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논문 기본 정보

자료유형
학술저널
저자정보
Rayzah Musaed (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Ryu Jai Min (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Lee Jun-Hee (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Nam Seok Jin (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Kim Seok Won (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Lee Se Kyung (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Yu Jonghan (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan) Lee Kyeong-Tae (Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seo) Bang Sa-Ik (Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seo) Mun Goo-Hyun (Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seo) Pyon Jai-Kyong (Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seo) Jeon Byung-Joon (Department of Plastic Surgery Samsung Medical Center Sungkyunkwan University School of Medicine Seo) Lee Jeong Eon (Division of Breast and Endocrine Surgery Department of Surgery Samsung Medical Center Sungkyunkwan)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.36 No.29
발행연도
2021.1
수록면
1 - 9 (9page)

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Background: Since April 2015, the Korean National Health Insurance (NHI) has reimbursed breast cancer patients, approximately 50% of the cost of the breast reconstruction (BR) procedure. We aimed to investigate NHI reimbursement policy influence on the rate of immediate BR (IBR) following total mastectomy (TM). Methods: We retrospectively analyzed breast cancer data between April 2011 and June 2016. We divided patients who underwent IBR following TM for primary breast cancer into “uninsured” and “insured” groups using their NHI statuses at the time of surgery. Univariate analyses determined the insurance influence on the decision to undergo IBR. Results: Of 2,897 breast cancer patients, fewer uninsured patients (n = 625) underwent IBR compared with those insured (n = 325) (30.0% vs. 39.8%, P < 0.001). Uninsured patients were younger than those insured (median age [range], 43 [38–48] vs. 45 [40–50] years; P < 0.001). Pathologic breast cancer stage did not differ between the groups (P = 0.383). More insured patients underwent neoadjuvant chemotherapy (P = 0.011), adjuvant radiotherapy (P < 0.001), and IBR with tissue expander insertion (P = 0.005) compared with those uninsured. Conclusion: IBR rate in patients undergoing TM increased after NHI reimbursement.

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