지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.4
- 발행연도
- 2015.9
- 수록면
- 202 - 207 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: To compare medical costs of endoscopic submucosal dissection (ESD) and transanal endoscopic microsurgery (TEM) for the treatment of rectal tumors.
Methods: The records of 80 patients who underwent ESD and 32 who underwent TEM for the treatment of rectal tumors were collected. Factors compared in the two groups included patient age, sex and clinical characteristics, as well as hospital stay, procedure time, instrument use, medications, postoperative complications, and imaging and laboratory findings. Costs were analyzed based on medical insurance fees, as set publicly by the Ministry of Health & Welfare, Korea. Medical costs were also divided into patient copayments and National Health Insurance (NHI) Corporation charges.
Results: Patient characteristics, including age, sex, and comorbidities, were similar in the two groups, as were procedure time, histologic diagnosis, tumor size and distance from the anal verge, hospital stay, and complication rates. Median total hospital costs were significantly lower in the ESD than in the TEM group (1,214 United State dollars [USD] vs. 1,686 USD, P < 0.001). The costs for consumables, drugs and laboratory as well as operation fee were also significantly lower in the ESD than in the TEM group. However, patient copayments in the ESD group were significantly higher than in the TEM group (928 USD vs. 496 USD, P < 0.001), because ESD procedure for rectal tumors is not yet covered by the Korean NHI.
Conclusion: Overall direct medical costs were significantly lower for ESD than for TEM in the treatment of rectal tumors.
Methods: The records of 80 patients who underwent ESD and 32 who underwent TEM for the treatment of rectal tumors were collected. Factors compared in the two groups included patient age, sex and clinical characteristics, as well as hospital stay, procedure time, instrument use, medications, postoperative complications, and imaging and laboratory findings. Costs were analyzed based on medical insurance fees, as set publicly by the Ministry of Health & Welfare, Korea. Medical costs were also divided into patient copayments and National Health Insurance (NHI) Corporation charges.
Results: Patient characteristics, including age, sex, and comorbidities, were similar in the two groups, as were procedure time, histologic diagnosis, tumor size and distance from the anal verge, hospital stay, and complication rates. Median total hospital costs were significantly lower in the ESD than in the TEM group (1,214 United State dollars [USD] vs. 1,686 USD, P < 0.001). The costs for consumables, drugs and laboratory as well as operation fee were also significantly lower in the ESD than in the TEM group. However, patient copayments in the ESD group were significantly higher than in the TEM group (928 USD vs. 496 USD, P < 0.001), because ESD procedure for rectal tumors is not yet covered by the Korean NHI.
Conclusion: Overall direct medical costs were significantly lower for ESD than for TEM in the treatment of rectal tumors.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (23)
참고문헌 신청
[학술지(정기간행물)] - 신애선 / 2012 / Increasing Trend of Colorectal Cancer Incidence in Korea, 1999-2009 / Cancer Research and Treatment 44 (4) : 219 ~ 226
[학술지(정기간행물)] - Ferlay J. / 2010 / Estimates of worldwide burden of cancer in 2008 : GLOBOCAN 2008 / Int J Cancer 127 : 2893 ~ 2917
[학술지(정기간행물)] - Schnoor M. / 2014 / Colorectal cancer incidence in Germany : stage-shift 6 years large noninvasive rectal lesions. Surg Endosc, 28, 427-38. after implementation of a colonoscopy screening program / Cancer Epidemiol 36 : 417 ~ 420
[학술지(정기간행물)] - Barendse RM. / 2012 / Endoscopic mucosal resection vs transanal endoscopic microsurgery for the treatment of large rectal adenomas / Colorectal Dis 14 : e191 ~ e196
[학술지(정기간행물)] - Barendse RM. / 2011 / Systematic review of endoscopic mucosal resection versus transanal endoscopic microsurgery for large rectal adenomas / Endoscopy 43 : 941 ~ 949
[학술지(정기간행물)] - Ferlay J. / 2010 / Estimates of worldwide burden of cancer in 2008 : GLOBOCAN 2008 / Int J Cancer 127 : 2893 ~ 2917
[학술지(정기간행물)] - Schnoor M. / 2014 / Colorectal cancer incidence in Germany : stage-shift 6 years large noninvasive rectal lesions. Surg Endosc, 28, 427-38. after implementation of a colonoscopy screening program / Cancer Epidemiol 36 : 417 ~ 420
[학술지(정기간행물)] - Barendse RM. / 2012 / Endoscopic mucosal resection vs transanal endoscopic microsurgery for the treatment of large rectal adenomas / Colorectal Dis 14 : e191 ~ e196
[학술지(정기간행물)] - Barendse RM. / 2011 / Systematic review of endoscopic mucosal resection versus transanal endoscopic microsurgery for large rectal adenomas / Endoscopy 43 : 941 ~ 949
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Transanal Endoscopic Microsurgery for Patients With Rectal Tumors: A Single Institution’s Experience
Annals of Coloproctology
2017 .01
-
Cost Comparison between Surgical Treatments and Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer in Korea
Gut and Liver
2015 .01
-
Diagnosis and Management of Rectal Neuroendocrine Tumors
Clinical Endoscopy
2017 .01
-
Factors for Endoscopic Submucosal Dissection in Early Colorectal Neoplasms: A Single Center Clinical Experience in China
Clinical Endoscopy
2015 .01
-
Accessory Devices Frequently Used for Endoscopic Submucosal Dissection
Clinical Endoscopy
2017 .01
-
Comparison of Endoscopic Submucosal Dissection and Surgery for Diff erentiated Type Early Gastric Cancer within the Expanded Criteria
Clinical Endoscopy
2017 .01
-
Pneumoretroperitoneum and Sepsis After Transanal Endoscopic Resection of a Rectal Lateral Spreading Tumor
Annals of Coloproctology
2017 .01
-
History and Development of Accessories for Endoscopic Submucosal Dissection
Clinical Endoscopy
2017 .01
-
Management of Complications of Colorectal Submucosal Dissection
Clinical Endoscopy
2019 .01
-
Early Detection is Important to Reduce the Economic Burden of Gastric Cancer
Journal of Gastric Cancer
2018 .03
-
Bleeding complication after endoscopic submucosal dissection of gastric neoplasm
International Journal of Gastrointestinal Intervention
2019 .01
-
Feasibility of transanal endoscopic total mesorectal excision for rectal cancer : results of a pilot study
Annals of Surgical Treatment and Research
2016 .10
-
Endoscopic submucosal dissection in the West
International Journal of Gastrointestinal Intervention
2019 .01
-
Short-Term Outcomes of Endoscopic Submucosal Dissection in Patients with Early Gastric Cancer: A Prospective Multicenter Cohort Study
Gut and Liver
2016 .01
-
Endoscopic treatment for rectal neuroendocrine tumor: which method is better?
Clinical Endoscopy
2022 .07
-
How to Interpret the Pathological Report before and after Endoscopic Submucosal Dissection of Early Gastric Cancer
Clinical Endoscopy
2016 .01
-
Endoscopic Submucosal Dissection for Early Gastric Neoplasia Occurring in the Remnant Stomach after Distal Gastrectomy
Clinical Endoscopy
2016 .01
-
Outcomes of Transanal Local Excision Methods in Patients with Rectal Neoplasm
대한외과학회 학술대회 초록집
2017 .11
-
Future Development of Endoscopic Accessories for Endoscopic Submucosal Dissection
Clinical Endoscopy
2017 .01
-
The Advantage of an Endoscopic Submucosal Tunneling Technique for Rectal Carcinoid Tumors
Gut and Liver
2017 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2016-514-002004133