1.Domestic Characteristics and Trends of Publications on Bone Metabolism in South Korea between 1998 and 2012.
Young Kyun LEE ; Sanghwan KIM ; Ki Choul KIM ; Dong Won BYUN
Journal of Bone Metabolism 2013;20(1):43-45
BACKGROUND: This study was undertaken to investigate the trends in domestic publications on bone metabolism during the last decade, and to document the characteristics of articles in South Korea. METHODS: Articles on bone metabolism including osteoporosis published between 1998 and 2012 were evaluated, in terms of title, type of articles, subspecialty, and authors' affiliations. We used descriptive statistics for presenting the characteristics of domestic publication on bone metabolism. RESULTS: Total of 247 articles, published articles between 1998 and 2012, were reviewed. Over a total study period of 14 years, the number of articles which was initially 109 in the first half term increased to 247 during the period of second half. Of these 247 articles, 52 were on basic research, and 195 were on clinical research. Although the types of article were added in the later 7 years were much diverse than that of the earlier 7 years, the proportion of original articles has decreased. CONCLUSIONS: Our findings presented the characteristics and trends of domestic publication on bone metabolism in South Korea, and concerns for editorial boards in future.
Osteoporosis
;
Publications
;
Republic of Korea
2.Body Weight and Bone Density Changes in Patients with Ankylosing Spondylitis Receiving Anti-Tumor Necrosis Factor-alpha Treatment.
Jangwon LEE ; Minsuk JUNG ; Donghyun KIM ; Seunghyun LEE ; Sook Kyung OH ; Youngsun JO ; Sanghwan BYUN ; Kyoungmin NAM ; Choongwon LEE
Korean Journal of Medicine 2013;85(5):489-494
BACKGROUND/AIMS: To determine the changes in body weight and bone mineral density in patients with ankylosing spondylitis (AS) receiving anti-tumor necrosis factor-alpha (TNF-alpha) treatment. METHODS: Thirty-one patients with AS (25 males and 6 females) who fulfilled the Modified New York Criteria for AS were included in this retrospective study. All patients had active disease that eventually required anti-TNF-alpha treatment. Each patient received anti-TNF-alpha treatment (etanercept 25 mg twice weekly or adalimumab 40 mg twice monthly) for more than 2 years. Body weight, disease activity as Bath ankylosing spondylitis disease activity index (BASDAI), C-reactive protein, erythrocyte sedimentation rate (ESR), lumbar bone mineral density (LBMD), and femoral bone mineral density (FBMD) were measured at baseline and at 1 and 2 years after initiating anti-TNF-alpha treatment. RESULTS: There was a significant increase in mean body weight at 1 year (1.1 +/- 3.8 kg) and at 2 years (1.7 +/- 4.8 kg) compared with baseline. The gains in mean BMD of the lumbar spine were significant at 1 year (0.4 +/- 0.4) and 2 years (0.5 +/- 0.7) compared with baseline. Mean BMD of the femur was also increased at 1 year (0.08 +/- 0.7) and 2 years (0.1 +/- 0.8) compared with baseline, but these differences were not statistically significant. There were significant decreases in BASDAI at 1 year (-3.3 +/- 2.8) and at 2 years (-3.6 +/- 2.8) compared with baseline. CONCLUSIONS: This study showed significant increases in body weight, lumbar BMD, and BASDAI at 1 year and 2 years in patients with ankylosing spondylitis after receiving anti-TNF-alpha treatment.
Antibodies, Monoclonal, Humanized
;
Baths
;
Blood Sedimentation
;
Body Weight*
;
Bone Density*
;
C-Reactive Protein
;
Cachexia
;
Femur
;
Humans
;
Male
;
Necrosis*
;
Retrospective Studies
;
Spine
;
Spondylitis
;
Spondylitis, Ankylosing*
;
Adalimumab
3.Body Weight and Bone Density Changes in Patients with Ankylosing Spondylitis Receiving Anti-Tumor Necrosis Factor-alpha Treatment.
Jangwon LEE ; Minsuk JUNG ; Donghyun KIM ; Seunghyun LEE ; Sook Kyung OH ; Youngsun JO ; Sanghwan BYUN ; Kyoungmin NAM ; Choongwon LEE
Korean Journal of Medicine 2013;85(5):489-494
BACKGROUND/AIMS: To determine the changes in body weight and bone mineral density in patients with ankylosing spondylitis (AS) receiving anti-tumor necrosis factor-alpha (TNF-alpha) treatment. METHODS: Thirty-one patients with AS (25 males and 6 females) who fulfilled the Modified New York Criteria for AS were included in this retrospective study. All patients had active disease that eventually required anti-TNF-alpha treatment. Each patient received anti-TNF-alpha treatment (etanercept 25 mg twice weekly or adalimumab 40 mg twice monthly) for more than 2 years. Body weight, disease activity as Bath ankylosing spondylitis disease activity index (BASDAI), C-reactive protein, erythrocyte sedimentation rate (ESR), lumbar bone mineral density (LBMD), and femoral bone mineral density (FBMD) were measured at baseline and at 1 and 2 years after initiating anti-TNF-alpha treatment. RESULTS: There was a significant increase in mean body weight at 1 year (1.1 +/- 3.8 kg) and at 2 years (1.7 +/- 4.8 kg) compared with baseline. The gains in mean BMD of the lumbar spine were significant at 1 year (0.4 +/- 0.4) and 2 years (0.5 +/- 0.7) compared with baseline. Mean BMD of the femur was also increased at 1 year (0.08 +/- 0.7) and 2 years (0.1 +/- 0.8) compared with baseline, but these differences were not statistically significant. There were significant decreases in BASDAI at 1 year (-3.3 +/- 2.8) and at 2 years (-3.6 +/- 2.8) compared with baseline. CONCLUSIONS: This study showed significant increases in body weight, lumbar BMD, and BASDAI at 1 year and 2 years in patients with ankylosing spondylitis after receiving anti-TNF-alpha treatment.
Antibodies, Monoclonal, Humanized
;
Baths
;
Blood Sedimentation
;
Body Weight*
;
Bone Density*
;
C-Reactive Protein
;
Cachexia
;
Femur
;
Humans
;
Male
;
Necrosis*
;
Retrospective Studies
;
Spine
;
Spondylitis
;
Spondylitis, Ankylosing*
;
Adalimumab
4.Survival Benefit of Palliative Primary Tumor Resection Based on Tumor Location in Patients with Metastatic Colorectal Cancer: A Single-center Retrospective Study
Jae Hyun KIM ; Sol JIN ; Min Ji JEON ; Hyun Yeb JUNG ; Sanghwan BYUN ; Kyoungwon JUNG ; Sung Eun KIM ; Won MOON ; Moo In PARK ; Seun Ja PARK
The Korean Journal of Gastroenterology 2020;76(1):17-27
Background/Aims:
The molecular underpinnings of colorectal cancer (CRC) vary according to the tumor location. The advantages of a palliative primary tumor resection in patients with metastatic CRC are controversial. This study examined the survival outcomes of a palliative primary tumor resection based on the tumor location in patients with metastatic CRC.
Methods:
The medical records of 600 patients diagnosed with metastatic CRC between January 2000 and June 2018 were reviewed retrospectively. Patients undergoing surgery for both the primary tumor and metastatic lesions were excluded. The clinical factors affecting the long-term outcomes were evaluated according to the primary tumor location, and the long-term survival was compared between patients with and without a palliative primary tumor resection. The data were analyzed using the Kaplan-Meier estimator and multivariate Cox regression models.
Results:
The median follow-up duration was 18 months (interquartile range, 10-28). Patients with right-sided CRC had a poor overall- and progression-free survival compared to those with left-sided CRC. In multivariate Cox regression analysis, the palliative primary tumor resection was an independent prognostic factor predicting better overall survival in patients with metastatic CRC, regardless of the primary tumor location.
Conclusions
The primary tumor location influences the prognosis, and that a primary tumor resection can improve the overall survival in patients with metastatic CRC, regardless of the primary tumor location.
5.Efficacy and Safety of Etomidate in Comparison with Propofol or Midazolam as Sedative for Upper Gastrointestinal Endoscopy
Jae Hyun KIM ; Sanghwan BYUN ; Youn Jung CHOI ; Hye Jung KWON ; Kyoungwon JUNG ; Sung Eun KIM ; Moo In PARK ; Won MOON ; Seun Ja PARK
Clinical Endoscopy 2020;53(5):555-561
Background/Aims:
In this study, we compared the efficacy and safety of etomidate with those of propofol or midazolam for the maintenance of sedation during endoscopy.
Methods:
The study enrolled patients who underwent sedative endoscopy in our hospital and divided them into three groups. Patients in each group were administered midazolam as induction therapy and were subsequently administered either midazolam (M + M group), propofol (M + P group), or etomidate (M + E group) as maintenance medication. The primary outcome was overall cardiovascular and respiratory adverse events.
Results:
In total, 105 patients who underwent sedative endoscopic examination were enrolled. The outcomes related to the procedure and sedation were not significantly different among the groups. Overall cardiovascular and respiratory adverse events were observed in 9 patients (25.7%) in the M + M group, 8 patients (23.5%) in the M + P group, and 10 patients (27.8%) in the M + E group. The logistic regression analysis revealed that etomidate use was not an independent risk factor for overall cardiovascular and respiratory adverse events.
Conclusions
The outcomes following the use of etomidate for maintenance after induction with midazolam for sedation in upper gastrointestinal endoscopy were not inferior to those following midazolam or propofol use from the perspectives of safety and efficacy.