{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:36:30Z","timestamp":1792787790963,"version":"4.5.0"},"reference-count":27,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Development Project of Korea Health Industry Development Institute","award":["RS-2023-KH139918"],"award-info":[{"award-number":["RS-2023-KH139918"]}],"id":[{"id":"https:\/\/ror.org\/00fdzyk40","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Integrative and Complementary Medicine"],"published-print":{"date-parts":[[2026,11,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Unplanned readmission, institutionalization, and early mortality remain common after lumbar spine surgery, especially in older adults. Traditional Korean rehabilitation medicine (TKRM) is widely used in Korea, yet its long-term impact on postoperative outcomes has not been clarified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In this nationwide, retrospective cohort study, National Health Insurance Service claims data from 2019 to 2021 were used to identify 30,022 adults discharged after lumbar surgery. Propensity-score matching (1:1) produced 11,938 comparable patients who either received TKRM within 6 months of discharge or usual care alone. Cox proportional-hazards models estimated adjusted hazard ratio (aHRs) for readmission, entry into long-term care, and all-cause mortality over 6\u201324 months; dose\u2013response effects were examined across quartiles of cumulative TKRM visits, and diagnosis-specific subgroup analyses contrasted intervertebral disc disorders with spinal stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Early TKRM use was associated with significantly lower risks of readmission (aHR 0.49; 95% confidence interval 0.32\u20130.75), entry into long-term care (0.36; 0.21\u20130.62), and mortality (0.49; 0.32\u20130.75). A graded inverse relationship was observed: patients in the highest exposure quartile showed the greatest benefit (aHR for readmission: 0.24; long-term care facility: 0.12; mortality: 0.16). Protective effects were most pronounced in intervertebral disc disorders, whereas reductions in readmission did not reach significance for spinal stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Utilization of TKRM within the first six postoperative months is associated with sustained reductions in unplanned readmission, entry into long-term care, and all-cause mortality after lumbar surgery, with a clear dose\u2013response relationship. These findings suggest that early TKRM use may be associated with improved postoperative outcomes following lumbar surgery, although further research is needed to confirm these associations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27683605261442059","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T03:39:13Z","timestamp":1775792353000},"page":"891-899","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Traditional Korean Rehabilitation Medicine and Long-Term Health Outcomes after Lumbar Spine Surgery: A Nationwide Propensity-Matched Cohort Study"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2261-253X","authenticated-orcid":false,"given":"Boyoung","family":"Jeon","sequence":"first","affiliation":[{"name":"Department of Health and Medical Information, Myongji College, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyune","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Health and Medical Information, Myongji College, Seoul, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Kyung","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University, Seongnam-si, Republic of Korea."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"e_1_3_6_2_1","unstructured":"1.Health Insurance Review and Assessment Service (HIRA). Publication of the 2023 surgical statistics annual report (summary) 2024. Available from: https:\/\/www.hira.or.kr\/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=10757&pageIndex=1"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00586-018-5513-4"},{"key":"e_1_3_6_4_1","unstructured":"3.National Health Insurance Service (NHIS). 2022 Annual Statistical Report on Major Surgeries. 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