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

被引:23
作者
Cha, Jae Myung [1 ]
Kwak, Min Seob [1 ]
Kim, Hyun-Soo [2 ]
Kim, Su Young [2 ]
Park, Sohee [3 ]
Park, Geun U. [4 ]
Lee, Jung Kuk [5 ]
Kim, Soo Jin [6 ]
Lee, Hun Hee [6 ]
Kim, Joo Sung [7 ]
Kim, Won Ho [8 ]
机构
[1] Kyung Hee Univ, Dept Internal Med, Sch Med, Seoul, South Korea
[2] Yonsei Univ, Dept Internal Med, Wonju Coll Med, 20 Ilsan Ro, Wonju 26426, South Korea
[3] Yonsei Univ, Grad Sch Publ Hlth, Dept Biostat, Seoul, South Korea
[4] Yonsei Univ, Dept Biostat & Comp, Seoul, South Korea
[5] Yonsei Univ, Dept Biostat, Wonju Coll Med, Wonju, South Korea
[6] Kyung Hee Univ Hosp Gangdong, Dept Biostat, Seoul, South Korea
[7] Seoul Natl Univ, Dept Internal Med, Sch Med, Seoul, South Korea
[8] Yonsei Univ, Dept Internal Med, Coll Med, Seoul, South Korea
关键词
Big data; Colonoscopy; Polypectomy; Population; SOCIETY-TASK-FORCE; COLORECTAL-CANCER; SCREENING COLONOSCOPY; SURVEILLANCE; CAPACITY; OVERUSE;
D O I
10.5009/gnl19108
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background/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.
引用
收藏
页码:338 / 346
页数:9
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