Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017.
Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017.
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DOI：
10.4143/crt.2020.623
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发表时间：
2021-04
影响因子：
4.6
通讯作者：
Lee JH
中科院分区：
文献类型：
--
作者：
Choi KH;Song JH;Jang HS;Kim SH;Lee JH
由于西方化的饮食习惯和定期的健康检查，韩国的结直肠癌（CRC）正在增加。韩国健康保险审查和评估服务（HIRA）对CRC的治疗进行了国家质量评估。本研究检查了韩国HIRA的质量评估报告，并分析了韩国CRC的实践模式和流行病学现状。受试者数量是根据2012 - 2017年期间各机构的外科手术数量确定的。机构类型根据床位数和肿瘤专科医生构成进行分类。分析了诊断、化疗、放疗、手术、病理和死亡率的21个指标，并计算了每个指标的机构间变异。在21项评价指标中，与病历、接受化疗相关的指标变异系数≥ 0.1%，6年来均有所改善，直至2017年调查。在影响手术死亡率的指标分析中，区域淋巴结切除率和检查率（p = 0.022）与手术死亡率呈负相关。住院时间（p <0.001）和住院费用（p = 0.002）与手术死亡率呈正相关。本研究表明，韩国CRC的治疗质量和检查状况适合改善相关病历、接受化疗、维持治疗质量和死亡率。这些分析可以成为在全球范围内制定改进的质量评估计划的基础。
Colorectal cancer (CRC) is increasing in South Korea due to westernized eating habits and regular health check-ups. The Korean Health Insurance Review and Assessment Service (HIRA) has conducted a national quality assessment of the treatment of CRC. This study examined the quality assessment report of the Korean HIRA and analyzed the status of practice pattern and the epidemiology of CRC in South Korea. The number of subjects was determined based on the number of surgical procedures in each institution during 2012–2017. The institution types were classified according to the number of beds and the composition of oncologic specialists. Twenty-one indicators for diagnosis, chemotherapy, radiotherapy, surgery, pathology, and mortality were analyzed and the inter-institutional variation for each indicator was calculated. Among 21 evaluation indices, indicators related to medical records, receipt of chemotherapy with a high coefficient of variation of ≥ 0.1% were improved over 6 years until the survey in 2017. In the analysis of indices affecting surgical mortality, the regional lymph node resection and examination rate (p=0.022) showed a negative correlation with surgical mortality. Hospitalization stay (p < 0.001) and hospitalization cost (p=0.002) were positively correlated with surgical mortality. This study showed that the treatment quality and examination status for CRC in South Korea were appropriate for improving relevant medical records, receipt of chemotherapy, maintaining the quality of treatment, and mortality. These analyses could be the basis for developing an improved quality assessment program worldwide.
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影响因子：
2.3
作者：
AlQudah M;Salmo E;Haboubi N
通讯作者：
Haboubi N
韩国的癌症统计：2008年的发病率，死亡率，生存和患病率。
影响因子：
4.6
作者：
Jung KW;Park S;Kong HJ;Won YJ;Lee JY;Park EC;Lee JS
通讯作者：
Lee JS
影响因子：
158.5
作者：
Kapiteijn, E;Marijnen, CAM;van de Velde, CJH
通讯作者：
van de Velde, CJH
影响因子：
158.5
作者：
Sauer, R;Becker, H;Raab, R
通讯作者：
Raab, R
影响因子：
3.7
作者：
Ludt S;Urban E;Eckardt J;Wache S;Broge B;Kaufmann-Kolle P;Heller G;Miksch A;Glassen K;Hermann K;Bölter R;Ose D;Campbell SM;Wensing M;Szecsenyi J
通讯作者：
Szecsenyi J