Recent 5-Year Trend of Endoscopic Retrograde Cholangiography in Korea Using National Health Insurance Review and Assessment Service Open Data
2
조회
0
다운로드
8
인용
0
참고문헌
키워드
초록
Background/Aims: The utilization of endoscopic retrograde cholangiopancreatography (ERCP) is variable and largely dependent on a patient’s age, sex, and region. Herein we analyzed the publicly available Health Insurance Review and Assessment (HIRA) database with the aim of understanding the current status and trend of ERCP use in Korea. Methods: Between 2013 and 2017, information regarding ERCP was acquired from the HIRA database using the procedural codes of the Korean Standard Classification of Disease. We analyzed the annual number of patients according to age in 10- year increments, sex, type of medical institution, and administrative division. Results: The total number of patients and number of patients undergoing ERCP per 100,000 people increased from 40,516 and 78.6 in 2013 to 47,027 and 91.3 in 2017, respectively those aged 70 years accounted for the highest number, and the increase was the most prominent in those aged 80 years or older. Men underwent more ERCPs than women, except in younger patients (<40 years). Most ERCPs were performed at tertiary and general hospitals; however, the ratios between the two types of institutions were different according to the procedure. There were different patterns of patients associated with each procedure according to the administrative division. Therapeutic ERCP was performed more frequently than diagnostic ERCP. Conclusions: Most procedures in Korea were therapeutic, and the increase in patients was most prominent in those aged 80 years or older. The utilization of ERCP increased markedly and varied depending on age, sex, type of medical institution, and region.
Abstract
Background/Aims: The utilization of endoscopic retrograde cholangiopancreatography (ERCP) is variable and largely dependent on a patient’s age, sex, and region. Herein we analyzed the publicly available Health Insurance Review and Assessment (HIRA) database with the aim of understanding the current status and trend of ERCP use in Korea. Methods: Between 2013 and 2017, information regarding ERCP was acquired from the HIRA database using the procedural codes of the Korean Standard Classification of Disease. We analyzed the annual number of patients according to age in 10- year increments, sex, type of medical institution, and administrative division. Results: The total number of patients and number of patients undergoing ERCP per 100,000 people increased from 40,516 and 78.6 in 2013 to 47,027 and 91.3 in 2017, respectively those aged 70 years accounted for the highest number, and the increase was the most prominent in those aged 80 years or older. Men underwent more ERCPs than women, except in younger patients (<40 years). Most ERCPs were performed at tertiary and general hospitals; however, the ratios between the two types of institutions were different according to the procedure. There were different patterns of patients associated with each procedure according to the administrative division. Therapeutic ERCP was performed more frequently than diagnostic ERCP. Conclusions: Most procedures in Korea were therapeutic, and the increase in patients was most prominent in those aged 80 years or older. The utilization of ERCP increased markedly and varied depending on age, sex, type of medical institution, and region.
참고문헌 (19)
- McCune WS, "Endoscopic cannulation of the ampulla of Vater : a preliminary report", Ann Surg, 167, pp.752~756 (1968)
- Huang RJ, "Evolution in the utilization of biliary interventions in the United States : results of a nationwide longitudinal study from 1998 to 2013", Gastrointest Endosc, 86, pp.319~326 (2017)
- Moffatt DC, "Trends in utilization of diagnostic and therapeutic ERCP and cholecystectomy over the past 25 years : a population-based study", Gastrointest Endosc, 79, pp.615~622 (2014)
- Hu LH, "ERCP development in the largest developing country : a national survey from China in 2013", Gastrointest Endosc, 84, pp.659~666 (2016)
- Kim HG, "Korean Pancreatobiliary Association 20th Anniversary", Korean Pancreatobiliary Association, ~ (2015)
- 안동원, "Practice of Endoscopic Retrograde Cholangiopancreatography in Korea: Results from a National Survey", 대한췌담도학회지, 24(1), pp.21~30 (2019), 대한췌장담도학회[DOI]
- Kapral C, "Case volume and outcome of endoscopic retrograde cholangiopancreatography : results of a nationwide Austrian benchmarking project", Endoscopy, 40, pp.625~630 (2008)
- Ekkelenkamp VE, "Prospective evaluation of ERCP performance : results of a nationwide quality registry", Endoscopy, 47, pp.503~507 (2015)
- Bodger K, "Allcause mortality after first ERCP in England : clinically guided analysis of hospital episode statistics with linkage to registry of death", Gastrointest Endosc, 74, pp.825~833 (2011)
- Enochsson L, "Nationwide, population-based data from 11, 074 ERCP procedures from the Swedish Registry for Gallstone Surgery and ERCP", Gastrointest Endosc, 72, pp.1175~1184 (2010)
- Mazen Jamal M, "Trends in the utilization of endoscopic retrograde cholangiopancreatography(ERCP)in the United States", Am J Gastroenterol, 102, pp.966~975 (2007)
- "Development of EC-oa"[URL]
- Feldman M, "Sleisenger and Fordtran’s gastrointestinal and liver disease" (2010), Saunders
- Tsui WM, "Primary hepatolithiasis, recurrent pyogenic cholangitis, and oriental cholangiohepatitis : a tale of 3 countries", Adv Anat Pathol, 18, pp.318~328 (2011)
- Byung-Woo Kim, "Incidence and Overall Survival of Biliary Tract Cancers in South Korea from 2006 to 2015: Using the National Health Information Database", Gut and Liver, 13(1), pp.104~113 (2019), 거트앤리버 소화기연관학회협의회[DOI]
- Ang TL, "Guideline on training and credentialing in endoscopic retrograde cholangiopancreatography", Singapore Med J, 52, pp.654~657 (2011)
- Ahmed M, "Utilization trends in inpatient endoscopic retrograde cholangiopancreatography(ERCP) : a cross-sectional US experience", Endosc Int Open, 5, pp.E261~E271 (2017)
- Glomsaker T, "A national audit of temporal trends in endoscopic retrograde cholangiopancreatography in Norway", Scand J Gastroenterol, 46, pp.116~121 (2011)
- Rosner B, "Fundamentals of biostatistics", pp.2011, Brooks