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KMID : 1100520170230020119
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Healthcare Informatics Research
2017 Volume.23 No. 2 p.119 ~ p.125
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Care Pathway for Cancer Survivorship in Korea: Trend of Breast Cancer Pathway from 2003 to 2010
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Seo Hwa-Jeong
Noh Dong-Yong
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Abstract
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Objectives: The survival rate of cancer patients has exceeded 60%. Although cancer survivors may die of other diseases except cancer, the health management system including chronic disease prevention-management for cancer survivors, has not been established in the diverse aspects. Therefore, services according to care pathway of cancer patients need to be provided through a support system based on a platform concept that can be used to meet patient needs in various ways.
Methods: A sample cohort database (2002?2010) of approximately 1 million persons?2% of the whole nation (50 million)?was used to estimate cancer survivors through a principal care pathway for cancer management. The sample cohort database was built to estimate the number of breast cancer survivors in the five stage: ‘Diagnosis and treatment,’ ‘Supportive care,’ ‘Monitoring,’ ‘Progress illness,’ and ‘Hospice care’. In this way, the scale of breast cancer survivors was estimated.
Results: There were 330 (9.8%) cases of the incidence of cancer in 2010 in the ‘Diagnosis and treatment.’ Among the cases of the incidence of cancer in the previous year, the number of one-year survivors was 328 (9.7%); these were included in the category ‘Supportive care.’ In the ‘Monitoring’ category, 2,593 (76.9%) who maintained health lives were included. A total of 84 (2.5%) survivors were checked to identify an ongoing disease; these were included in the category ‘Progress illness.’ In the category ‘Hospice care,’ 36 (1.1%) end-stage cancer patients requiring hospice care were included.
Conclusions: We established a care pathway bysurvival stage in order to fulfill prevention and health management services post-treatment management steps.
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KEYWORD
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Breast Neoplasms, Survival Rate, Critical Pathways, Cohort Studies, Postoperative Care
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