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논문 기본 정보

자료유형
학술저널
저자정보
Jeong Byeong-Ho (Division of Pulmonary and Critical Care Medicine Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.) Lee Sang Haak (Division of Pulmonary Critical Care and Sleep Medicine Department of Internal Medicine Eunpyeong St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Kim Hwan Hee (Division of Pulmonary Critical Care and Sleep Medicine Department of Internal Medicine Eunpyeong St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Yoon Ho Il (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Bundang Hospital Seoul National University College of Medicine Seongnam Korea.) Eom Jung Seop (Department of Internal Medicine Pusan National University School of Medicine Busan Korea.) Park Young Sik (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Hospital Seoul Korea.) Cho Jaeyoung (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Seoul National University Hospital Seoul Korea.) Lee Taehoon (Division of Respiratory and Critical Care Medicine Department of Internal Medicine Ulsan University Hospital University of Ulsan College of Medicine Ulsan Korea.) Kim Seung Joon (Division of Pulmonology Department of Internal Medicine Seoul St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Cho Hyeong Jun (Division of Pulmonology Department of Internal Medicine Seoul St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Park Chan Kwon (Division of Pulmonary and Critical Care Medicine Department of Internal Medicine Yeouido St. Mary’s Hospital College of Medicine The Catholic University of Korea Seoul Korea.) Ko Yousang (Division of Pulmonary Allergy and Critical Care Medicine Department of Internal Medicine Kangdong Sacred Heart Hospital Hallym University College of Medicine Seoul Korea.) Kwon Yong-Soo (Department of Internal Medicine Chonnam National University Medical School Chonnam National University Hospital Gwangju Korea.) Kim Changhwan (Department of Internal Medicine Jeju National University Hospital Jeju National University School of Medicine Jeju Korea.) Ji Wonjun (Department of Pulmonary and Critical Care Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Choi Chang-Min (Department of Pulmonary and Critical Care Medicine Asan Medical Center University of Ulsan College of Medicine Seoul Korea.) Seo Ki-Hyun (Division of Pulmonary and Critical Care Medicine Department of Medicine Soonchunhyang University Cheonan Hospital Cheonan Korea.) Nam Hae-Seong (Division of Pulmonology Department of Internal Medicine Inha University Hospital Inha University School of Medicine Incheon Korea.) Kim Hojoong (Division of Pulmonary and Critical Care Medicine Department of Medicine Samsung Medical Center Sungkyunkwan University School of Medicine Seoul Korea.)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.38 No.3
발행연도
2023.1
수록면
1 - 14 (14page)
DOI
10.3346/jkms.2023.38.e13

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Background: Although almost all interventional pulmonologists agree that rigid bronchoscopy is irreplaceable in the field of interventional pulmonology, less is known about the types of diseases that the procedure is used for and what difficulties the operators face during the procedure. The purpose of this study is to evaluate what diseases rigid bronchoscopy is used for, whether it is widely used, and what challenges the operators face in Korea. Methods: We enrolled 14 hospitals in this retrospective cohort of patients who underwent rigid bronchoscopy between 2003 and 2020. An online survey was conducted with 14 operators to investigate the difficulties associated with the procedure. Results: While the number of new patients at Samsung Medical Center (SMC) increased from 189 in 2003–2005 to 468 in 2018–2020, that of other institutions increased from 0 to 238. The proportion of SMC patients in the total started at 100% and steadily decreased to 59.2%. The proportion of malignancy as the indication for the procedure steadily increased from 29.1% to 43.0%, whereas post-tuberculous stenosis (25.4% to 12.9%) and post-intubation stenosis (19.0% to 10.9%) steadily decreased (all P for trends < 0.001). In the online survey, half of the respondents stated that over the past year they performed less than one procedure per month. The fewer the procedures performed within the last year, the more likely collaboration with other departments was viewed as a recent obstacle (Spearman correlation coefficient, rs = −0.740, P = 0.003) and recent administrative difficulties were encountered (rs = −0.616, P = 0.019). Conclusion: This study demonstrated that the number of patients undergoing rigid bronchoscopy has been increasing, especially among cancer patients. For this procedure to be used more widely, it will be important for beginners to systematically learn about the procedure itself as well as to achieve multidisciplinary consultation.
#Rigid Bronchoscopy #Indication #Trend #Survey #Korea

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