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동종조혈모세포이식술 시술기관의 진료량이 이식후 생존율에 미치는 영향
DC Field | Value | Language |
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dc.contributor.author | 민유홍 | - |
dc.contributor.author | 조우현 | - |
dc.date.accessioned | 2015-07-14T16:57:31Z | - |
dc.date.available | 2015-07-14T16:57:31Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 0254-5985 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/111924 | - |
dc.description.abstract | Objective : To examine the association between hospital procedure volume and treatment outcomes following allogeneic bone marrow transplantation (allo-BMT). Methods : Out of 1,050 patients who received allo-BMTs between 1998 and 2000 in 21 Korean hospitals, 752 with first allo-BMT and complete data were included in this study. Study subjects were divided into the following three groups according to cumulative hospital experience of all-BMTs during the study period: low (<30 cases), medium (30-49) and high (≥50 cases) volume. Patient outcome was defined as early survival at day 100 and one-year survival. Multiple logistic regression analyses were performed to examine the association between hospital experience and survival at day 100 and one year. Results : When the low volume group was defined as the reference group, the adjusted relative risks (RR) of survival at day 100 for the high volume group were 2.46(95% CI, 1.13-5.36) for all patients, 2.61(1.04-6.57) for those with leukemia, and 2.20(0.47-10.32) for those with aplastic anemia. For one-year survival, adjusted RR for the high volume group were 2.52(1.40-4.51) for all patients, 1.99 (1.01-3.93) for leukemia, and 6.50(1.57-26.80) for aplastic anemia. None of the RR for the medium volume group was statistically significant. Patient factors showing significant relationship with survival were donor-recipient relation, human leukocyte antigen matching status, time from diagnosis to transplant, and disease stage. Conclusions : The study results suggest that the cumulative experience of hospitals in providing allo-BMT is positively associated with patient survival. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 26~36 | - |
dc.relation.isPartOf | Journal of Preventive Medicine and Public Health | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | 동종조혈모세포이식술 시술기관의 진료량이 이식후 생존율에 미치는 영향 | - |
dc.title.alternative | Association of Hospital Procedure Volume with Post-Transplant Survival for Allogeneic BoneMarrow Transplantation | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학) | - |
dc.contributor.googleauthor | 박춘선 | - |
dc.contributor.googleauthor | 문희경 | - |
dc.contributor.googleauthor | 조우현 | - |
dc.contributor.googleauthor | 민유홍 | - |
dc.contributor.googleauthor | 강혜영 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.relation.journalcode | J01716 | - |
dc.subject.keyword | Volume-outcome relationship | - |
dc.subject.keyword | Allogeneic bone marrow transplantation | - |
dc.subject.keyword | Hospital procedure volume | - |
dc.subject.keyword | Post-transplant survival | - |
dc.contributor.alternativeName | Min, Yoo Hong | - |
dc.contributor.alternativeName | Cho, Woo Hyun | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 37 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 26 | - |
dc.citation.endPage | 36 | - |
dc.identifier.bibliographicCitation | Journal of Preventive Medicine and Public Health, Vol.37(1) : 26-36, 2004 | - |
dc.identifier.rimsid | 53518 | - |
dc.type.rims | ART | - |
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