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KMID : 1188520120080020016
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Korean Journal of Clinical Oncology
2012 Volume.8 No. 2 p.16 ~ p.22
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Short Term Outcomes of Gastric Cancer Surgery in Public Hospital
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Park In-Kyu
Oh Heung-Kwon
Park Sei-Hyeog
Park Jong-Min
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Abstract
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Introduction : Although there are several studies which have shown the difference between the clinical outcome and socioeconomic status, there is still insufficient research in Korea. This study will show the difference of short term clinical outcome according to the type of health insurance for patients who have had surgery for gastric cancer in public hospital.
Methods : From March 2007 to July 2012, 186 patients who underwent surgery for gastric cancer were retrospectively analyzed. Patients were examined by socioeconomic status. It classified patient in two groups. One was lower class for patients who were beneficiaries of medical aid. Another was upper class for patients who benefitted from health insurance.
Results : 186 patients were 81 beneficiaries and 105 health insurance patients. The mean age was 63.6 years and 65.3 years for each group. Comorbidity disease was 65.4% and 78.1%. Asymptomatic checkup rate was 32.1% and 46.7%. Radical resection was 74.1% and 85.7%. Combined resection was 34.6% and 21.9%. There were many currently advanced stage patients in beneficiaries. The recurrence rate was 16.7% and 5.6% after radical resection.
Conclusions : Medical aid beneficiaries had the higher proportion of progressive gastric cancer due to lack of an early screening and the low radical resection rate after undergoing operation. The rate of recurrence was high for beneficiaries too.
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KEYWORD
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Social Class, Stomach Neoplasms, Public Hospital
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