지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.2
- 수록면
- 125 - 130 (6page)
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초록· 키워드
오류제보하기
Purpose: To know the current trend of the annual number of AAA patients in Korea and treatment modality, we attempted to investigate the numbers of patients diagnosed with AAA and the number of patients who underwent open or endovascular treatment of AAA in Korea during the last 6 years.
Methods: To investigate the number of AAA patients, we searched for ruptured AAA and AAA without description of rupture disease from the database of Health Insurance Reimbursement Association (HIRA) by searching the disease code of HIRA I71.3 (ruptured AAA) and I71.4 (AAA without description of rupture) during the period between 2003 and 2009. To investigate the number of patients who underwent treatment for AAA, we searched for code O 2036, O 2034, O 0223, O 0224 (open surgical repair) and M 6612 (endovascular aneurysm repair, EVAR). To discern the number of AAA-related deaths in Korea during the same period, we depended on the database of the Statistics Korea.
Results: We found that the number of AAA patients and treatment of AAA were rapidly increasing recently after the inception of the reimbursement for EVAR by the HIRA. But the number of AAA-related deaths did not significantly change during the same period in Korea.
Conclusion: After observing that the number of patients with AAA and its treatment rapidly increased while the number of AAA-related death did not increase, we can assume that it is the result of increase of patients detection rather than that of prevalence of AAA and also think that many AAA patients are still under-detected in Korea. To cope with the increasing number of AAA patients and to facilitate detection of hidden AAA patients, we would like to propose a nationwide screening program of AAA for a selected group of the population.
Methods: To investigate the number of AAA patients, we searched for ruptured AAA and AAA without description of rupture disease from the database of Health Insurance Reimbursement Association (HIRA) by searching the disease code of HIRA I71.3 (ruptured AAA) and I71.4 (AAA without description of rupture) during the period between 2003 and 2009. To investigate the number of patients who underwent treatment for AAA, we searched for code O 2036, O 2034, O 0223, O 0224 (open surgical repair) and M 6612 (endovascular aneurysm repair, EVAR). To discern the number of AAA-related deaths in Korea during the same period, we depended on the database of the Statistics Korea.
Results: We found that the number of AAA patients and treatment of AAA were rapidly increasing recently after the inception of the reimbursement for EVAR by the HIRA. But the number of AAA-related deaths did not significantly change during the same period in Korea.
Conclusion: After observing that the number of patients with AAA and its treatment rapidly increased while the number of AAA-related death did not increase, we can assume that it is the result of increase of patients detection rather than that of prevalence of AAA and also think that many AAA patients are still under-detected in Korea. To cope with the increasing number of AAA patients and to facilitate detection of hidden AAA patients, we would like to propose a nationwide screening program of AAA for a selected group of the population.
목차
서론
방법
결과
고찰
결론
ACKNOWLEDGEMENTS
REFERENCES
참고문헌 (16)
참고문헌 신청
1. [학술지(정기간행물)] - Johnston KW / 1991 / Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery / J Vasc Surg 13 : 452 ~ 458
2. [학술지(정기간행물)] - Gillum RF / 1995 / Epidemiology of aortic aneurysm in the United States / J Clin Epidemiol 48 : 1289 ~ 1298
3. [학술지(정기간행물)] - Wilmink AB / 2001 / The incidence of small abdominal aortic aneurysms and the change in normal infrarenal aortic diameter: implications for screening / Eur J Vasc Endovasc Surg 21 : 165 ~ 170
4. [학술지(정기간행물)] - Lederle FA / 2000 / The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators / Arch Intern Med 160 : 1425 ~ 1430
5. [학술지(정기간행물)] - Fleming C / 2005 / Screening for abdominal aortic aneurysm: a best-evidence systematic review for the U.S. Preventive Services Task Force / Ann Intern Med 142 : 203 ~ 211
2. [학술지(정기간행물)] - Gillum RF / 1995 / Epidemiology of aortic aneurysm in the United States / J Clin Epidemiol 48 : 1289 ~ 1298
3. [학술지(정기간행물)] - Wilmink AB / 2001 / The incidence of small abdominal aortic aneurysms and the change in normal infrarenal aortic diameter: implications for screening / Eur J Vasc Endovasc Surg 21 : 165 ~ 170
4. [학술지(정기간행물)] - Lederle FA / 2000 / The aneurysm detection and management study screening program: validation cohort and final results. Aneurysm Detection and Management Veterans Affairs Cooperative Study Investigators / Arch Intern Med 160 : 1425 ~ 1430
5. [학술지(정기간행물)] - Fleming C / 2005 / Screening for abdominal aortic aneurysm: a best-evidence systematic review for the U.S. Preventive Services Task Force / Ann Intern Med 142 : 203 ~ 211
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