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Background/Aims: We investigated metabolic comorbidity status and patterns of medical institution utilization among breast cancer survivors using medical claims data from the Health Insurance Review and Assessment Service (HIRA).

Methods: Using claims data obtained from the HIRA, we selected breast cancer survivors between 2010 and 2015. Descriptive statistics were calculated to determine the frequency of metabolic comorbidities, as well as to analyze patterns of medical institution utilization in accordance with disease status.

Results: A total of 89,953 breast cancer survivors were identified. Among these, 12,364 (13.7%) had hypercholesterolemia, 20,754 (23.1%) had hypertension (HTN), and 11,102 (12.3%) had diabetes mellitus (DM). In particular, more than half of breast cancer survivors older than 60 years had HTN, and other diseases sharply increased beginning at age 50 years. For HTN, a total of 531,292 claims were submitted; more than 80% (n = 473,737) were from primary medical institutions, whereas only 2.4% (n = 12,551) were from tertiary medical institutions. The number of claims submitted for DM was 231,526; those from primary medical institutions accounted for 68.5% (n = 158,566), whereas claims from tertiary medical institutions accounted for 12.0% (n = 27,693). In subgroup analyses, the utilization of secondary and tertiary medical institutions was higher among patients with severe diseases and those diagnosed following their breast cancer diagnosis.

Conclusions: More than 10% of breast cancer survivors were diagnosed with a metabolic comorbidity. Through analysis of medical institution utilization patterns, we ascertained that a communication system linking secondary and tertiary medical institutions with primary medical institutions is needed.

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권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Mutation of ten-eleven translocation-2 is associated with increased risk of autoimmune disease in patients with myelodysplastic syndrome Yoon-Jeong Oh, Dong-Yeop Shin, Sang Mee Hwang, Sung-Min Kim, Kyongok Im, Hee Sue Park, Jung-Ah Kim, Yeong Wook Song, Ana Márquez, Javier Martín, Dong-Soon Lee, Jin Kyun Park p. 457-464, [1-3]

Clinical profiles of patients with surgically resected pheochromocytoma and paraganglioma Sun Hwa Lee, Jae-Hyeong Park, Ja-Yeon Lee, Sang-Rok Lee, Kyoung-Suk Rhee, Jei-Keon Chae, Won-Ho Kim, Ji-Young Sul, Jin Kyung Oh, Hee-Jin Kwon, Jae-Hwan Lee, In-Whan Seong p. 351-359

Association between primary immunodeficiency and asthma exacerbation in adult asthmatics So-Hee Lee, Ga-Young Ban, Su-Chin Kim, Chang-Gyu Chung, Hyun-Young Lee, Ji-Ho Lee, Hae-Sim Park p. 449-456

(Response to) Comment on "Birt-Hogg-Dubé syndrome in Korean: clinicoradiologic features and long term follow-up" Joo Hee Lee, Min Joo Jeon, Joon Seon Song, Eun Jin Chae, Jin-Ho Choi, Gu-Hwan Kim, Jin Woo Song p. 476-477

Role of phosphodiesterase-4 inhibitors in chronic obstructive pulmonary disease Chin Kook Rhee, Deog Kyeom Kim p. 276-283

Effects of cigarette smoking on blood lipids in Korean men : cardiovascular and metabolic diseases etiology research center cohort Soo Kyoung Kim, Hyeon Chang Kim, Jee-Seon Shim, Dae Jung Kim p. 369-382, [1-2]

Prognostic implications of stromal hyaluronic acid protein expression in resected oropharyngeal and oral cavity cancers Der Sheng Sun, Hye Sung Won, Soon Auck Hong, Ji Hyung Hong, Heejoon Jo, Heejin Lee, Okran Kim, Myung Ah Lee, Yoon Ho Ko p. 408-420

Metabolic comorbidities and medical institution utilization among breast cancer survivors : a national population-based study Jaesung Heo, Mison Chun, Young-Taek Oh, O Kyu Noh, Logyoung Kim p. 421-428, [1]

(Editorial) Successful transition to the QFT-PLUS assay, but more is needed for diagnosis of latent tuberculosis infection Eun Hye Lee, Young Ae Kang p. 298-299

(Editorial) A different detection method reveals a new role of alanine aminotransferase as an indicator of liver fibrosis Pil Soo Sung p. 295-297

Recent advances in diagnostic technologies in lung cancer Hye Jung Park, Sang Hoon Lee, Yoon Soo Chang p. 257-268

Association between urinary sodium levels and iodine status in Korea Jonghwa Ahn, Jang Ho Lee, Jiwoo Lee, Ji Yeon Baek, Eyun Song, Hye-Seon Oh, Mijin Kim, Suyeon Park, Min Ji Jeon, Tae Yong Kim, Won Bae Kim, Young Kee Shong, Won Gu Kim p. 392-399, [1-3]

Early efficacy and safety of statin therapy in Korean patients with hypercholesterolemia : Daegu and Gyeongbuk statin registry Han Joon Bae, Yun-Kyeong Cho, Hyoung-Seob Park, Hyuck-Jun Yoon, Hyungseop Kim, Seongwook Han, Seung-Ho Hur, Yoon-Nyun Kim, Kwon-Bae Kim, Jae-Kean Ryu, Deug Young Nah, Chang-Wook Nam p. 342-350

Diagnostic usefulness of the cytomegalovirus (CMV)-specific T cell-based assay for predicting CMV infection after kidney transplant Taeeun Kim, Hyun-Jeong Lee, Sun-Mi Kim, Joo Hee Jung, Sung Shin, Young-Hoon Kim, Heungsup Sung, Yong Pil Chong, Sang-Oh Lee, Sang-Ho Choi, Yang Soo Kim, Jun Hee Woo, Sung-Han Kim, Duck Jong Han p. 438-448, [1-4]

Immunological measurement of aspartate/alanine aminotransferase in predicting liver fibrosis and inflammation Hyun Jeong Kim, Sang Yeol Kim, Suk Pyo Shin, Young Joo Yang, Chang Seok Bang, Gwang Ho Baik, Dong Joon Kim, Young Lim Ham, Eui Yul Choi, Ki Tae Suk p. 320-330

Assessment of nephrotoxicity of herbal medicine containing aristolochic acid in mice Yi Quan, Long Jin, Kang Luo, Jian Jin, Sun Woo Lim, Yoo Jin Shin, Eun Jeong Ko, Byung Ha Chung, Chul Woo Yang p. 400-407

Clinical impact of anti-thymocyte globulin on survival and graft-versus-host disease in patients undergoing human leukocyte antigen mismatched allogeneic stem cell transplantation Taeyun Kim, Yunsuk Choi, Je-Hwan Lee, Silvia Park, Jae-Sook Ahn, Joon-Ho Moon, Ho-Jin Shin, Won Sik Lee, Dajung Kim, Ho Sup Lee p. 429-437

(Comment on) "Birt-Hogg-Dubé syndrome in Korean: clinicoradiologic features and long term follow-up" Hua-Ching Chang, Chih-Wei Sung, Pai-Chien Chou p. 474-475

Latent tuberculosis infection : recent progress and challenges in South Korea Doosoo Jeon p. 269-275

Comparison of procedural sequence in same-day bidirectional endoscopy : a systematic review and meta-analysis Geun Joo Choi, Hyoung-Chul Oh, Hee-Kyeong Seong, Jeong Wook Kim, Jin Soo Ko, Hyun Kang p. 331-341, [1]

Outcomes and clinical relevance of stool multiplex bacterial polymerase chain reaction in patients with acute diarrhea : single center experience Won Gun Kwack, Yun Jeong Lim, Ki Hwan Kwon, Jae Woo Chung, Jin Young Oh p. 300-309

QuantiFERON-TB gold PLUS versus QuantiFERON-TB gold in-tube test for diagnosing tuberculosis infection Soo Han Kim, Kyung-Wook Jo, Tae Sun Shim p. 383-391

Effect of biologics in the level of cytokines in the synovial fluid of patients with ankylosing spondylitis Bon San Koo, Sungsin Jo, Eunji Kwon, Ji Hui Shin, Jin-Wuk Hur, Tae-Hwan Kim p. 465-473, [1-4]

Continuous renal replacement therapy in elderly with acute kidney injury Kristianne Rachel P. Medina-Liabres, Sejoong Kim p. 284-294

17β-estradiol reduces inflammation and modulates antioxidant enzymes in colonic epithelial cells Hee Jin Son, Nayoung Kim, Chin-Hee Song, Sun Min Lee, Ha-Na Lee, Young-Joon Surh p. 310-319

Differential clinical manifestations and clinical outcome of cancer-related pulmonary embolism Min Sun Kim, Haseong Chang, Su Yeon Lee, Sun Hye Shin, Hye Yun Park, Sung-A Chang, Taek Kyu Park, Duk-Kyung Kim, Eun Kyoung Kim p. 360-368, [1-3]

참고문헌 (27건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Siegel RL, Miller KD, Jemal A. Cancer statistics, 2016. CA Cancer J Clin 2016;66:7-30. 미소장
2 Arrington AK, Goldstein L, Kruper L, Vito C, Yim J, Chen SL. Life expectancy after curative-intent treatment of breast cancer: impact on long-term follow-up care. Am Surg 2014;80:604-609. 미소장
3 Oh CM, Won YJ, Jung KW, et al. Cancer statistics in Korea:incidence, mortality, survival, and prevalence in 2013. Cancer Res Treat 2016;48:436-450. 미소장
4 Jung KW, Won YJ, Kong HJ, Oh CM, Lee DH, Lee JS. Cancer statistics in Korea: incidence, mortality, survival, and prevalence in 2011. Cancer Res Treat 2014;46:109-123. 미소장
5 DeSantis CE, Lin CC, Mariotto AB, et al. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin 2014;64:252-271. 미소장
6 Lee JE, Shin DW, Lee H, et al. One-year experience managing a cancer survivorship clinic using a shared-care model for gastric cancer survivors in Korea. J Korean Med Sci 2016;31:859-865. 미소장
7 Peairs KS, Barone BB, Snyder CF, et al. Diabetes mellitus and breast cancer outcomes: a systematic review and meta-analysis. J Clin Oncol 2011;29:40-46. 미소장
8 Hypertension 네이버 미소장
9 27-Hydroxycholesterol Links Hypercholesterolemia and Breast Cancer Pathophysiology 네이버 미소장
10 Hickish T, Astras G, Thomas P, et al. Glucose intolerance during adjuvant chemotherapy for breast cancer. J Natl Cancer Inst 2009;101:537. 미소장
11 Redig AJ, Munshi HG. Care of the cancer survivor: metabolic syndrome after hormone-modifying therapy. Am J Med 2010;123:87. 미소장
12 The Impact of Diabetes Mellitus on Prognosis of Early Breast Cancer in Asia 네이버 미소장
13 Tang Z, Wang J, Zhang H, et al. Associations between diabetes and quality of life among breast cancer survivors. PLoS One 2016;11:e0157791. 미소장
14 Under use of necessary care among cancer survivors 네이버 미소장
15 Shin DW, Park JH, Park JH, et al. Antihypertensive medication adherence in cancer survivors and its affecting factors:results of a Korean population-based study. Support Care Cancer 2010;19:211-220. 미소장
16 Shin JY, Shim HY, Jun JK. Comparison of diabetes management status between cancer survivors and the general population: results from a Korean population-based survey. PLoS One 2014;9:e110412. 미소장
17 Health Insurance Review and Assessment Service. Evaluation of Appropriateness of Medical Care Benefits for Diabetes Mellitus. Wonju (KR): HIRA, 2016. 미소장
18 Health Insurance Review and Assessment Service. Evaluation of Appropriateness of Medical Care Benefits for Hypertension. Wonju (KR): HIRA, 2016. 미소장
19 Shao S, Gill AA, Zahm SH, et al. Diabetes and overall survival among breast cancer patients in the U.S. military health system. Cancer Epidemiol Biomarkers Prev 2018;27:50-57. 미소장
20 Oudin C, Simeoni MC, Sirvent N, et al. Prevalence and risk factors of the metabolic syndrome in adult survivors of childhood leukemia. Blood 2011;117:4442-4448. 미소장
21 Youlden DR, Cramb SM, Yip CH, Baade PD. Incidence and mortality of female breast cancer in the Asia-Pacific region. Cancer Biol Med 2014;11:101-115. 미소장
22 Rettig SM, Wood Y, Hirsch JD. Medication regimen complexity in patients with uncontrolled hypertension and/or diabetes. J Am Pharm Assoc (2003) 2013;53:427-431. 미소장
23 Armstrong DG, Cohen K, Courric S, Bharara M, Marston W. Diabetic foot ulcers and vascular insufficiency: our population has changed, but our methods have not. J Diabetes Sci Technol 2011;5:1591-1595. 미소장
24 Lee JY, Jo MW, Yoo WS, Kim HJ, Eun SJ. Evidence of a broken healthcare delivery system in korea: unnecessary hospital outpatient utilization among patients with a single chronic disease without complications. J Korean Med Sci 2014;29:1590-1596. 미소장
25 Oeffinger KC, McCabe MS. Models for delivering survivorship care. J Clin Oncol 2006;24:5117-5124. 미소장
26 Shin DW, Kim Y, Baek YJ, Mo HN, Choi JY, Cho J. Oncologists experience with second primary cancer screening:current practices and barriers and potential solutions. Asian Pac J Cancer Prev 2012;13:671-676. 미소장
27 Walsh J, Harrison JD, Young JM, Butow PN, Solomon MJ, Masya L. What are the current barriers to effective cancer care coordination? A qualitative study. BMC Health Serv Res 2010;10:132. 미소장

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