공공의료 종합병원에서 5대 소화기암 환자의 건강보험 유형에 따른 예후 분석: 단일기관, 후향적 연구
Analysis of Prognosis according to Type of Health Insurance in Five Major Gastrointestinal Cancer Patients in Public Hospitals: Single-institution Retrospective Study
이동석, 이재경, 김지원, 이국래, 김병관, 김수환, 정용진,
소속 상세정보
이동석 ( Lee Dong-Seok )
서울대학교 의과대학 서울대학교보라매병원 내과
이재경 ( Lee Jae-Kyung )
서울대학교 의과대학 서울대학교보라매병원 내과
김지원 ( Kim Ji-Won )
서울대학교 의과대학 서울대학교보라매병원 내과
이국래 ( Lee Kook-Lae )
서울대학교 의과대학 서울대학교보라매병원 내과
김병관 ( Kim Byeong-Gwan )
서울대학교 의과대학 서울대학교보라매병원 내과
김수환 ( Kim Su-Hwan )
서울대학교 의과대학 서울대학교보라매병원 내과
정용진 ( Jung Yong-Jin )
서울대학교 의과대학 서울대학교보라매병원 내과
Abstract
Background/Aims: Public hospitals were established to provide high quality medical services to low socioeconomic status patients. This study examined the effects of public hospitals on the treatment and prognosis of patients with five-major gastrointestinal (GI) cancers (stomach cancer, colon cancer, liver cancer, bile duct cancer, and pancreatic cancer).
Methods: Among the 1,268 patients treated at Seoul National University Boramae Medical Center from January 2010 to December 2017, 164 (13%) were in the medicare group. The data were analyzed to identify and compare the clinical manifestations, treatment modality, and clinical outcomes between the groups.
Results: No statistically significant differences in the clinical data (age, sex), treatment method, and five-year survival rate were observed between the health insurance group and medicare group in the five major GI cancer patients. On the other hand, some medicare group patients tended more comorbidities and fewer treatment options than health insurance patients.
Conclusions: Public hospitals have a positive effect on the treatment and prognosis in medicare group patients with the five-major GI cancers.
키워드
5 major gastrointestinal cancer; Hospitals, public; Insurance coverage; Survival
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