rocha-González
    Behavioural Pharmacology.2021; 32(5): 368.CrossRef
  • Randomized trial of a novel lifestyle intervention compared with the Diabetes Prevention Program for weight loss in adult dependents of military service members
    Sai Krupa Das, Asma S Bukhari, Amy G Taetzsch, Amy K Ernst, Gail T Rogers, Cheryl H Gilhooly, Adrienne Hatch-McChesney, Caroline M Blanchard, Kara A Livingston, Rachel E Silver, Edward Martin, Susan M McGraw, Meghan K Chin, Taylor A Vail, Laura J Lutz, Sc
    The American Journal of Clinical Nutrition.2021; 114(4): 1546.CrossRef
  • Clinical outcomes associated with anti‐obesity medications in real‐world practice: A systematic literature review
    Nadia N. Ahmad, Susan Robinson, Tessa Kennedy‐Martin, Jiat Ling Poon, Hong Kan
    Obesity Reviews.2021;[Epub]CrossRef
  • Weight Loss at First Month and Development of Tolerance as Possible Predictors of 30 mg Phentermine Efficacy at 6 Months
    Héctor Isaac Rocha-González, Lidia Elizabeth De la Cruz-Álvarez, Ashuin Kammar-García, Samuel Canizales-Quinteros, Juan Carlos Huerta-Cruz, Lina Marcela Barranco-Garduño, Juan Gerardo Reyes-García
    Journal of Personalized Medicine.2021; 11(12): 1354.CrossRef
  • Effects of Gambisan in overweight adults and adults with obesity
    Dae-Hyun Jo, Seunghoon Lee, Jae-Dong Lee
    Medicine.2019; 98(47): e18060.CrossRef
  • Determination of phentermine, N -hydroxyphentermine and mephentermine in urine using dilute and shoot liquid chromatography–tandem mass spectrometry
    Yun Jeong Choi, Arum Sim, Min Kyung Kim, Sunglll Suh, Moon Kyo In, Jin Young Kim
    Journal of Chromatography B.2016; 1029-1030: 22.CrossRef
  • Greater hunger and less restraint predict weight loss success with phentermine treatment
    Elizabeth A. Thomas, Bryan Mcnair, Jamie L. Bechtell, Annie Ferland, Marc‐Andre Cornier, Robert H. Eckel
    Obesity.2016; 24(1): 37.CrossRef
  • Can we win the war on obesity with pharmacotherapy?
    Juliet D. Gotthardt, Nicholas T. Bello
    Expert Review of Clinical Pharmacology.2016; 9(10): 1289.CrossRef
  • Comments on Statistical Issues in November 2013
    Yong Gyu Park
    Korean Journal of Family Medicine.2013; 34(6): 434.CrossRef
  • 5,126View
  • 81Download
  • 13Crossref

Korean Journal of Family Medicine (4)

The Cutoff Value of Waist Circumference for Predicting Metabolic Risks in Pre- and Post-Menopausal Korean Women: Analysis of 2010 Korean National Health and Nutrition Examination Survey Data
Ok-Gyu Lee, Yang-Im Hur, Jae-Heon Kang, Hyun-Ah Park, Kyoung-Woo Kim, Young-Gyu Cho, Won-Young Choi, Hyesook Park, Hye-Ah Lee
Korean J Fam Med 2013;34(5):307-318. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.307
Background

With metabolic syndrome (MS) being a major risk factor for cardiovascular disease, and central obesity being a major predisposing factor for MS, intensive research is currently being performed on cutoff values according to race and sex. Menopause is an especially significant factor in designating cutoff values for female central obesity, as menopause brings sudden bodily changes that induce central obesity and increased prevalence of MS. Therefore this study aimed to investigate the cutoff values for the obesity index and its validity in predicting the criteria for MS in Korean women according to menstrual status.

Methods

The study focused on 3,103 women 20 years of age or older participating in the 2007 Korea National Health and Nutrition Examination Survey. Definitions of non-adipose components of MS were defined by the International Diabetes Federation, and menstrual status was judged on the basis of survey results. The sensitivity, specificity, and positive and negative predictive values of the central obesity index (body mass index [BMI], waist circumference [WC], waist-to-height ratio [WHtR]) according to menstrual status for two or more non-adipose components of MS were calculated based on the Youden index.

Results

Area under the curve (AUC) values predicting the presence of two or more metabolic risk factors were higher in pre-menopausal women, with AUC values for BMI, WC, and WHtR being, in pre- and post-menopausal women, 23.1 kg/m2 vs. 23.9 kg/m2, 76.1 cm vs. 82.5 cm, and 0.49 vs. 0.53, respectively. The WC cut off (76 cm) for pre-menopausal women was found to be more sensitive and more effective at screening for MS risks than the cutoff value given by the Korea Society for the Study of Obesity.

Conclusion

The central obesity index showed better predictability for MS risk in pre-menopausal women. Because the central obesity index cutoff values are lower in pre-menopausal women, the possibility of metabolic risk can be considered for pre-menopausal women with WC lower than 85 cm. Assessment and control of other risks are needed accordingly for preventing the development of MS.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (5)

  • Abdominal Obesity Increases the Risk for Depression by Sex: A Nationwide Cohort Study in South Korea
    Soobin Jo, Kyung-do Han, Juhwan Yoo, Dong Wook Shin, Hyewon Kim, Hong Jin Jeon
    Psychiatry Investigation.2024; 21(12): 1398.CrossRef
  • Comparison of anthropometric indices for the screening of nonalcoholic fatty liver disease in pre- and postmenopausal women
    So-hyeon Hong, Soon Young Hwang, Jung A. Kim, You-Bin Lee, Eun Roh, Nam Hoon Kim, Ji A. Seo, Sin Gon Kim, Nan Hee Kim, Kyung Mook Choi, Sei Hyun Baik, Hye Jin Yoo
    Menopause.2020; 27(1): 88.CrossRef
  • Association of dietary patterns, anthropometric measurements, and metabolic parameters with C-reactive protein and neutrophil-to-lymphocyte ratio in middle-aged and older adults with metabolic syndrome in Taiwan: a cross-sectional study
    Ahmad Syauqy, Chien-Yeh Hsu, Hsiao-Hsien Rau, Jane C.-J. Chao
    Nutrition Journal.2018;[Epub]CrossRef
  • The “Jolly Fat” Effect in Middle-Aged Korean Women
    Gyeyoon Yim, Younjhin Ahn, Juhee Cho, Yoosoo Chang, Seungho Ryu, Joong-Yeon Lim, Hyun-Young Park
    Journal of Women's Health.2017; 26(11): 1236.CrossRef
  • Optimal Cutoffs of Cardiometabolic Risk for Postmenopausal Korean Women
    Hye-Ryoung Kim, Hee-Seung Kim
    Asian Nursing Research.2017; 11(2): 107.CrossRef
  • The Relationship Between Cardiorespiratory Fitness and Aortic Stiffness in Women with Central Obesity
    Jacqueline A. Augustine, Eun Sun Yoon, Jina Choo, Kevin S. Heffernan, Sae Young Jae
    Journal of Women's Health.2016; 25(7): 680.CrossRef
  • Optimal Cutoff Points of Anthropometric Parameters to Identify High Coronary Heart Disease Risk in Korean Adults
    Sang Hyuck Kim, Hyunrim Choi, Chang Won Won, Byung-Sung Kim
    Journal of Korean Medical Science.2016; 31(1): 61.CrossRef
  • Optimal Waist Circumference Cutoff Values for the Diagnosis of Abdominal Obesity in Korean Adults
    Yeong Sook Yoon, Sang Woo Oh
    Endocrinology and Metabolism.2014; 29(4): 418.CrossRef
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Korean Journal of Family Medicine (6)

Survey of Potentially Inappropriate Prescription Using STOPP/START Criteria in Inha University Hospital
Sang-Jin Lee, Se-Wook Cho, Yeon Ji Lee, Ji-Ho Choi, Hyuk Ga, You-Hoi Kim, So-Yun Woo, Woo-Suc Jung, Dong-Yop Han
Korean J Fam Med 2013;34(5):319-326. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.319
Background

Prescribing potentially harmful drugs and omitting essential drugs to older patients is a common problem because they take so many medications. In this study, our goal was to identify potentially inappropriate medications (PIMs) and potential prescribing omissions (PPOs) using Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) and Screening Tool to Alert doctors to the Right Treatment (START) criteria to improve proper prescription and reduce improper prescription.

Methods

Enrolled in this study were 117 patients older than 65 years old who were hospitalized at Inha University Hospital in Incheon due to pneumonia from January 2012 to March 2012. Patient data, including medical histories, current diagnoses, current medications, and biochemical data were recorded from electronic records. STOPP and START were applied to their clinical datasheets.

Results

STOPP criteria identified 24 patients who had 29 PIMs. Most potential inappropriate prescribing was of cardiovascular medications, followed by drugs whose primary effect is on the urogenital system and gastrointestinal system. START criteria identified 31 patients who had 46 PPOs. The cardiovascular system drugs comprised most of the PPOs. No PPOs were identified under the central nervous system criteria.

Conclusion

Given the current Korean medical system conditions and considering the many clinically important situations when prescribing drugs, STOPP/START criteria are not absolute criteria to prevent improper prescription, but sagacious usage of these standards can help physicians to prescribe properly in clinical practice.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (7)

  • The impact of a multifaceted intervention to reduce potentially inappropriate prescribing among dischargedÂolder adults: a before-and-after study
    Muhammad Eid Akkawi, Mohamad Haniki Nik Mohamed, Mohd Aznan Md Aris
    Journal of Pharmaceutical Policy and Practice.2020;[Epub]CrossRef
  • Evaluation of potentially inappropriate medication utilization in elderly patients with cancer at outpatient oncology unit
    Ceylan Paksoy, Öznur Özkan, Bala BÖ Ustaalioğlu, Mesut Sancar, Refik Demirtunç, Fikret V Izzettin, Betul Okuyan
    Journal of Oncology Pharmacy Practice.2019; 25(6): 1321.CrossRef
  • Usefulness of STOPP/START criteria to assess appropriateness of medicines prescribed to older adults in a resource-limited setting
    U. G. S. Siripala, S. P. K. Premadasa, N. R. Samaranayake, C. A. Wanigatunge
    International Journal of Clinical Pharmacy.2019; 41(2): 525.CrossRef
  • Potentially inappropriate prescribing and associated factors in elderly patients at hospital discharge in Brazil: a cross-sectional study
    Ana Luiza Pereira Moreira Mori, Renata Cunha Carvalho, Patricia Melo Aguiar, Maria Goretti Farias de Lima, Magali da Silva Pacheco Nobre Rossi, José Fernando Salvador Carrillo, Egídio Lima Dórea, Sílvia Storpirtis
    International Journal of Clinical Pharmacy.2017; 39(2): 386.CrossRef
  • Examining potentially inappropriate prescribing in residential care using the STOPP/START criteria
    N.J. Ailabouni, P.S. Nishtala, J.M. Tordoff
    European Geriatric Medicine.2016; 7(1): 40.CrossRef
  • Prevalence of inappropriate medication prescription in the elderly in Nigeria: A comparison of Beers and STOPP criteria
    Joseph O. Fadare, Olufemi O. Desalu, Abimbola M. Obimakinde, Adekunle O. Adeoti, Segun M. Agboola, Felix O. Aina
    International Journal of Risk & Safety in Medicine.2015; 27(4): 177.CrossRef
  • Difficulty in managing polypharmacy in the elderly: Case report and review of the literature
    Rhita Bennis Nechba, Moncif El M'barki Kadiri, Mounia Bennani-Ziatni, Amine Ali Zeggwagh, Abdelhalim Mesfioui
    Journal of Clinical Gerontology and Geriatrics.2015; 6(1): 30.CrossRef
  • Consensus Validated List of Potentially Inappropriate Medication for the Elderly and Their Prevalence in SouthÂKorea
    Seong-Ok Kim, Sunmee Jang, Chul-Min Kim, Yu-Ri Kim, Hyun Soon Sohn
    International Journal of Gerontology.2015; 9(3): 136.CrossRef
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Korean Journal of Family Medicine (8)

Predictability of Various Serial Subtractions on Global Deterioration Scale According to Education Level
Joong Soo Kim, Chang Won Won, Byung Sung Kim, Hyun Rim Choi
Korean J Fam Med 2013;34(5):327-333. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.327
Background

The serial 100-7s subtraction, an item on the Mini-Mental State Examination (MMSE), is well known for being difficult for uneducated people. Therefore, we investigated into alternative serial subtractions for serial 100-7s subtraction in uneducated people.

Methods

One hundred sixty-nine subjects were enrolled by neurologic or neuropsychiatric out-patient clinics in 4 university medical centers. The subjects were divided into two groups: an uneducated group and an educated group (at least primary schooling) by questionnaire. We investigated the correlation between incorrect number of serial subtractions and Global Deterioration Scale (GDS) score in both groups and undertook receiver operating characteristic (ROC) curve analysis. MMSE including serial 40-4s subtraction, serial 20-2s subtraction, and serial 10-1s subtraction instead of serial 100-7s subtraction were arbitrally named MMSE4, MMSE2, and MMSE1.

Results

In the educated group, serial 100-7s subtraction showed the highest correlation with GDS score (correlation coefficient, 0.465; P < 0.001). In the uneducated group, serial 40-4s subtraction showed the highest correlation with GDS score (correlation coefficient, 0.608; P < 0.001), and serial 100-7s indicated the lowest correlation (correlation coefficient, 0.378; P = 0.023). In ROC curve analysis for MMSE, MMSE4, MMSE2, and MMSE1 to assess the presence of dementia (GDS score ≥ 3) in uneducated subjects, the area under the curve (AUC) was 0.648, 0.770, 0.758, and 0.711, respectively, and in educated subjects, AUC for MMSE, MMSE4, MMSE2, and MMSE1 was 0.729, 0.719, 0.716, and 0.714, respectively.

Conclusion

Out of MMSE items, serial 100-7s is adequate in the educated elderly, but may be less adequate in the uneducated elderly. Serial 40-4s seems to be more appropriate for MMSE in the uneducated elderly.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (9)

  • Single-Task and Dual-Task Gait Performance After Sport-Related Concussion: A Machine Learning Statistical Approach
    Nicholas G. Murray, Brian Szekely, Madison R. Taylor, Kristen G. Quigley, Joseph McCarley, Nora Constantino, Kumiko Hashida, Kaori Tamura
    Sports Health: A Multidisciplinary Approach.2024;[Epub]CrossRef
  • Chinese Version of the Baylor Profound Mental Status Examination: A Brief Staging Measure for Patients with Severe Alzheimer's Disease
    X. Fu, W. Yu, M. Ke, X. Wang, J. Zhang, T. Luo, P.J. Massman, R.S. Doody, Yang Lü
    The Journal of Prevention of Alzheimer's Disease.2021; 8(2): 175.CrossRef
  • Mini-Mental State Examination in Brazil: An Item Response Theory Analysis
    Denise Mendonça de Melo, Altemir José Gonçalves Barbosa, Nelimar Ribeiro de Castro, Anita Liberalesso Neri
    Paidéia (Ribeirão Preto).2020;[Epub]CrossRef
  • Oral health in Alzheimer’s disease: a multicenter case-control study
    F. Aragón, M. A. Zea-Sevilla, J. Montero, P. Sancho, R. Corral, C. Tejedor, B. Frades-Payo, V. Paredes-Gallardo, A. Albaladejo
    Clinical Oral Investigations.2018; 22(9): 3061.CrossRef
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  • 4Crossref

Korean Journal of Family Medicine (10)

Relationships between Dietary Habits and Allostatic Load Index in Metabolic Syndrome Patients
Ju Young Kim
Korean J Fam Med 2013;34(5):334-346. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.334
Background

Allostatic load (AL) measures overall physiological wear and tear on one's body, as a preclinical marker of pathophysiologic processes that precede the onset of disease. We studied the association of dietary habits with AL.

Methods

Consecutive patients visiting a tertiary hospital Health Promotion Center from September 2009 to February 2010, older than 20 years with metabolic syndrome were selected for study (n = 204). By multivariable linear regression analysis, we investigated the association of various dietary habits evaluated by questionnaires.

Results

In male, multivariable linear regression showed a significant negative association between fat preference and AL with BMI ≥ 30 (1st quartile [Q] vs. 2Q: β = -3.71; 95% confidence interval [CI], -6.26 to -1.16), a significant negative association between salt preference and AL with BMI 25-30 (β = -1.36; 95% CI, -2.46 to -0.26), a negative association between appetite control and AL with BMI < 25 (1Q vs. 3Q: β = -1.54; 95% CI, -3.00 to -0.096), a significant positive association between appetite control and AL with BMI 25-30 (1Q vs. 3Q: β = 1.30; 95% CI, 0.12 to 2.48), and a significant positive association between eating in response to food cues and AL in males with BMI 25-30 (1Q vs. 4Q: β = 1.09; 95% CI, 0.020 to 2.15).

Conclusion

Our results suggest that metabolic syndrome patients should be discouraged from eating fat and eating in response to food cues, and should be educated about nutrition and balanced diet.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (11)

  • The Effect of a 6-Month Exercise Intervention Trial on Allostatic Load in Black Women at Increased Risk for Breast Cancer: the FIERCE Study
    Lucile L. Adams-Campbell, Teletia Taylor, Jennifer Hicks, Jiachen Lu, Chiranjeev Dash
    Journal of Racial and Ethnic Health Disparities.2022; 9(5): 2063.CrossRef
  • Allostatic Load and Its Impact on Health: A Systematic Review
    Jenny Guidi, Marcella Lucente, Nicoletta Sonino, GiovanniÂA. Fava
    Psychotherapy and Psychosomatics.2021; 90(1): 11.CrossRef
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    Melahat Sedanur Macit, Nilufer Acar-Tek
    Canadian Journal of Diabetes.2020; 44(2): 156.CrossRef
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    Chauntelle Jack-Roberts, Patricia Maples, Betul Kalkan, Kaydine Edwards, Ella Gilboa, Ikhtiyor Djuraev, Shuli Zou, Lori Hoepner, Lawrence Fordjour, Wen-Ching Lee, John Kral, Mudar Dalloul, Xinyin Jiang
    BMJ Open Diabetes Research & Care.2020; 8(1): e001468.CrossRef
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    Valeria Calcaterra, Federica Vinci, Giulia Casari, Gloria Pelizzo, Annalisa de Silvestri, Mara De Amici, Riccardo Albertini, Corrado Regalbuto, Chiara Montalbano, Daniela Larizza, Hellas Cena
    Frontiers in Pediatrics.2019;[Epub]CrossRef
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    May A. Beydoun, Amelie Nkodo, Marie T. Fanelli-Kuczmarski, Ana I. Maldonado, Hind A. Beydoun, Barry M. Popkin, Michele K. Evans, Alan B. Zonderman
    Nutrients.2019; 11(10): 2360.CrossRef
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    Melahat S. Macit, Nilüfer Acar-Tek
    Current Nutrition & Food Science.2019; 15(7): 646.CrossRef
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    Jeffrey I. Mechanick, Shan Zhao, W. Timothy Garvey
    Global Heart.2018; 13(2): 113.CrossRef
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    Mercedes Sotos-Prieto, Shilpa N Bhupathiraju, Luis M Falcón, Xiang Gao, Katherine L Tucker, Josiemer Mattei
    The Journal of Nutrition.2015; 145(7): 1531.CrossRef
  • Comments on Statistical Issues in November 2013
    Yong Gyu Park
    Korean Journal of Family Medicine.2013; 34(6): 434.CrossRef
  • 4,194View
  • 38Download
  • 10Crossref

Korean Journal of Family Medicine (12)

The Association between Pain and Depression, Anxiety, and Cognitive Function among Advanced Cancer Patients in the Hospice Ward
Hae Jin Ko, Se Jung Seo, Chang Ho Youn, Hyo Min Kim, Seung Eun Chung
Korean J Fam Med 2013;34(5):347-356. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.347
Background

Pain is the most common but severe physical symptom among cancer patients. This study aimed to identify correlation between pain and psychological symptoms for terminal cancer patients.

Methods

The total sample consisted of 69 subjects who were recruited through two hospice wards, limited to patients who were mentally alert and had no psychiatric diseases. The subjects were divided into two groups according to the numerical rating scale: the pain-free group, 0 to 3 points; and the pain group, 4 to 10 points. We used the Beck depression inventory (BDI), Beck anxiety inventory (BAI), mini-mental status examination-Korea (MMSE-K), and short form 36 health survey (SF-36). Logistic regression analysis was performed to verify the correlation between pain and other psychosocial disorders.

Results

The mean scores of BDI in the pain-free and pain groups were 25.7 and 31.5; mean BAI scores were 23.4 and 34.7; mean MMSE-K scores were 25.7 and 21.8, respectively. There were no significant differences between the two groups in SF-36 score except scores of body pain. The results of logistic regression analysis adjusted for age, sex, marital status, types of cancer, history of chemotherapy, or radiotherapy showed significant correlation between pain and depression (BDI ≥ 24; odds ratio [OR], 4.199; 95% confidence interval [CI], 1.171 to 15.060), and pain and cognitive impairment (MMSE < 24; OR, 5.495; 95% CI, 1.449 to 20.843); but not between pain and anxiety (BAI ≥ 22; OR, 3.011; 95% CI, 0.907 to 9.997).

Conclusion

Pain significantly affects depression and cognitive impairment among advanced cancer patients in the hospice ward. Accordingly, more aggressive treatment of pain is required to reduce not only physical suffering but also physiological distress.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (13)

  • Does the coexistence of pain and depressive symptoms accelerate cognitive decline?
    Patrícia Silva Tofani, Roberta de Oliveira Máximo, Natália Cochar-Soares, Paula Camila Ramírez, Mariane Marques Luiz, Sara Souza Lima, Thaís Barros Pereira da Silva, Thales Batista de Souza, Letícia Coelho Silveira, Valdete Regina Guandalini, Andrew Stept
    Aging & Mental Health.2025; 29(2): 334.CrossRef
  • Cognitive function and its associated factors among patients with cancer pain: a multicentre cross-sectional study in China
    Hongyu Zhu, Rongbo Lin, Jianyi Wang, ShuFang Ruan, Tingting Hu, Yan Lei, Xi Ke, Huiyu Luo
    BMJ Open.2024; 14(1): e071417.CrossRef
  • Worse Depression Profiles Are Associated With Higher Symptom Burden and Poorer Quality of Life in Patients With Gynecologic Cancer
    Alejandra Calvo-Schimmel, Marilyn J. Hammer, Alexi A. Wright, Stephanie V. Blank, Bevin Cohen, Carolyn Harris, Joosun Shin, Yvette Conley, Steven Paul, Bruce Cooper, Jon D. Levine, Christine Miaskowski
    Cancer Nursing.2024; 47(6): E404.CrossRef
  • Top Ten Tips Palliative Care Clinicians Should Know About the Physical Manifestations of Psychiatric Illness and Treatment
    Gregg A. Robbins-Welty, Daniel Shalev, Paul A. Riordan, Paul Noufi, Jason A. Webb, Keri O. Brenner, William E. Rosa, Danielle Chammas
    Journal of Palliative Medicine.2024; 27(11): 1531.CrossRef
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    Yesol Yang, Jeehee Han, Todd B. Monroe, Sue Kim
    Seminars in Oncology Nursing.2024; 40(5): 151693.CrossRef
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    Mario Lozano-Lozano, Noelia Galiano-Castillo, Angela Gonzalez-Santos, Lucía Ortiz-Comino, Marc Sampedro-Pilegaard, Lydia Martín-Martín, Manuel Arroyo-Morales
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    Brittany Bouvron, Lynda Mackin, Kord M. Kober, Steven M. Paul, Bruce A. Cooper, Yvette P. Conley, Marilyn J. Hammer, Fay Wright, Jon D. Levine, Christine Miaskowski
    Supportive Care in Cancer.2022; 30(12): 9929.CrossRef
  • Cancer Pain
    Marzieh Khatooni
    Professional Case Management.2021; 26(6): 275.CrossRef
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    Xueying Zhang, Rui Gao, Changteng Zhang, Hai Chen, Ruiqun Wang, Qi Zhao, Tao Zhu, Chan Chen
    Frontiers in Neuroscience.2021;[Epub]CrossRef
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    Pascal Jean-Pierre, Ying Cheng, Raheem J. Paxton
    Acta Oncologica.2020; 59(3): 358.CrossRef
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    Sepideh Ladaninejad, Ehteramsadat Ilali, Nouroeddin Mousavinasab, Zohreh Taraghi
    Asia-Pacific Journal of Oncology Nursing.2019; 6(4): 424.CrossRef
  • Relationship between physicians' perceived stigma toward depression and physician referral to psycho‐oncology services on an oncology/hematology ward
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    Medicine.2018; 97(12): e0145.CrossRef
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    Gebbie Ann Rodriguez Nielsen, Helle Hvilsted Nielsen, Zsolt Laszlo Illés, Parisa Gazerani
    European Neurological Review.2018; 13(1): 44.CrossRef
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    Guo-Liang Gong, Bin Liu, Jia-Xuan Wu, Ji-Yuan Li, Bai-Qing Shu, Zhi-Jian You
    The American Surgeon™.2018; 84(9): 1531.CrossRef
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    Health and Quality of Life Outcomes.2017;[Epub]CrossRef
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    Karen dos Santos Ferreira, Gabriela Zucatto Oliver, Débora Carinhato Thomaz, Caroliny Trevisan Teixeira, Maria Paula Foss
    Arquivos de Neuro-Psiquiatria.2016; 74(5): 361.CrossRef
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    Journal of Critical Care.2015; 30(5): 1043.CrossRef
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  • 18Crossref

Korean Journal of Family Medicine (14)

Satisfaction and Difficulties of Korean Family Medicine Resident Training Faculty
Jung-Ha Kim, Ju Young Kim, Kil Young Kwon, Chul-Min Lee, Tae-Hee Jeon, Seung Soo Hyun
Korean J Fam Med 2013;34(5):357-363. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.357
Background

Practitioners of family medicine are essential to primary care practices in Korea. Resident training staffs in Korean family medicine departments have a crucial role in producing well-trained family physicians. This study assesses the aspects of satisfaction and difficulties of Korean family medicine resident training staffs.

Methods

We surveyed the resident training staffs of various Korean family medicine departments using an online survey tool. The survey used in this study was modified from previously used questionnaires. Respondents rated items using a five-point Likert scale and a 0-10 visual analogue scale.

Results

The response rate was 43.9% (122/278). The mean satisfaction score with regard to current family medicine residency programs was 7.59 out of 10. Resident training staffs found the administrative aspects of their role to be the most difficult. There were considerable differences in the reported difficulties of resident training according to the differing characteristics of each staff member, including age, sex, type of hospital, number of staff members, role as chief, and duration of staff. Most respondents (91.9%) cited a need for faculty development programs.

Conclusion

Korean family medicine resident training staffs need faculty development programs for the improvement of resident training. For the strengthening of core competencies among resident training staffs, faculty development programs or courses should be designed and implemented in Korea.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (15)

  • Current status and challenges of faculty development in Korean medical education and strategies for advancement
    Dong Hyeon Lee
    Korean Journal of Medical Education.2024; 36(4): 415.CrossRef
  • 4,452View
  • 23Download
  • 1Crossref

Korean Journal of Family Medicine (16)

Case Report

Pyogenic Liver Abscess Following Acupuncture and Moxibustion Treatment
Eun Jung Choi, Sangyeoup Lee, Dong Wook Jeong, Young Hye Cho, Su Jin Lee, Jeong Gyu Lee, Yun Jin Kim, Yu Hyun Yi, Ji Yong Lim
Korean J Fam Med 2013;34(5):364-368. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.364

Acupuncture treatment is generally regarded as a relatively safe procedure. However, most procedures have some complications and acupuncture treatment is no exception. Reported complications of acupuncture treatment were mostly mild or temporary symptoms, but certain severe adverse effects were also observed. We report here for the first time a case of liver abscess following acupuncture and moxibustion treatment.

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (17)

  • Giant liver abscess with Streptococcus intermedius bacteremia treated without any drainage
    Yo Ishihara, Sayaka Kaneshiro, Yasukazu Ikehara
    IDCases.2023; 31: e01662.CrossRef
  • Publication status and reporting quality of case reports on acupuncture-related adverse events: A systematic reviews of case studies
    Tae-Hun Kim, Myeong Soo Lee, Stephen Birch, Terje Alræk, Arne Johan Norheim, Jung Won Kang
    Heliyon.2023; 9(10): e20577.CrossRef
  • A Case of Multiple Abscesses with Methicillin-resistant Staphylococcus Aureus Bacteremia following Acupuncture
    Yoshiyuki SHIROUZU, Shozo FUJIWARA, Katsuhiro ANAMI, Fumihiko FUJITA, Yoshito AKAGI
    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association).2021; 82(2): 478.CrossRef
  • Liver Abscess due to Streptococcus constellatus in an Immunocompetent Adult: A Less Known Entity
    Srujana Mohanty, Manas Kumar Panigrahi, Jyotirmayee Turuk, Sagarika Dhal
    Journal of the National Medical Association.2018; 110(6): 591.CrossRef
  • Literature Review on Adverse Events (2012-2015) associated with Acupuncture and Moxibustion
    Nobutatsu FURUSE, Akihito UEHARA, Masaaki SUGAWARA, Toshiya YAMAZAKI, Hisashi SHINBARA, Hitoshi YAMASHITA
    Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion).2017; 67(1): 29.CrossRef
  • The Reporting Quality of Acupuncture-Related Infections in Korean Literature: A Systematic Review of Case Studies
    Tae-Hun Kim, Jung Won Kang, Wan-Soo Park
    Evidence-Based Complementary and Alternative Medicine.2015; 2015: 1.CrossRef
  • Safety of Moxibustion: A Systematic Review of Case Reports
    Ji Xu, Hongyong Deng, Xueyong Shen, Cheng Ke
    Evidence-Based Complementary and Alternative Medicine.2014;[Epub]CrossRef
  • 4,319View
  • 32Download
  • 7Crossref

Korean Journal of Family Medicine (18)

Commentary

Comments on Statistical Issues in September 2013
Yong Gyu Park
Korean J Fam Med 2013;34(5):369-370. Published online September 26, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.5.369

Citations

Citations to this article as recorded byKorean Journal of Family Medicine (19)

  • Statistical comments on “Increased serum levels of interleukin 33 in patients with atopic dermatitis”
    Young Bok Lee, Yong-Gyu Park
    Journal of the American Academy of Dermatology.2015; 72(1): 199.CrossRef
  • Comments on “Lack of efficacy with 1064-nm neodymium:yttrium-aluminum-garnet laser for the treatment of onychomycosis: A randomized controlled trial”
    Young Bok Lee, Yong-Gyu Park
    Journal of the American Academy of Dermatology.2015; 72(1): 196.CrossRef
  • Re: Serum vascular endothelial growth factor levels following luteal gonadotrophin‐releasing hormone antagonist administration in women with severe early ovarian hyperstimulation syndrome
    HS Ko, N Kim, Y‐G Park
    BJOG: An International Journal of Obstetrics & Gynaecology.2015; 122(4): 585.CrossRef
  • 3,189View
  • 16Download
  • 3Crossref

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