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논문 기본 정보

자료유형
학술저널
저자정보
Kim, Tae Gon (Department of Neurosurgery, CHA Bundang Medical Center, CHA University School of Medicine) Kwon, Oki (Department of Neurosurgery, Seoul National University Bundang Hospital) Shin, Yong Sam (Department of Neurosurgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) Sung, Jae Hoon (Department of Neurosurgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea) Koh, Jun Seok (Department of Neurosurgery, Kyung Hee University Hospital at Gangdong) Kim, Bum-Tae (Department of Neurosurgery, Soonchunhyang University Bucheon Hospital)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제62권 제5호
발행연도
2019.1
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502 - 518 (17page)

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Objective : Since less invasive endovascular treatment was introduced to South Korea in 1994, a considerable proportion of endovascular treatments have been performed by neuroradiology doctors, and endovascular treatments by vascular neurosurgeons have recently increased. However, few specific statistics are known regarding how many endovascular treatments are performed by neurosurgeons. Thus, authors compared endovascular treatments collaboratively performed by vascular neurosurgeons with all cases throughout South Korea from 2013 to 2017 to elucidate the role of neurosurgeons in the field of endovascular treatment in South Korea. Methods : The Society of Korean Endovascular Neurosurgeons (SKEN) has issued annual reports every year since 2014. These reports cover statistics on endovascular treatments collaboratively or individually performed by SKEN members from 2013 to 2017. The data was requested and collected from vascular neurosurgeons in various hospitals. The study involved 77 hospitals in its first year, and 100 in its last. National statistics on endovascular treatment from all over South Korea were obtained from the Healthcare Bigdata Hub website of the Health Insurance Review & Assessment Service based on the Electronic Data Interchange (EDI) codes (in the case of intra-arterial (IA) thrombolysis, however, statistics were based on a combination of the EDI and I63 codes, a cerebral infarction disease code) from 2013 to 2017. These two data sets were directly compared and the ratios were obtained. Results : Regionally, during the entire study period, endovascular treatments by SKEN members were most common in Gyeonggido, followed by Seoul and Busan. Among the endovascular treatments, conventional cerebral angiography was the most common, followed by cerebral aneurysmal coiling, endovascular treatments for ischemic stroke, and finally endovascular treatments for vascular malformation and tumor embolization. The number of endovascular treatments performed by SKEN members increased every year. Conclusion : The SKEN members have been responsible for the major role of endovascular treatments in South Korea for the recent 5 years. This was achieved through the perseverance of senior members who started out in the midst of hardship, the establishment of standards for the training/certification of endovascular neurosurgery, and the enthusiasm of current SKEN members who followed. To provide better treatment to patients, we will have to make further progress in SKEN.
#Endovascular procedures #Big data #Data interpretation, Statistical

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참고문헌 (19)

참고문헌 신청
Brilstra EH / 1999 / Treatment of intracranial aneurysms by embolization with coils: a systematic review / Stroke 30:470~476 google schola Byrne JV / 1995 / Embolisation of recently ruptured intracranial aneurysms / J Neurol Neurosurg Psychiatry 59:616~620 google schola Connolly ES Jr / 2012 / Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 43:1711~1737 google schola Guglielmi G / 1991 / Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: preliminary clinical experience / J Neurosurg 75:8~14 google schola Linn FH / 1996 / Incidence of subarachnoid hemorrhage:role of region, year, and rate of computed tomography: a metaanalysis / Stroke 27:625~629 google schola

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