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
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.89 No.6
- 발행연도
- 2015.11
- 수록면
- 319 - 324 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Peripheral arterial disease (PAD) has been a major public health issue in the elderly. Advances in endovascular surgery have led to a substantial shift in the management of PAD. Although the nationwide trend of PAD treatment in the Western countries was reported, limited data have been available on this in Korea. This study examined the national trend in the treatment of PAD in Korea over the past decade.
Methods: Health Insurance Review and Assessment Service data were used. We sought to analyze trends in the open and endovascular surgery for the treatment of PAD in Medicare beneficiaries between 2004 and 2013. We also analyzed trends in each types of surgery in the lower extremity. A linear-by-linear association was performed to determine the changes of PAD treatment for this period.
Results: The rate of open surgery per 100,000 Medicare beneficiaries decreased significantly from 8 procedures in 2004 to 6 in 2013. At the same time, endovascular surgery increased from 23 procedures in 2004 to 59 in 2013. Endovascular surgery in the lower extremity increased more than twofold, while the open surgery decreased by 39%. The rate of balloon angioplasty among endovascular surgery was increased by almost threefold, while the bypass surgery using artificial graft decreased by half.
Conclusion: Endovascular surgery is now performed more commonly than open surgery for PAD treatment. Balloon angioplasty increased by almost threefold, while the bypass surgery using artificial graft decreased by about 50%.
Methods: Health Insurance Review and Assessment Service data were used. We sought to analyze trends in the open and endovascular surgery for the treatment of PAD in Medicare beneficiaries between 2004 and 2013. We also analyzed trends in each types of surgery in the lower extremity. A linear-by-linear association was performed to determine the changes of PAD treatment for this period.
Results: The rate of open surgery per 100,000 Medicare beneficiaries decreased significantly from 8 procedures in 2004 to 6 in 2013. At the same time, endovascular surgery increased from 23 procedures in 2004 to 59 in 2013. Endovascular surgery in the lower extremity increased more than twofold, while the open surgery decreased by 39%. The rate of balloon angioplasty among endovascular surgery was increased by almost threefold, while the bypass surgery using artificial graft decreased by half.
Conclusion: Endovascular surgery is now performed more commonly than open surgery for PAD treatment. Balloon angioplasty increased by almost threefold, while the bypass surgery using artificial graft decreased by about 50%.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (21)
참고문헌 신청
[학술지(정기간행물)] - Davies MG / 2012 / Criticial limb ischemia : epidemiology / Methodist Debakey Cardiovasc J 8 : 10 ~ 14
[학술지(정기간행물)] - Hirsch AT. / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
[학술지(정기간행물)] - Aronow H / 2008 / Peripheral arterial disease in the elderly : recognition and management / Am J Cardiovasc Drugs 8 : 353 ~ 364
[학술지(정기간행물)] - Goodney PP. / 2009 / National trends in lower extremity bypass surgery, endovascular interventions, and major amputations / J Vasc Surg 50 : 54 ~ 60
[학술지(정기간행물)] - Egorova NN. / 2010 / An analysis of the outcomes of a decade of experience with lower extremity revascularization including limb salvage, lengths of stay, and safety / J Vasc Surg. 51 : 878-85,885 ~
[학술지(정기간행물)] - Hirsch AT. / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
[학술지(정기간행물)] - Aronow H / 2008 / Peripheral arterial disease in the elderly : recognition and management / Am J Cardiovasc Drugs 8 : 353 ~ 364
[학술지(정기간행물)] - Goodney PP. / 2009 / National trends in lower extremity bypass surgery, endovascular interventions, and major amputations / J Vasc Surg 50 : 54 ~ 60
[학술지(정기간행물)] - Egorova NN. / 2010 / An analysis of the outcomes of a decade of experience with lower extremity revascularization including limb salvage, lengths of stay, and safety / J Vasc Surg. 51 : 878-85,885 ~
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UCI(KEPA) : I410-ECN-0101-2016-514-002155124