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Survey on the Treatment of Postherpetic Neuralgia in Korea; Multicenter Study of 1,414 Patients

 Francis Sahngun Nahm  ;  Sang Hun Kim  ;  Hong Soon Kim  ;  Jin Woo Shin  ;  Sie Hyeon Yoo  ;  Myung Ha Yoon  ;  Doo Ik Lee  ;  Youn Woo Lee  ;  Jun Hak Lee  ;  Young Hoon Jeon  ;  Dae Hyun Jo 
 Korean Journal of Pain (대한통증학회지), Vol.26(1) : 21-26, 2013 
Journal Title
 Korean Journal of Pain  (대한통증학회지) 
Issue Date
BACKGROUND: Postherpetic neuralgia (PHN) is a serious complication resulting from herpes zoster infections, and it can impair the quality of life. In order to relieve pain from PHN, various treatments, including pharmacological and interventional methods have been used. However, little information on the recommendations for the interventional treatment of PHN, along with a lack of nation-wide surveys on the current status of PHN treatment exists. This multicenter study is the first survey on the treatment status of PHN in Korea. METHODS: Retrospective chart reviews were conducted on the entire patients who visited the pain clinics of 11 teaching hospitals from January to December of 2011. Co-morbid disease, affected site of PHN, routes to pain clinic visits, parenteral/topical medications for treatment, drugs used for nerve block, types and frequency of nerve blocks were investigated. RESULTS: A total of 1,414 patients' medical records were reviewed. The most commonly affected site was the thoracic area. The anticonvulsants and interlaminar epidural blocks were the most frequently used pharmacological and interventional methods for PHN treatment. For the interval of epidural block, intervals of 5 or more-weeks were the most popular. The proportion of PHN patients who get information from the mass media or the internet was only 0.8%.The incidence of suspected zoster sine herpete was only 0.1%. CONCLUSIONS: The treatment methods for PHN vary among hospitals. The establishment of treatment recommendation for PHN treatment is necessary. In addition, public relations activities are required in order to inform the patients of PHN treatments by pain clinicians.
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1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
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