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논문 기본 정보

자료유형
학술저널
저자정보
Susan Park (Kyungpook National University) Jin-Won Kwon (Kyungpook National University) Joong-Min Park (Chung-Ang University College of Medicine) Sungsoo Park (Korea University College of Medicine) Jinseub Hwang (Daegu University) Kyung Won Seo (Kosin University College of Medicine)
저널정보
대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.98 No.5
발행연도
2020.5
수록면
254 - 261 (8page)

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Purpose: Laparoscopic antireflux surgery is not widely used in Korea, but published data suggest that its results are comparable to those of Western countries. The purpose of this study was to compare the clinical characteristics, medical utilization, and medical costs of antireflux surgery and proton pump inhibitor (PPI) treatments.
Methods: We used Korean patients who underwent fundoplication (n = 342, surgery group) and a 25% random sample of all patients diagnosed with gastroesophageal reflux disease (GERD) who were prescribed PPIs for more than 12 weeks (n = 130,987, medication group) between 2007 to 2016. We compared medical costs and utilization between the 2 groups.
Results: The average cost of fundoplication was $4,631. The costs of GERD treatment in the first year after surgery and during the follow-up period were $78.1 and $50.1 per month, respectively. In the surgery group, the average monthly medical expenses decreased as the year progressed, but the average monthly medical expenses ($137.5 per month) did not decrease in the medication group. After stratifying by age group, the medical costs of the surgery group were lower than those of the medication group for all ages except for patients between the ages of 70 and 79. The cost difference between the 2 groups was prominent between the ages of 20 and 49.
Conclusion: This study showed that a significant decrease in cost was observed 1 year after surgery, and it was more apparent in younger patients. Further research is needed to determine the appropriateness of antireflux surgery for each group of patients.
#Costs #Fundoplication #Gastroesophageal reflux disease #Proton pump inhibitor

목차

INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES

참고문헌 (30)

참고문헌 신청
Nissen R / 1956 / A simple operation for control of ref lux esophagitis / Schweiz Med Wochenschr 86:590~592 google schola Dallemagne B / 1991 / Laparoscopic Nissen fundoplication : preliminary report / Surg Laparosc Endosc 1:138~143 google schola Bojke L / 2007 / A comparison of the cost effectiveness of pharmacotherapy or surgery (laparoscopic fundoplication) in the treatment of GORD / Pharmacoeconomics 25:829~841 google schola Epstein D / 2009 / Laparoscopic fundoplication compared with medical management for gastro-oesophageal reflux disease: cost effectiveness study / BMJ 339:b2576 google schola Funk LM / 2015 / Long-term costeffectiveness of medical, endoscopic and surgical management of gastroesophageal reflux disease / Surgery 157:126~136 google schola

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