Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea

被引：6

作者：

Rayzah, Musaed ^{[1
,2
]}

Ryu, Jai Min ^{[1
]}

Lee, Jun-Hee ^{[1
]}

Nam, Seok Jin ^{[1
]}

Kim, Seok Won ^{[1
]}

Lee, Se Kyung ^{[1
]}

Yu, Jonghan ^{[1
]}

Lee, Kyeong-Tae ^{[3
]}

Bang, Sa-Ik ^{[3
]}

Mun, Goo-Hyun ^{[3
]}

Pyon, Jai-Kyong ^{[3
]}

Jeon, Byung-Joon ^{[3
]}

Lee, Jeong Eon ^{[1
]}

机构：

[1] Sungkyunkwan Univ, Samsung Med Ctr, Dept Surg, Div Breast & Endocrine Surg,Sch Med, 81 Irwon Ro, Seoul 06351, South Korea

[2] Majmaah Univ, Coll Med, Dept Surg, Minist Educ, Riyadh, Saudi Arabia

[3] Sungkyunkwan Univ, Samsung Med Ctr, Dept Plast Surg, Sch Med, Seoul, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2021年 / 36卷 / 29期

关键词：

Breast Cancer; Breast Reconstruction; Insurance; Subcutaneous Mastectomy; SKIN-SPARING MASTECTOMY; QUALITY-OF-LIFE; POSTMASTECTOMY RECONSTRUCTION; PSYCHOLOGICAL IMPACT; ONCOLOGIC SAFETY; IMMEDIATE; EXPERIENCE; OUTCOMES; WOMEN;

D O I：

10.3346/jkms.2021.36.e194

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate NHI reimbursement policy influence on the rate of immediate BR (IBR) following total mastectomy (TM). Methods: We retrospectively analyzed breast cancer data between April 2011 and June 2016. We divided patients who underwent IBR following TM for primary breast cancer into "uninsured" and "insured" groups using their NHI statuses at the time of surgery. Univariate analyses determined the insurance influence on the decision to undergo IBR. Results: Of 2,897 breast cancer patients, fewer uninsured patients (n = 625) underwent IBR compared with those insured (n = 325) (30.0% vs. 39.8%, P < 0.001). Uninsured patients were younger than those insured (median age [range], 43 [38-48] vs. 45 [40-50] years; P < 0.001). Pathologic breast cancer stage did not differ between the groups (P = 0.383). More insured patients underwent neoadjuvant chemotherapy (P = 0.011), adjuvant radiotherapy (P < 0.001), and IBR with tissue expander insertion (P = 0.005) compared with those uninsured. Conclusion: IBR rate in patients undergoing TM increased after NHI reimbursement.

引用

页码：1 / 9

页数：9

共 31 条

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