Evidence map›Paper›PMID 40817214›Full record

ArticleBMC complementary medicine and therapies2025

Herbal medicine evaluation for reimbursement-based facial palsy (HERB-FP): a retrospective analysis using Korean health insurance claim data 2020-2024.

Soo-Dam Kim, Man Young Park, Eunbyul Cho, Jiyun Cha, Changsop Yang, Sungha Kim

Abstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Soo-Dam Kim *KM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea.ORCID http://orcid.org/0000-0002-4872-2462
Man Young Park *Digital Clinical Research Department, Korea Institute of Oriental Medicine, 34054, Daejeon, Republic of Korea.ORCID http://orcid.org/0000-0002-4180-5580
Eunbyul ChoKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea.ORCID http://orcid.org/0000-0003-3431-1109
Jiyun ChaDigital Clinical Research Department, Korea Institute of Oriental Medicine, 34054, Daejeon, Republic of Korea.ORCID http://orcid.org/0000-0002-0387-6142
Changsop YangKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea.ORCID http://orcid.org/0000-0003-1277-3329
Sungha KimKM Science Research Division, Korea Institute of Oriental Medicine, Daejeon, 34054, Republic of Korea. bozzol2003@gmail.com.ORCID http://orcid.org/0000-0001-5542-3850

Funding

Korea Health Industry Development Institute RS-2022-KH127692
6 · The paper itself

Abstract

backgroundFacial palsy (FP) is a neurological condition marked by unilateral facial weakness due to facial nerve dysfunction. In November 2020, the Korean government launched a pilot reimbursement program for herbal decoctions, expanding insurance coverage to include treatments traditionally excluded from the national health system. This study aimed to evaluate the real-world utilization, clinical effectiveness, and safety of herbal medicine (HM) for FP within this national reimbursement program.

methodsThis retrospective study analyzed outpatient claims data from the Health Insurance Review and Assessment Service (HIRA) between November 2020 and April 2024. Patients diagnosed with FP (KCD code G51.0) from January 2018 onward who received treatment at Korean Medicine (KM) clinics participating in the program were included. Patients were excluded if they had fewer than two visits or incomplete treatment records. Descriptive and inferential analyses were conducted to examine patient demographics, treatment patterns, symptom progression, and adverse events (AEs).

resultsA total of 3,927 patients were analyzed (2,174 females and 1,753 males; mean age: 54.2 ± 14.7). Peripheral FP was reported in 88.9% of cases. Most patients received treatment in outpatient KM clinics, with 56.2% making two or fewer visits and 36.6% initiating care within two weeks of symptom onset. Ligigeopoong-san (17.0%) and Gamiboik-tang (14.4%) were the most commonly prescribed formulas. Among patients with symptom severity scores at both baseline and follow-up (n = 2,161), 49.2% showed improvement, 45.6% remained unchanged, and 5.2% worsened. The overall AE rate was low (1.76%), with gastrointestinal issues being most frequent.

conclusionsHerbal decoctions prescribed under the Korean pilot reimbursement program for FP showed a low incidence of adverse events and moderate rates of symptom improvement, suggesting a potentially safe and effective treatment option based on large-scale real-world data. These findings support the continued integration of herbal medicine into national health policy. However, limitations include the absence of clinical grading and reliance on administrative data. As the second-phase program expands in scope and duration, further research should explore its long-term clinical and economic outcomes to guide evidence-based healthcare policy development.

Indexed as

Facial ParalysisHerbal MedicineInsurance, Health, ReimbursementPhytotherapyAdultAgedFemaleHumansInsurance Claim ReviewMaleMedicine, Korean TraditionalMiddle AgedRepublic of KoreaRetrospective StudiesYoung AdultFacial palsyHealth insurance claims dataHerbal medicineKorean medicineReal-world evidence

Identifiers

PMID40817214
PMCPMC12355738

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.