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"randomized controlled trial"

Original Articles
Split Tummy Exercise Program for Reducing Diastasis Recti in Postpartum Primigravidae: A Randomized Controlled Trial
Suhaila Shohaimi, Nik Rosmawati Nik Husain, Faizah Mohd. Zaki, Ixora Kamisan Atan
Korean J Fam Med 2023;44(2):102-108.   Published online March 20, 2023
DOI: https://doi.org/10.4082/kjfm.22.0035
Background
Diastasis rectus abdominis (DRA) involves the separation of the midline abdominal muscles and linea alba and affects more than half of postpartum women. This study aimed to assess the effect of a split tummy exercise program (STEP) on DRA closure in postpartum mothers.
Methods
A randomized controlled trial was conducted from 2008 to 2020 at the Obstetrics and Gynaecology Clinic of the Universiti Kebangsaan Malaysia Medical Centre. Primigravida mothers diagnosed with DRA were selected and randomly assigned to the intervention (n=21) or control (n=20) group. The intervention group underwent a home-based STEP consisting of three phases of nine abdominal exercises. DRA size was assessed at baseline and at 8 weeks postpartum using two-dimensional ultrasound.
Results
The mean age of the participants was 28 years (standard deviation, 3.6), with the majority of Malay ethnicity (87.8%) and working mothers (78%). After 8 weeks, the intervention group showed a significant reduction in DRA size of up to 27% (mean difference, 6.17 mm; 95% confidence interval, 3.7–8.7; P<0.001). No significant intergroup DRA changes were observed after 8 weeks of follow-up.
Conclusion
Early postpartum screening for DRA should be advocated to allow early STEP intervention to ensure favorable outcomes. STEP intervention is an effective postnatal training program for managing DRA.

Citations

Citations to this article as recorded by  
  • Impact of postpartum exercise on pelvic floor disorders and diastasis recti abdominis: a systematic review and meta-analysis
    Nicole F Beamish, Margie H Davenport, Muhammad Usman Ali, Matthew J Gervais, Talia Noel Sjwed, Gyanjot Bains, Allison Sivak, Rita E Deering, Stephanie-May Ruchat
    British Journal of Sports Medicine.2025; 59(8): 562.     CrossRef
  • Comparative Efficacy and Acceptability of Non-surgical Treatments with or without Exercise for Diastasis Recti Abdominis in Postpartum Women: A Network Meta-Analysis of Randomized Controlled Trials
    Wen-Chieh Wu, Wen-Hong Wu, Ming-Fen Lee, Pei-Yu Wu, Yu-Kang Tu, Hsuan Lin, Chien-Yi Chan, Chun-Yin Huang
    Sports Medicine.2025; 55(4): 937.     CrossRef
  • Comparative Efficacy of Abdominal Exercises and Abdominal Binding on Diastasis Recti Abdominis Reduction in Postpartum Women: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials
    Abdullah, Khawaja Abdul Rehman, Bilal Ahmad, Muhammad Khubaib Arshad, Humza Saeed, Mahnoor Asghar Keen, Amna Anwar, Noor ul ain Saleem, Umm E. Salma Shabbar Banatwala, Zara Bilal, Maryam Shahzad, Pakeeza Shakoor, Muhammad Ahsen Niazi
    Physiotherapy Research International.2025;[Epub]     CrossRef
  • Recomendaciones médicas desde atención primaria sobre ejercicio físico en el posparto
    L.M. Gallo-Galán, M.A. Gallo-Vallejo, J.L. Gallo-Vallejo
    Medicina de Familia. SEMERGEN.2024; 50(3): 102148.     CrossRef
  • Intra‐ and Interimage Reliability of Inter‐Rectus Distance Measurements Determined via Ultrasound Imaging by the Same or Different Testers in Women in the Early Postpartum Period
    Qing Jiang, Ya Gao, Shuyu Xia, Yuefan Gu, Jun Gu, Jianfeng Guo, Guannan Feng, Qifeng Deng, Xuedong Deng
    Journal of Ultrasound in Medicine.2024; 43(6): 1037.     CrossRef
  • FISIOTERAPIA NA DIÁSTASE DOS MÚSCULOS RETOS ABDOMINAIS NO PÓS-PARTO: REVISÃO INTEGRATIVA
    Ana Clara Moreira de Jesus, Andresa Santos Souza, Gabrielle Barreto Menezes, Jisielle Oliveira dos Santos, Luiz André Santos Silva, Elisama de Campos Guimarães, Isabela da Silva Vasconcelos Rodrigues, Grace Kelly Melo de Almeida
    Revista Contemporânea.2024; 4(7): e5102.     CrossRef
  • Comparison of Health Parameters in Postpartum Diastasis Recti: A Randomized Control Trial of SEMG Biofeedback-Assisted Core Strengthening Exercises with Kinesiotaping vs. Non-Assisted Exercises
    Ujala Afzal, Quratulain Saeed, Muhammad Nabeel Anwar, Sanna Pervaiz, Manahil Shahid, Rimsha Javed, Muhammad Umair Ali, Seung Won Lee
    Healthcare.2024; 12(16): 1567.     CrossRef
  • Effect of hypopressive and conventional abdominal exercises on postpartum diastasis recti: A randomized controlled trial
    Mercedes Soto-González, Iria Da Cuña-Carrera, Eva María Lantarón-Caeiro, Augusto Gil Pascoal, Shabnam ShahAli
    PLOS ONE.2024; 19(12): e0314274.     CrossRef
  • 4,228 View
  • 192 Download
  • 8 Web of Science
  • 8 Crossref
Efficacy of Vitamin C Supplements in Prevention of Cancer: A Meta-Analysis of Randomized Controlled Trials
Bobae Lee, Seung-Won Oh, Seung-Kwon Myung
Korean J Fam Med 2015;36(6):278-285.   Published online November 20, 2015
DOI: https://doi.org/10.4082/kjfm.2015.36.6.278
Background

Previous randomized controlled trials (RCTs) have reported inconsistent findings regarding the association between vitamin C supplementation and the risk of cancer.

Methods

We performed a meta-analysis of RCTs to investigate the efficacy of vitamin C supplements for prevention of cancer. We searched the PubMed, EMBASE, and Cochrane Library databases in November 2014 using common keywords related to vitamin C supplements and cancer.

Results

Among 785 articles, a total of seven trials were identified, which included 62,619 participants; 31,326 and 31,293 were randomized to vitamin C supplementation and control or placebo groups, respectively, which were included in the final analysis. A fixed-effects meta-analysis of all seven RCTs revealed no significant association between vitamin C supplementation and cancer (relative risk, 1.00; 95% confidence intervals, 0.95-1.05). Similarly, subgroup meta-analysis by dose of vitamin C administered singly or in combination with other supplements, follow-up period, methodological quality, cancer mortality, gender, smoking status, country, and type of cancer also showed no efficacy of vitamin C supplementation for cancer prevention.

Conclusion

This meta-analysis shows that there is no evidence to support the use of vitamin C supplements for prevention of cancer.

Citations

Citations to this article as recorded by  
  • A cross-sectional study to evaluate hypovitaminosis C prevalence and risk factors in an acute geriatric unit in Lyon, France: the HYPO-VIT-C protocol
    Alfred Quillon, Laure Guittard, Karine Goldet, Madeleine Etienne, Emilie Blond, Mikail Nourredine, Géraldine Martin-Gaujard, Sébastien Doh
    BMJ Open.2023; 13(8): e075924.     CrossRef
  • Vitamin C – a scoping review for Nordic Nutrition Recommendations 2023
    Jens Lykkesfeldt, Anitra C. Carr
    Food & Nutrition Research.2023;[Epub]     CrossRef
  • Vitamin C Intake and Cancers: An Umbrella Review
    Zeyu Chen, Yin Huang, Dehong Cao, Shi Qiu, Bo Chen, Jin Li, Yige Bao, Qiang Wei, Ping Han, Liangren Liu
    Frontiers in Nutrition.2022;[Epub]     CrossRef
  • Role of Vitamin C in Selected Malignant Neoplasms in Women
    Anna Markowska, Michał Antoszczak, Janina Markowska, Adam Huczyński
    Nutrients.2022; 14(4): 882.     CrossRef
  • From Foods to Chemotherapeutics: The Antioxidant Potential of Dietary Phytochemicals
    Michelle A. Briggs
    Processes.2022; 10(6): 1222.     CrossRef
  • Utilization of redox modulating small molecules that selectively act as pro-oxidants in cancer cells to open a therapeutic window for improving cancer therapy
    M.S. Petronek, J.M. Stolwijk, S.D. Murray, E.J. Steinbach, Y. Zakharia, G.R. Buettner, D.R. Spitz, B.G. Allen
    Redox Biology.2021; 42: 101864.     CrossRef
  • Promising directions of non-drug and drug cancer prevention. Current state of the problem
    A.A. Svistunov, M.A. Osadchuk, A.M. Osadchuk, I.D. Loranskaya, E.D. Mironova
    Profilakticheskaya meditsina.2021; 24(5): 118.     CrossRef
  • The Role of Vitamin C in Cancer Prevention and Therapy: A Literature Review
    Marcelo Villagran, Jorge Ferreira, Miquel Martorell, Lorena Mardones
    Antioxidants.2021; 10(12): 1894.     CrossRef
  • Different Effects of Vitamin C-Based Supplements on the Advance of Linseed Oil Component Oxidation and Lipolysis during In Vitro Gastrointestinal Digestion
    Bárbara Nieva-Echevarría, Encarnación Goicoechea, Patricia Sopelana, María D. Guillén
    Foods.2021; 11(1): 58.     CrossRef
  • The vitamin epidemic: what is the evidence for harm or value?
    Michael Kennedy
    Internal Medicine Journal.2018; 48(8): 901.     CrossRef
  • Liposome-based drug co-delivery systems in cancer cells
    Sepideh Zununi Vahed, Roya Salehi, Soodabeh Davaran, Simin Sharifi
    Materials Science and Engineering: C.2017; 71: 1327.     CrossRef
  • Vitamin C regulates stem cells and cancer
    Peter G. Miller, Benjamin L. Ebert
    Nature.2017; 549(7673): 462.     CrossRef
  • 11,202 View
  • 75 Download
  • 14 Web of Science
  • 12 Crossref
Effects of Korean Red Ginseng on Cardiovascular Risks in Subjects with Metabolic Syndrome: a Double-blind Randomized Controlled Study
Byoung-Jin Park, Yong-Jae Lee, Hye-Ree Lee, Dong-Hyuk Jung, Ha-Young Na, Hong-Bae Kim, Jae-Yong Shim
Korean J Fam Med 2012;33(4):190-196.   Published online July 25, 2012
DOI: https://doi.org/10.4082/kjfm.2012.33.4.190
Background

This study investigated the effects of Korean red ginseng (KRG) supplementation on metabolic parameters, inflammatory markers, and arterial stiffness in subjects with metabolic syndrome.

Methods

We performed a randomized, double-blind, placebo-controlled, single-center study in 60 subjects who were not taking drugs that could affect metabolic and vascular functions. Subjects were randomized into either a KRG (4.5 g/d) group or a placebo group for a 12-week study. We collected anthropometric measurements, blood for laboratory testing, and brachial-ankle pulse wave velocity (baPWV) at the initial (week 0) and final (week 12) visits.

Results

A total of 48 subjects successfully completed the study protocol. Oral administration of KRG did not significantly affect blood pressure, oxidative or inflammatory markers, or baPWV.

Conclusion

We found no evidence that KRG had an effect on blood pressure, lipid profile, oxidized low density lipoprotein, fasting blood glucose, or arterial stiffness in subjects with metabolic syndrome. These findings warrant subsequent longer-term prospective clinical investigations with a larger population.

Trial Registration

ClinicalTrials.gov Identifier: NCT00976274

Citations

Citations to this article as recorded by  
  • Comprehensive PRISMA Based Systematic Review: Exploring the Phytochemistry, Pharmacological Profile and Clinical aspects of Panax ginseng
    Sonia Singh, Ronak Agrawal, Himanshu Sharma
    Current Topics in Medicinal Chemistry.2025; 25(2): 172.     CrossRef
  • The Effect of Ginseng Supplementation on Lipid Profile: GRADE-assessed Systematic Review and Dose-response Meta-analysis of Randomized Controlled Trials
    Seyyed Mostafa Arabi, Mostafa Shahraki-Jazinaki, Maryam Nayyer Abadi, Leila Sadat Bahrami, Mahla Chambari, Hossein Bahari, Amirhossein Sahebkar
    Current Pharmaceutical Design.2024; 30(26): 2047.     CrossRef
  • Effects of Ginseng Consumption on Cardiovascular Health Biomarkers in Adults: A Systematic Review and Meta‐Analysis of Randomized Controlled Trials
    Xiao‐Feng Zhang, Rui‐Xue Min, Zhen Wang, Yue Qi, Ruo‐Nan Li, Jian‐Ming Fan
    Phytotherapy Research.2024; 38(12): 5873.     CrossRef
  • The functional evolution of Korea ginseng: black ginseng
    Myoungsook Lee
    Journal of Ethnic Foods.2024;[Epub]     CrossRef
  • Korean Red Ginseng Potentially Improves Maintaining Antibodies after COVID-19 Vaccination: A 24-Week Longitudinal Study
    Jihyun Yoon, Byoungjin Park, Heejung Kim, Seungjun Choi, Donghyuk Jung
    Nutrients.2023; 15(7): 1584.     CrossRef
  • Saponins of ginseng products: a review of their transformation in processing
    Xian-Wen Ye, Chun-Shuai Li, Hai-Xia Zhang, Qian Li, Shui-Qing Cheng, Jia Wen, Xuan Wang, Hong-Min Ren, Liang-Jing Xia, Xu-Xing Wang, Xin-Fang Xu, Xiang-Ri Li
    Frontiers in Pharmacology.2023;[Epub]     CrossRef
  • Effects of Panax ginseng on hyperglycemia, hypertension, and hyperlipidemia: A systematic review and meta-analysis
    Soo Hyun Park, Sangwon Chung, Min-Yu Chung, Hyo-Kyoung Choi, Jin-Taek Hwang, Jae Ho Park
    Journal of Ginseng Research.2022; 46(2): 188.     CrossRef
  • KGR-BG1, a Standardized Korean Black Ginseng Extract, Has No Significant Effects on Head or Face Temperature Compared with Korean Red Ginseng Extract and a Placebo
    Sang-In Park, Sungjeong Lee, Hwa-Young Lee, Sung-Vin Yim, Bo-Hyung Kim
    Journal of Medicinal Food.2022; 25(6): 636.     CrossRef
  • Bioconversion of Ginsenosides by Bifidobacterium CBT BG7, BR3 and BL3
    Jiwon Choi, Chang Kwon, Jong Won Kim, Myung Jun Chung, Jong Hyun Yoon, Sanghyun Lim
    Microbiology and Biotechnology Letters.2022; 50(3): 395.     CrossRef
  • Role of Integrative Wellness in the Care of Cardiometabolic Disorders
    Navjyot Kaur, K. K. Talwar
    Journal of Cardio-diabetes and Metabolic Disorders.2022; 2(2): 47.     CrossRef
  • Effect of Korean Red Ginseng on metabolic syndrome
    Sang Jun Yoon, Seul Ki Kim, Na Young Lee, Ye Rin Choi, Hyeong Seob Kim, Haripriya Gupta, Gi Soo Youn, Hotaik Sung, Min Jea Shin, Ki Tae Suk
    Journal of Ginseng Research.2021; 45(3): 380.     CrossRef
  • The efficacy of Panax ginseng in obesity and the related metabolic disorders
    Charalampia Amerikanou, Andriana C. Kaliora, Aristea Gioxari
    Pharmacological Research - Modern Chinese Medicine.2021; 1: 100013.     CrossRef
  • The efficacy of ginseng supplementation on plasma lipid concentration in adults: A systematic review and meta-analysis
    Rahele Ziaei, Abed Ghavami, Ehsan Ghaedi, Amir Hadi, Parisa Javadian, Cain C.T. Clark
    Complementary Therapies in Medicine.2020; 48: 102239.     CrossRef
  • The effects of ginseng supplementation on anthropometric indices and body composition: A systematic review and meta-analysis
    Maryam Miraghajani, Amir Hadi, Maryam Hajishafiee, Arman Arab, Ehsan Ghaedi, Vihan Moodi
    Journal of Herbal Medicine.2020; 23: 100379.     CrossRef
  • Acute and Subacute Effects of Low Versus High Doses of Standardized Panax ginseng Extract on the Heart: An Experimental Study
    Hakan Parlakpinar, Onural Ozhan, Necip Ermis, Nigar Vardi, Yilmaz Cigremis, Lokman H. Tanriverdi, Cemil Colak, Ahmet Acet
    Cardiovascular Toxicology.2019; 19(4): 306.     CrossRef
  • Effects of ginseng on C-reactive protein level: A systematic review and meta-analysis of clinical trials
    Somayeh Saboori, Ebrahim Falahi, Esmaeil Yousefi Rad, Omid Asbaghi, Mohammad Zeinali Khosroshahi
    Complementary Therapies in Medicine.2019; 45: 98.     CrossRef
  • Effects of ginseng supplementation on selected markers of inflammation: A systematic review and meta‐analysis
    Hamed Mohammadi, Amir Hadi, Hamed Kord‐Varkaneh, Arman Arab, Masood Afshari, Aaron J.R. Ferguson, Ehsan Ghaedi
    Phytotherapy Research.2019; 33(8): 1991.     CrossRef
  • Efficacy of Panax ginseng supplementation on blood lipid profile. A meta-analysis and systematic review of clinical randomized trials
    Didier Hernández-García, Ana Belén Granado-Serrano, Meritxell Martín-Gari, Alba Naudí, Jose CE. Serrano
    Journal of Ethnopharmacology.2019; 243: 112090.     CrossRef
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    Zhipeng Li, Geun Eog Ji
    Journal of Ginseng Research.2018; 42(1): 1.     CrossRef
  • Rh2-enriched Korean Ginseng Ameliorates Chronic Fatigue in a Forced Exercise mouse model
    Won-Yong Kim, Jin-Seok Lee, Hwa-Seung Yoo, Chang-Gue Son
    Journal of Korean Medicine.2016; 37(2): 76.     CrossRef
  • Fermented Ginseng Contains an Agonist of Peroxisome Proliferator Activated Receptors α and γ
    Kentaro Igami, Yosuke Shimojo, Hisatomi Ito, Toshitsugu Miyazaki, Fusako Nakano, Yoshiki Kashiwada
    Journal of Medicinal Food.2016; 19(9): 817.     CrossRef
  • Panax ginseng aqueous extract prevents pneumococcal sepsis in vivo by potentiating cell survival and diminishing inflammation
    Cuong Thach Nguyen, Truc Thanh Luong, Seung Yeop Lee, Gyu Lee Kim, Hyogyoung Kwon, Hong-Gyun Lee, Chae-Kyu Park, Dong-Kwon Rhee
    Phytomedicine.2015; 22(11): 1055.     CrossRef
  • Effect of Korean red ginseng extract on flap survival and angiogenesis in rat model
    Yujin Myung, Chan Yeong Heo
    European Journal of Plastic Surgery.2015; 38(6): 431.     CrossRef
  • Safety Analysis of Panax Ginseng in Randomized Clinical Trials: A Systematic Review
    Young-Sook Kim, Jung-Yoon Woo, Chang-Kyun Han, Il-Moo Chang
    Medicines.2015; 2(2): 106.     CrossRef
  • Blood Pressure Lowering Effect of Korea Ginseng Derived Ginseol K-g1
    Moo-Yong Rhee, Belong Cho, Kwang-Il Kim, Joohee Kim, Mi Kyung Kim, Eun-Kyung Lee, Hye-Jin Kim, Cheol-Ho Kim
    The American Journal of Chinese Medicine.2014; 42(03): 605.     CrossRef
  • The Effect of Ginseng (The Genus Panax) on Glycemic Control: A Systematic Review and Meta-Analysis of Randomized Controlled Clinical Trials
    Esra' Shishtar, John L. Sievenpiper, Vladimir Djedovic, Adrian I. Cozma, Vanessa Ha, Viranda H. Jayalath, David J. A. Jenkins, Sonia Blanco Meija, Russell J. de Souza, Elena Jovanovski, Vladimir Vuksan, Lisa Hartling
    PLoS ONE.2014; 9(9): e107391.     CrossRef
  • Effect of Rg3-enriched Korean red ginseng (Panax ginseng) on arterial stiffness and blood pressure in healthy individuals: a randomized controlled trial
    Elena Jovanovski, Emma A. Bateman, Jyoti Bhardwaj, Chris Fairgrieve, Iva Mucalo, Alexandra L. Jenkins, Vladimir Vuksan
    Journal of the American Society of Hypertension.2014; 8(8): 537.     CrossRef
  • Effects of Korean White Ginseng (Panax Ginseng C.A. Meyer) on Vascular and Glycemic Health in Type 2 Diabetes: Results of a Randomized, Double Blind, Placebo-controlled, Multiple-crossover, Acute Dose Escalation Trial
    Esra' Shishtar, Elena Jovanovski, Alexandra Jenkins, Vladimir Vuksan
    Clinical Nutrition Research.2014; 3(2): 89.     CrossRef
  • Ginseng for Health Care: A Systematic Review of Randomized Controlled Trials in Korean Literature
    Jiae Choi, Tae-Hun Kim, Tae-Young Choi, Myeong Soo Lee, Valerie A. Ferro
    PLoS ONE.2013; 8(4): e59978.     CrossRef
  • Complementary and Alternative Medicine and Cardiovascular Disease: An Evidence-Based Review
    Matthew J. Rabito, Alan David Kaye
    Evidence-Based Complementary and Alternative Medicine.2013; 2013: 1.     CrossRef
  • Effect of American ginseng (Panax quinquefolius L.) on arterial stiffness in subjects with type-2 diabetes and concomitant hypertension
    Iva Mucalo, Elena Jovanovski, Dario Rahelić, Velimir Božikov, Željko Romić, Vladimir Vuksan
    Journal of Ethnopharmacology.2013; 150(1): 148.     CrossRef
  • Comments on Statistical Issues in September 2012
    Yong Gyu Park
    Korean Journal of Family Medicine.2012; 33(5): 326.     CrossRef
  • 6,048 View
  • 83 Download
  • 32 Crossref
A Randomized Controlled Trial of SMS Text Messaging versus Postal Reminder to Improve Attendance after Lipid Lowering Therapy in Primary Care.
Sung Ja Cho, Young Sik Kim, Ho Cheol Shin, Eun Ju Sung, Dae Hyun Kim, Sangyeoup Lee, Tae Hee Jeon, Yun Jun Yang, Chung Hwan Cho, Hee Cheol Kang, Yoo Seock Cheong
Korean J Fam Med 2010;31(4):284-293.   Published online April 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.4.284
Background
In the primary care setting, compliance with lipid lowering therapy was relatively low. In order to compare the efficacy of a short messaging service (SMS) text messaging and postal reminder as means of improving attendance rates during the first 24 weeks of lipid-lowering therapy, a randomized controlled trial of 918 patients from 19 family practice clinics was conducted between February 2003 and June 2006. Methods: Patients were randomly assigned into 3 groups: SMS (327), postal (294),and control (297) group. To ascertain attendance rates, patients were followed up at 24 weeks after their treatment. Reminders were sent at 16 weeks from the coordinating center. Results: Overall attendance rate was 74.1%. This differed between groups, with 76.1% attendance for the SMS group, 73.5% for the postal group, and 72.4% for the control group. According to a multivariate analysis, the SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not. Moreover, the cost per attendance for the SMS reminder (155 Korean Won [KRW]) was much lower than that for the postal reminder (722 KRW). Conclusion: SMS reminder may be more cost saving method to improve the attendance rate compared with the postal reminder.

Citations

Citations to this article as recorded by  
  • Effect of A Mobile-Phone Mediated Based Education on Self-Care Behaviors of Patients With Thalassemia Major
    Fatemeh Gharaati, Teamur Aghamolaei, Zahra Hosseini, Sayed Hossein Davoodi, laleh Hassani, Razieh Mohamadi, Shokroallah Mohsseni, Moussa Soleimani-Ahmadi
    Journal of Caring Sciences.2019; 8(3): 149.     CrossRef
  • Self-management of Chronic Conditions Using mHealth Interventions in Korea: A Systematic Review
    Jae Yoon Yi, Yujin Kim, Yoon-Min Cho, Hongsoo Kim
    Healthcare Informatics Research.2018; 24(3): 187.     CrossRef
  • The Effectiveness of SMS Reminders on Appointment Attendance: a Meta-Analysis
    Nasim Boksmati, Kerryn Butler-Henderson, Kevin Anderson, Tony Sahama
    Journal of Medical Systems.2016;[Epub]     CrossRef
  • Using digital notifications to improve attendance in clinic: systematic review and meta-analysis
    Dan Robotham, Safarina Satkunanathan, John Reynolds, Daniel Stahl, Til Wykes
    BMJ Open.2016; 6(10): e012116.     CrossRef
  • The effect of SMS messaging on the compliance with iron supplementation among pregnant women in Iran: a randomized controlled trial
    Marzieh Rakhsh Khorshid, Poorandokht Afshari, Parvin Abedi
    Journal of Telemedicine and Telecare.2014; 20(4): 201.     CrossRef
  • Targeting the Use of Reminders and Notifications for Uptake by Populations (TURNUP): a systematic review and evidence synthesis
    Sionnadh McLean, Melanie Gee, Andrew Booth, Sarah Salway, Susan Nancarrow, Mark Cobb, Sadiq Bhanbhro
    Health Services and Delivery Research.2014; 2(34): 1.     CrossRef
  • How Effective Are Short Message Service Reminders at Increasing Clinic Attendance? A Meta‐Analysis and Systematic Review
    Rebecca Guy, Jane Hocking, Handan Wand, Sam Stott, Hammad Ali, John Kaldor
    Health Services Research.2012; 47(2): 614.     CrossRef
  • 65,535 View
  • 29 Download
  • 7 Crossref
Quality Assessment of Randomized Controlled Trials in the Journal of the Korean Academy of Family Medicine.
Woobin Chung, Kyung Woo Lee, In Hong Hwang, Dong Hee Lee, Soo Young Kim
Korean J Fam Med 2009;30(8):626-631.   Published online August 20, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.8.626
Background
Because low quality trials may lead to wrong conclusions, quality assessments are necessary. Thus, this study scrutinizes randomized controlled trials (RCTs) in the Journal of the Korean Academy of Family Medicine (KAFM) to assess the quantity and the quality. Methods: Upon extracting randomized controlled trials from all the articles published in the Journal of the KAFM from 1980 to 2005, assessments were made on the Jadad scale and the adequacy of allocation concealment. The selections and assessments were performed independently by two researchers, and adjustment of the differences were done by a third-party researcher. In addition, the factors that may affect the quality levels were analyzed. Results: Twenty-three trials were included. In 1980s, there were only 1.09% of the total original articles, but in 2000s, 2.63% were RCTs. The mean total Jadad score increased from 1 point in 1980s to 2.17 in 2000s, and the "good quality" trials also increased from 0% to 33.33%. As for the adequate allocation concealment, however, only two studies were observed in 2000s. The most lacking aspect was the appropriate double-blinding. Also, studies intervened by medicine or funded or examined by Institutional Review Boards (IRBs) tended to receive higher quality assessments. Conclusion: Although RCTs consistently increased in quantity and quality, in future studies, researchers should continue to strive towards achieving adequate allocation concealment and appropriate double-blinding. In addition, researchers must become more interested in receiving funds and examination by IRBs.

Citations

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  • Assessment of the quality of randomized controlled trials in surgery using Jadad score: Where do we stand?
    S Mohsina, B Gurushankari, R Niranjan, S Sureshkumar, GS Sreenath, V Kate
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    Hye-Joo Park, Ji-Hye Kwon, Jong-Hyang Yoo
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    Evidence-Based Complementary and Alternative Medicine.2014;[Epub]     CrossRef
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    International Journal of Urology.2013; 20(12): 1212.     CrossRef
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    Jae Hoon Chung, Jeong Woo Lee, Jung Ki Jo, Kyu Shik Kim, Seung Wook Lee
    The World Journal of Men's Health.2013; 31(2): 157.     CrossRef
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    Jae Hoon Chung, Seung Wook Lee
    Korean Journal of Urology.2013; 54(5): 289.     CrossRef
  • Assessing the Quality of Randomized Controlled Trials Published in the Journal of Korean Medical Science from 1986 to 2011
    Jae Hoon Chung, Dong Hyuk Kang, Jung Ki Jo, Seung Wook Lee
    Journal of Korean Medical Science.2012; 27(9): 973.     CrossRef
  • Quality Assessment of Randomized Controlled Trials Published in the Korean Journal of Urology Over the Past 20 Years
    Joo Yong Lee, Jae Hoon Chung, Dong Hyuk Kang, Jung Woo Lee, Hong Sang Moon, Tag Keun Yoo, Hong Yong Choi, Seung Wook Lee
    Korean Journal of Urology.2011; 52(9): 642.     CrossRef
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The Quality of Reporting of Randomized Controlled Trials in Korean Medical Journals Indexed in KoreaMed: Survey of Items of the Revised CONSORT Statement.
Ye Won Hwang, Kyung Woo Lee, In Hong Hwang, Soo Young Kim
J Korean Acad Fam Med 2008;29(4):276-282.   Published online April 10, 2008
Background
The revised Consolidated Standards for Reporting of Trials (CONSORT) were developed to improve the reporting of Randomized Controlled Trials. We studied to survey the extent to which RCTs report items included in the revised CONSORT recommendations. Methods: A descriptive survey of RCTs enrolled in 2005 at KoreaMed, which is a representative database in Korea was done. The main outcome measures were the proportion of RCTs that reported each of 22 checklist items of CONSORT. Results: We identified 125 RCTs from 26 journals. Random sequence implementation (0%), estimated effect size and its precision (0%), sample size determination (8.9%), method of random sequence generation (7.3%), allocation concealment (3.2%), participant flow (4.8%) and any other analysis (7.3%), generalizability of the trial findings (0.8%) were pooly reported. Conclusion: The proportions of following the CONSORT recommendations in Korean medical journals were very low. An effort to improve the reporting of RCTs by application and recommendation of CONSORT statement is required. (J Korean Acad Fam Med 2008;29:276-282)
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Quantity and Quality Assessment of Randomized Controlled Trials Published in Five Korean Medical Journals, from 1980 to 2000.
Suk Won Kim, Youn Seon Choi, Hyung Sik Ahn, Hoi Young Lee, Duck Sun Ahn, Young Mee Lee
J Korean Acad Fam Med 2004;25(2):118-125.   Published online February 10, 2004
Background
: As evidence-based medicine is getting popular recently, the importance
of randomized controlled trial as a research methodology is also getting highlighted. This study
was conducted in order to identify the status quo of randomized controlled trial research in
major domestic journals and to provide baseline data for constructing Korean clinical trial
database such CCTR (Cochrane Clinical Trial Registry).

Methods : Five journals issued by
domestic publication industry were selected, out of which 127,560 original articles, equal to
253 volumes, were investigated. The author extracted the articles, which performed pro
spective clinical trial, targeting human beings. The selected papers were analyzed with experts
to single out randomized controlled trial among them. Furthermore, the quality of the
re-selected ones were assessed according to Jadad Quaility Assessment Scale.

Results : After
analysis, it turned out that the number of papers adopting prospective clinical trial were 406
volumes (3.2%) of 12,760 and that they increased from 157 in 1980s to 224 in 1990s.
However, the percentage of prospective clinical trial monographs, introduced during 1980s and
1990s, remained 2.0 to 4.0. The number of randomized controlled trial-based papers were 115,
accounting for 0.9% of total articles. The number of RCT increased to approximately two fold
from 1980s to 1990s. Quality analysis showed that among a total of 115 RCT papers, those of
scoring 1 and 3 were 16 (13.9%), 82 articles obtained score 2 (72.2%). There was no papers,
which won the marks of 4 and 5.

Conclusion : It was found that domestic randomized
controlled trial research was weak both in number and quality. Therefore, it is necessary to
activate clinical medicine study with good quality to upgrade the amount and quality of
monographs.
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The Efficacy of Herbal Cigarettes (Kumyeoncho) and Nicotine Patches in Smoking Cessation.
Yoo Seock Cheong
J Korean Acad Fam Med 2003;24(11):1003-1009.   Published online November 10, 2003
Background
: Among the various brands of herbal cigarettes currently available in Korea, Kumyeoncho is the most popular. However, there is no clinical evidence that these herbal cigarettes are effective in helping smokers quit smoking. This study was performed to determine the long term effectiveness of Kumyeoncho herbal cigarettes.

Methods : Two hundred smokers, all employees of the same company in Cheonan city, voluntarily participated in this study. They were divided into two random groups: 100 smokers used Kumyencho (herbal cigarettes), and the other 100 smokers used nicotine patches. Between July 2002 and February 2003, the smoking status of all participants was evaluated at one month, three months, and six months, after they stopped using regular cigarettes.

Results : The success rates at 1 month were 54.5% for the Kumyeoncho group and 50.7% for the nicotine patch group (P=0.643). The success rates at 3 month were 41.4% and 39.4%, respectively (P=0.875). And the success rates at 6 month were 38.8% and 35.2%, respectively (P=0.747). Statistical analysis showed that the success rate for the Kumyeoncho group was not less than that for the nicotine patch group in all periods. Thirty-seven cases of adverse effects were reported in the Kumyeoncho group: 25 (25.5%) of nausea, 6 (6.1%) of coughing, 5 (5.1%) of dizziness, and 1 (1.0%) of palpitation; thirty-nine cases of adverse effects were reported for nicotine patch users: 18 (25.4%) of itching, 15 (21.1%) of skin irritation and erythema, 2 (2.8%) of dizziness and headache each, and 1 (1.4%) of nausea and palpitation each.

Conclusion : With respect to the short and long term effects of herbal cigarettes, Kumyeoncho is considered similarly effective to nicotine patches.
  • 2,444 View
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