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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 174 - 180 (7page)
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초록· 키워드
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Background/Aims: This study was conducted to evaluate whether medical costs can be reduced using endoscopic submucosal dissection (ESD) instead of conventional surgeries in patients with early gastric cancer (EGC). Methods: Patients who underwent open gastrectomy (OG), laparoscopy-assisted gastrectomy (LAG), and ESD for EGC were recruited from three medical institutions in 2009. For macro-costing, the medical costs for each patient were derived from the expenses incurred during the patient’s hospital stay and 1-year follow-up. The overall costs in micro-costing were determined by multiplying the unit cost with the resources used during the patients’ hospitalization. Results: A total of 194 patients were included in this study. The hospital stay for ESD was 5 to 8 days and was significantly shorter than the 12-day hospital stay for OG or the 11- to 17-day stay for LAG. Using macro-costing, the average medical costs for ESD during the hospital stay ranged from 2.1 to 3.4 million Korean Won (KRW) per patient, and the medical costs for conventional surgeries were estimated to be between 5.1 million and 8.2 million KRW. There were no significant differences in the 1-year follow-up costs between ESD and conventional surgeries. Conclusions: ESD patients had lower medical costs than those patients who had conventional surgeries for EGC with conservative indications.
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참고문헌 (23)
참고문헌 신청
Chung IK / 2009 / Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms: Korean ESD Study Group multicenter study / Gastrointest
Hanaoka N / 2010 / Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer / Endoscopy 42 : 1112 ~ 1115
Isomoto H / 2009 / Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility st
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 / Gastric Cancer 14 : 113 ~ 123
Kim HH / 2010 / Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report: a phase III multicenter, prospective, rando
Hanaoka N / 2010 / Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer / Endoscopy 42 : 1112 ~ 1115
Isomoto H / 2009 / Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility st
Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 / Gastric Cancer 14 : 113 ~ 123
Kim HH / 2010 / Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report: a phase III multicenter, prospective, rando
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