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Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012?2017

Cancer Research and Treatment 2021년 53권 2호 p.487 ~ 496
최규혜, 송진호, 장홍석, 김성환, 이종훈,
소속 상세정보
최규혜 ( Choi Kyu-Hye ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Radiation Oncology
송진호 ( Song Jin-Ho ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Radiation Oncology
장홍석 ( Jang Hong-Seok ) - Catholic University College of Medicine Seoul St. Mary’s Hospital Department of Radiation Oncology
김성환 ( Kim Sung-Hwan ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Radiation Oncology
이종훈 ( Lee Jong-Hoon ) - Catholic University College of Medicine St. Vincent’s Hospital Department of Radiation Oncology

Abstract


Purpose: Colorectal cancer (CRC) is increasing in South Korea due to westernized eating habits and regular health check-ups. The Korean Health Insurance Review and Assessment Service (HIRA) has conducted a national quality assessment of the treatment of CRC. This study examined the quality assessment report of the Korean HIRA and analyzed the status of practice pattern and the epidemiology of CRC in South Korea.

Materials and Methods: The number of subjects was determined based on the number of surgical procedures in each institution during 2012?2017. The institution types were classified according to the number of beds and the composition of oncologic specialists. Twenty-one indicators for diagnosis, chemotherapy, radiotherapy, surgery, pathology, and mortality were analyzed and the inter-institutional variation for each indicator was calculated.

Results: Among 21 evaluation indices, indicators related to medical records, receipt of chemotherapy with a high coefficient of variation of ≥ 0.1% were improved over 6 years until the survey in 2017. In the analysis of indices affecting surgical mortality, the regional lymph node resection and examination rate (p=0.022) showed a negative correlation with surgical mortality. Hospitalization stay (p < 0.001) and hospitalization cost (p=0.002) were positively correlated with surgical mortality.

Conclusion: This study showed that the treatment quality and examination status for CRC in South Korea were appropriate for improving relevant medical records, receipt of chemotherapy, maintaining the quality of treatment, and mortality. These analyses could be the basis for developing an improved quality assessment program worldwide.

키워드

Colorectal neoplasms; Quality assessment; Mortality

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