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Real-World National Colonoscopy Volume in Korea: A Nationwide Population-Based Study over 12 Years

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dc.contributor.author김원호-
dc.contributor.author박소희-
dc.date.accessioned2019-10-28T01:59:16Z-
dc.date.available2019-10-28T01:59:16Z-
dc.date.issued2020-05-
dc.identifier.issn1976-2283-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/171433-
dc.description.abstractBackground/Aims: Little is known about the national colonoscopy volume in Asian countries. This study aimed to assess the national colonoscopy volume in Korea over a 12-year period on the basis of a nationwide population-based database. Methods: We conducted a population-based study for colonoscopy claims (14,511,158 colonoscopies performed on 13,219,781 patients) on the basis of the Korean National Health Insurance Service database from 2002 to 2013. The 12-year national colonoscopy burden was analyzed according to patient age, patient sex, and healthcare facility type. Results: The overall volume of colonoscopy increased 8-fold over the 12-year period. The annual colonoscopic polypectomy rate significantly increased in all patient sex and age groups over the 12-years period (all p<0.001). The yearly colonoscopic polypectomy rate for men was significantly increased compared with that for women (2.3% vs 1.7%, p<0.001) and for the screening-age group compared with that for the young-age group (2.0% vs 1.6%, p<0.001). The yearly colonoscopic polypectomy rate relative to the total colonoscopy volume significantly increased in primary, secondary, and tertiary facilities by 2.4%, 1.9%, and 1.4% during the 12-year period (all p<0.001). In addition, the annual colonoscopy volume covered by high-volume facilities significantly increased by 1.8% in primary healthcare facilities over the 12-year period (p<0.001). Conclusions: Healthcare resources should be prioritized to allow adequate colonoscopic capacity, especially for men, individuals in the screening-age group, and at primary healthcare facilities. Cost-effective strategies to improve the quality of colonoscopy may focus on primary healthcare facilities and high-volume facilities in Korea.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherEditorial Office of Gut and Liver-
dc.relation.isPartOfGut and Liver-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleReal-World National Colonoscopy Volume in Korea: A Nationwide Population-Based Study over 12 Years-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Internal Medicine (내과학교실)-
dc.contributor.googleauthorJae Myung Cha-
dc.contributor.googleauthorMin Seob Kwak-
dc.contributor.googleauthorHyun-Soo Kim-
dc.contributor.googleauthorSu Young Kim-
dc.contributor.googleauthorSohee Park-
dc.contributor.googleauthorGeun U Park-
dc.contributor.googleauthorJung Kuk Lee-
dc.contributor.googleauthorSoo Jin Kim-
dc.contributor.googleauthorHun Hee Lee-
dc.contributor.googleauthorJoo Sung Kim-
dc.contributor.googleauthorWon Ho Kim-
dc.identifier.doi10.5009/gnl19108-
dc.contributor.localIdA00774-
dc.relation.journalcodeJ00954-
dc.identifier.eissn2005-1212-
dc.identifier.pmid31530736-
dc.subject.keywordBig data-
dc.subject.keywordColonoscopy-
dc.subject.keywordPolypectomy-
dc.subject.keywordPopulation-
dc.contributor.alternativeNameKim, Won Ho-
dc.contributor.affiliatedAuthor김원호-
dc.contributor.affiliatedAuthor박소희-
dc.citation.volume14-
dc.citation.number3-
dc.citation.startPage338-
dc.citation.endPage346-
dc.identifier.bibliographicCitationGut and Liver, Vol.14(3) : 338-346, 2020-05-
dc.identifier.rimsid67417-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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