한국에서 경동맥 협착증 관련 건강상태별 삶의 질 조사

박지정; 오성희; 유지혜; 이자연; 신상진

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자료유형: 학술저널

저자정보: 박지정 (한국보건의료연구원) 오성희 (연세대학교) 유지혜 (한국보건의료연구원) 이자연 (한국보건의료연구원) 신상진 (한국보건의료연구원)

저널정보: 한국보건의료기술평가학회 보건의료기술평가 보건의료기술평가 제4권 제1호

발행연도: 2016.6

수록면: 23 - 29 (7page)

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Objectives: This study was carried out to investigate the impact of carotid artery stenosis on qualify of life in Korea. Methods: A health scenario for each health states after undergoing carotid endar- terectomy or carotid artery stent was developed, and Time Trade Off and EQ-5D-3L tools were used on 400 general population to examine health-related quality of life. In addition, the 5th Korea Na- tional Health and Nutrition Examination Survey (2012) and Stoke Registry of Seoul National Uni- versity Bundang Hospital were utilized to find out quality of life of stroke and myocardial infarction, which are major complications of carotid artery stenosis. Results: As a result of survey, utility weight for health states without major complications after undergoing carotid endarterectomy or carotid artery stent to treat carotid artery stenosis was 0.79 (±0.10), and utility weight was further decreased to 0.61 (±0.13) for health states after undergoing reoperation due to restenosis. These weight were similar to major complications, which showed utility of 0.77 (±0.05) for myocardial infarction and 0.79 (±0.06) for minor stroke. They were higher than weight of 0.41 (±0.48) for major stroke. Con- clusion: The results of this study showed that quality of life of carotid artery stenosis is similar to myocardial infarction and minor stroke. The meaning of this study is in that it produced Korean utility weight of each health states related to carotid artery stenosis which are regarded as critical data re- quired for cost-utility analysis in the future.

#Carotid artery stenosis · Quality of life · Time trade off (TTO) · EQ-5D-3L.

참고문헌 (28)

참고문헌 신청

Korean Stroke Society / 2009 / Textbook of Stroke / Epublic

Jo YP / 2011 / Carotid stenosis: surgical view points / J Neurocrit Care 4(Suppl 1):S22~S26

Korean Neurological Association / 1993 / Epidemiology of cerebrovascular disease in Korea: a Collaborative Study, 1989-1990 / J Korean Med Sci 8:281~289

Towne JB / 1990 / First phase report of cooperative Veterans Administration asymptomatic carotid stenosis study--operative morbidity and mortality / J Vasc Surg 11:252~258

Clinical Research Center For Stroke / 2011 / Asymptomatic carotid stenosis for primary stroke prevention / Clinical Research Center For Stroke

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