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KMID : 0985520210260030186
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Korean Journal of Pancreas and Biliary Tract
2021 Volume.26 No. 3 p.186 ~ p.194
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Trends and Characteristics of Endoscopic Retrograde Cholangiopancreatography: A Nationwide Database Study in Korea
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Yoon Seung-Bae
Kim Jung-Mee
Paik Chang-Nyol
Lee Jun-Kyu
Jang Dong-Kee
Yoon Won-Jae
Kim Jung-Wook
Son Byoung-Kwan
Lee Tae-Hee
Jang Jae-Young
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Abstract
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Background/Aim: Endoscopic retrograde choangiopancreatography (ERCP) has been established as an effective tool for the diagnosis and treatment of pancreatobiliary diseases. However, after the evolution for more than 4 decades, nationwide data on current trends and characteristic is not well known. Therefore, we conducted an analysis of nationwide database to determine the number and status of ERCP performed in Korea.
Methods: We used the nationwide claims database, Korean Health Insurance Review and Assessment between 2012 and 2015. We investigated the frequencies and characteristics of ERCP procedure performed as well as demographics of the patients.
Results: A total of 158,038 ERCP procedures were performed in 114,757 patients during study period. The number of total ERCPs increased every year, and especially the rate of therapeutic ERCPs is on the increased trend. About two-thirds of ERCPs (63.3%) were performed in high-scaled hospitals. In 2015, the proportion of elderly patients over 80 years old increased compared to that in 2011, from 14.3% to 17.2%.
Conclusions: The annual number of ERCPs performed is increasing in Korea. With increasing ERCP for therapeutic purposes or for older patients, more attention should be paid to safety for patients.
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KEYWORD
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Database, Cholangiopancreatography, endoscopic retrograde, Nationwide, Korea
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