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
- 발행연도
- 2019.1
- 수록면
- 53 - 64 (12page)
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Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul.
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참고문헌 (30)
참고문헌 신청
Siegel RL / 2016 / Cancer statistics, 2016 / CA Cancer J Clin 66:7~30
Birkmeyer JD / 2002 / Hospital volume and surgical mortality in theUnited States / N Engl J Med 346:1128~1137
Lin HC / 2006 / Hospital volume and inpatient mortality after cancer-related gastrointestinal resections : the experience of an Asian country / Ann Surg Oncol 13:1182~1188
Gershman B / 2017 / Redefining and contextualizing the hospital volume-outcome relationship for robot-assisted radical prostatectomy : implications for centralization of care / J Urol 198:92~99
Groeben C / 2016 / Robots drive the German radical prostatectomy market : a total population analysis from 2006 to 2013 / Prostate Cancer Prostatic Dis 19:412~416
Birkmeyer JD / 2002 / Hospital volume and surgical mortality in theUnited States / N Engl J Med 346:1128~1137
Lin HC / 2006 / Hospital volume and inpatient mortality after cancer-related gastrointestinal resections : the experience of an Asian country / Ann Surg Oncol 13:1182~1188
Gershman B / 2017 / Redefining and contextualizing the hospital volume-outcome relationship for robot-assisted radical prostatectomy : implications for centralization of care / J Urol 198:92~99
Groeben C / 2016 / Robots drive the German radical prostatectomy market : a total population analysis from 2006 to 2013 / Prostate Cancer Prostatic Dis 19:412~416
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