TY - JOUR
T1 - Relationship Between Conventional Medicine Chapters in ICD-10 and Kampo Pattern Diagnosis
T2 - A Cross-Sectional Study
AU - Wu, Xuefeng
AU - Le, Thomas K.
AU - Maeda-Minami, Ayako
AU - Yoshino, Tetsuhiro
AU - Horiba, Yuko
AU - Mimura, Masaru
AU - Watanabe, Kenji
N1 - Funding Information:
XW is funded by the Japanese government (Monbukagakusho: MEXT) scholarship (https://www.mext.go.jp/). MM received research grant supports from Tsumura and Co and applied it to English editing fee and article processing charge. The funding source was not involved in the interpretation of data, writing of the report, and the decision to submit the article for publication.
Publisher Copyright:
Copyright © 2021 Wu, Le, Maeda-Minami, Yoshino, Horiba, Mimura and Watanabe.
PY - 2021/12/20
Y1 - 2021/12/20
N2 - Objectives: The newest revision to the International Classification of Diseases, the 11th edition (ICD-11) includes disease classifications from East Asian medicine, including traditional Japanese medicine (Kampo medicine). These disease classifications allow for comparisons between disease classifications from conventional medicine and Kampo medicine. Design/Location/Subjects/Interventions: This is an exploratory, cross-sectional study exploring the relationship between conventional medicine diagnoses and Kampo medicine diagnoses at a large Kampo clinic in Japan. Patients were seen from October 1st, 2014 to June 30th, 2019 and were 20 years of age or older. Outcome measures: Patients presented with one or more conventional medicine ICD-10 codes into the clinic and were given one descriptor from the ICD-11 within the heat-cold module, excess-deficiency module, and an optional body constituents module. The distribution of these Kampo medicine codes was examined in relation to conventional medicine chapters. Results: 1,209 patients were included in our final analysis. Patient number, ages, sex ratio, and BMI varied within conventional medicine ICD-10 chapters and Kampo medicine descriptor codes. Certain conventional medicine chapters are related to specific Kampo medicine descriptor codes, such as chapter IV (endocrine, nutritional, and metabolic diseases) with excess, heat, and kidney qi deficiency. Conclusion: The advent of the ICD-11 allows for systematic, standardized comparisons between Kampo medicine, and contemporary medicine. In this exploratory study, our findings support the independence of Kampo medicine pattern descriptors with ICD-10 conventional medicine chapters. Code overrepresentations in relation to conventional medicine diseases and by age and sex should be an area of future investigation to best understand how to synergize and improve patient care.
AB - Objectives: The newest revision to the International Classification of Diseases, the 11th edition (ICD-11) includes disease classifications from East Asian medicine, including traditional Japanese medicine (Kampo medicine). These disease classifications allow for comparisons between disease classifications from conventional medicine and Kampo medicine. Design/Location/Subjects/Interventions: This is an exploratory, cross-sectional study exploring the relationship between conventional medicine diagnoses and Kampo medicine diagnoses at a large Kampo clinic in Japan. Patients were seen from October 1st, 2014 to June 30th, 2019 and were 20 years of age or older. Outcome measures: Patients presented with one or more conventional medicine ICD-10 codes into the clinic and were given one descriptor from the ICD-11 within the heat-cold module, excess-deficiency module, and an optional body constituents module. The distribution of these Kampo medicine codes was examined in relation to conventional medicine chapters. Results: 1,209 patients were included in our final analysis. Patient number, ages, sex ratio, and BMI varied within conventional medicine ICD-10 chapters and Kampo medicine descriptor codes. Certain conventional medicine chapters are related to specific Kampo medicine descriptor codes, such as chapter IV (endocrine, nutritional, and metabolic diseases) with excess, heat, and kidney qi deficiency. Conclusion: The advent of the ICD-11 allows for systematic, standardized comparisons between Kampo medicine, and contemporary medicine. In this exploratory study, our findings support the independence of Kampo medicine pattern descriptors with ICD-10 conventional medicine chapters. Code overrepresentations in relation to conventional medicine diseases and by age and sex should be an area of future investigation to best understand how to synergize and improve patient care.
KW - ICD-10
KW - ICD-11
KW - conventional medicine
KW - international classification of diseases
KW - kampo
KW - pattern diagnosis
KW - traditional Japanese medicine
UR - http://www.scopus.com/inward/record.url?scp=85122192216&partnerID=8YFLogxK
U2 - 10.3389/fphar.2021.751403
DO - 10.3389/fphar.2021.751403
M3 - Article
AN - SCOPUS:85122192216
SN - 1663-9812
VL - 12
JO - Frontiers in Pharmacology
JF - Frontiers in Pharmacology
M1 - 751403
ER -