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김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화

7. 김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화. Comparison between MD and MED in VAS, MacNab and complications: Meta-analysis. 7. 김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화. Comparison between MD and MED in VAS, MacNab and complications: Meta-analysis. 80%.

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김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화

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  1. 7 김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화

  2. Comparison between MD and MED in VAS, MacNab and complications: Meta-analysis

  3. 7 김다현 김영문 김인겸 이동렬 이준원 임창진 정상훈 책임교수 엄상화

  4. Comparison between MD and MED in VAS, MacNab and complications: Meta-analysis

  5. 80% Life-time prevalence of back pain

  6. Herniated intervertebral disc Most common in lumbar lesion

  7. Lumbar Discectomy • No response to conservative Tx. for 6wks • Early, progressive neurologic symptom • Microsugicaldiscectomy (MD)Microendoscopicdiscectomy (MED)

  8. MD vs MED MD MED Fast tissue recovery Short hospital stay Less Postop. pain • Standard • Short op. time • Wide indication (?)

  9. Meta-analysis

  10. Method

  11. Search strategy • JAMA & Archives • PubMed • MEDLINE • EMBASE • Ovid • English • January, 2000~ September, 2010

  12. Selection of keywords

  13. Selection of studies

  14. Quality assessment • Type of studies • Prospective, clinical trial • Retrospective + cohort • Retrospective • Journal grade? • JAMA, NEJM, Lancet • SCI • Domestic, etc • : 1 point • : 0.8 point • : 0.6 point • : 1 point • : 0.8 point • : 0.6 point

  15. Data analysis? (분석방법) • Tools • Excel 2007, RASW statistics 18, MedCalc • 평균치검정 • VAS • 교차분석 • MacNab • Complications

  16. 분석방법 • Excel 2007, PASW statistics 18, MedCalc그림 • VAS 평균차검정 • MacNab , 합병증 교차분석

  17. Result

  18. VAS 8 Macnab 9 합병증 10

  19. From To VAS 8 Macnab 9 합병증 10 82 15

  20. Complications p-value = 0.962 OR(MED/MD) = 1.010 (95% CI 0.67 – 1.51)

  21. MacNab p-value = 0.001

  22. Baby one more time.

  23. Conclusion

  24. 논문이 끝났다는 것이지.

  25. Discussion

  26. 회식은 구제역으로 어려움에 처한 축산농가를 살리기 위해서 돼지고기가 좋겠다는게 개인적인 의견이라능…

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