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Original Articles
Analysis of Hospital Volume and Factors Influencing Economic Outcomes in Cancer Surgery: Results from a Population-based Study in Korea
Jung-A Lee, So-Young Kim, Keeho Park, Eun-Cheol Park, Jong-Hyock Park
Osong Public Health Res Perspect. 2017;8(1):34-46.   Published online February 28, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.1.05
  • 4,076 View
  • 31 Download
  • 7 Crossref
AbstractAbstract PDF
Objectives

To evaluate associations between hospital volume, costs, and length of stay (LOS), and clinical and demographic outcome factors for five types of cancer resection. The main dependent variables were cost and LOS; the primary independent variable was volume.

Methods

Data were obtained from claims submitted to the Korean National Health Insurance scheme. We identified patients who underwent the following surgical procedures: pneumonectomy, colectomy, mastectomy, cystectomy, and esophagectomy. Hospital volumes were divided into quartiles.

Results

Independent predictors of high costs and long LOS included old age, low health insurance contribution, non-metropolitan residents, emergency admission, Charlson score > 2, public hospital ownership, and teaching hospitals. After adjusting for relevant factors, there was an inverse relationship between volume and costs/LOS. The highest volume hospitals had the lowest procedure costs and LOS. However, this was not observed for cystectomy.

Conclusion

Our findings suggest an association between patient and clinical factors and greater costs and LOS per surgical oncologic procedure, with the exception of cystectomy. Yet, there were no clear associations between hospitals’ cost of care and risk-adjusted mortality.

Citations

Citations to this article as recorded by  
  • Impact of hospital volume on failure to rescue for complications requiring reoperation after elective colorectal surgery: multicentre propensity score–matched cohort study
    Marie T Grönroos-Korhonen, Laura E Koskenvuo, Panu J Mentula, Taina P Nykänen, Selja K Koskensalo, Ari K Leppäniemi, Ville J Sallinen
    BJS Open.2024;[Epub]     CrossRef
  • Volume-outcome relationships in laryngeal trauma processes of care: a retrospective cohort study
    David Forner, Christopher W. Noel, Matthew P. Guttman, Barbara Haas, Danny Enepekides, Matthew H. Rigby, S. Mark Taylor, Avery B. Nathens, Antoine Eskander
    European Journal of Trauma and Emergency Surgery.2022; 48(5): 4131.     CrossRef
  • Association between Stroke Quality Assessments and Mortality within 30 Days among Patients Who Underwent Hemorrhagic Stroke Surgeries in South Korea
    Mi-Na Lee, Wonjeong Jeong, Sung-In Jang, Sohee Park, Eun-Cheol Park
    Cerebrovascular Diseases.2022; 51(1): 82.     CrossRef
  • Impact of surgeon and hospital factors on length of stay after colorectal surgery systematic review
    Zubair Bayat, Keegan Guidolin, Basheer Elsolh, Charmaine De Castro, Erin Kennedy, Anand Govindarajan
    BJS Open.2022;[Epub]     CrossRef
  • Crucial areas of the economic analysis of public cancer care
    D. A. Andreev, K. I. Polyakova, A. A. Zavyalov, T. N. Ermolaeva, A. G. Fisun, A. D. Ermolaeva, V. A. Dubovtseva, T. E. Maksimova
    FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Phar.2020; 12(4): 310.     CrossRef
  • Initial Diagnosis of Colorectal Cancer through Colonoscopy or Emergent Surgery-Clinicopathological Features that Support Early Screening
    Konstantinos A Paschos, A Chatzigeorgiadis
    Hellenic Journal of Surgery.2020; 92(2): 51.     CrossRef
  • What Matters in the Performance of a Medial Institution?
    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(1): 1.     CrossRef
Does Skipping Breakfast and Being Overweight Influence Academic Achievement Among Korean Adolescents?
Yang Wha Kang, Jong-Hyock Park
Osong Public Health Res Perspect. 2016;7(4):220-227.   Published online August 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.05.004
  • 2,862 View
  • 26 Download
  • 12 Crossref
AbstractAbstract PDF
Objectives
Health status and health behaviors are associated with academic achievement in children and adolescents. The purpose of this study was to investigate whether skipping breakfast and being overweight are related to academic achievement of Korean adolescents.
Methods
Cross-sectional data on a sample of 1,652 high-school seniors (942 males and 710 females) drawn from the 2004 Korea Education Employment Panel were analyzed.
Results
A higher proportion of males (15.3%) than females (6.1%) was overweight (p < 0.001); 37% of males and 41% of females reported skipping breakfast. Overall test scores were significantly higher for females than males (p < 0.05), and in language and foreign language subjects. However, both males and females who reported skipping breakfast had significantly lower scores in language, mathematics, and foreign language than those who did not report skipping breakfast. Overweight males had a lower probability than normal-weight males of having the highest language scores (OR = 0.52, p < 0.05), but there was no difference among females. Females who skipped breakfast had a lower probability of having the highest scores in language (OR = 0.41, p < 0.05), mathematics (OR = 0.24, p < 0.01), or foreign language (OR = 0.18, p < 0.01), while males had a lower probability of having the highest scores in language only (OR = 0.46, p < 0.05).
Conclusion
Skipping breakfast and being overweight are associated with poor academic achievement in Korean adolescents. Eating breakfast and weight control is being discussed as the overlooked factors that may influence better academic achievement.

Citations

Citations to this article as recorded by  
  • İstanbul ili Silivri ilçesi lise öğrencilerinde depresyon sıklığı ve ilişkili risk faktörleri
    Gülver GÜLEN, Ethem ERGİNÖZ, Cemal KOÇAK
    Türkiye Halk Sağlığı Dergisi.2022; 20(1): 90.     CrossRef
  • Predicting the academic performance of middle- and high-school students using machine learning algorithms
    Suchithra Rajendran, S Chamundeswari, Akhouri Amitanand Sinha
    Social Sciences & Humanities Open.2022; 6(1): 100357.     CrossRef
  • Predicting the Academic Performance of Middle- and High-School Students Using Machine Learning Algorithms
    Suchithra Rajendran, Akhouri Sinha, Chamundeswari Rajendran
    SSRN Electronic Journal .2022;[Epub]     CrossRef
  • Sociodemographic and clinical factors associated with breakfast skipping among high school students
    Ju‐Yeon Lee, Dahye Ban, Honey Kim, Seon‐Young Kim, Jae‐Min Kim, Il‐Seon Shin, Sung‐Wan Kim
    Nutrition & Dietetics.2021; 78(4): 442.     CrossRef
  • Effect of a nutritional education intervention on breakfast consumption among preparatory school students in Egypt
    Omnia S. Elseifi, Doaa M. Abdelrahman, Eman M. Mortada
    International Journal of Public Health.2020; 65(6): 893.     CrossRef
  • Impact of Dietary Patterns and Nutritional Status on the Academic Performance of Omani School Students
    Laila S. Al-Saadi , Amanat Ali , Mostafa I. Waly  , K.M. Al-Zuhaibi
    Journal of Pharmacy and Nutrition Sciences .2020; 10(3): 74.     CrossRef
  • Predictors of breakfast skipping among 14 to 16 years old adolescents in Jordan: The influential role of mothers
    Reem A. Ali, Nadin M. Abdel Razeq, Manal I. Al‐Kloub, Fatmeh A. Alzoubi
    International Journal of Nursing Practice.2019;[Epub]     CrossRef
  • Association among Executive Function, Physical Activity, and Weight Status in Youth
    Vaida Borkertienė, Arvydas Stasiulis, Birutė Zacharienė, Laura Kyguolienė, Rasa Bacevičienė
    Medicina.2019; 55(10): 677.     CrossRef
  • SOCIAL SUPPORT TO TEENAGER BREAKFAST BEHAVIOR (Study at Sidoarjo Islamic State Senior High School)
    Angga Satria Prayogo, Muji Sulistyowati
    Jurnal PROMKES.2019; 7(1): 105.     CrossRef
  • The association between obesity and academic performance in youth: a systematic review
    C. C. A. Santana, J. O. Hill, L. B. Azevedo, T. Gunnarsdottir, W. L. Prado
    Obesity Reviews.2017; 18(10): 1191.     CrossRef
  • Effects of Reading a Picture Leaflet on Rhythm for Enhancement of Morning-Typed Life in Japanese Infants
    Misako Kawamata, Ryota Kawasumi, Fujiko Tsuji, Nozomi Taniwaki, Takahiro Kawada, Teruki Noji, Milada Krejci, Miyo Nakade, Hitomi Takeuchi, Tetsuo Harada
    Psychology.2017; 08(11): 1621.     CrossRef
  • Study on Skipping Breakfast in Adolescents Classified by Household Type
    Jaehong Park, Soye You
    The Korean Journal of Community Living Science.2017; 28(2): 329.     CrossRef
Depression among Korean Adults with Type 2 Diabetes Mellitus: Ansan-Community-Based Epidemiological Study
Chan Young Park, So Young Kim, Jong Won Gil, Min Hee Park, Jong-Hyock Park, Yeonjung Kim
Osong Public Health Res Perspect. 2015;6(4):224-232.   Published online August 31, 2015
DOI: https://doi.org/10.1016/j.phrp.2015.05.004
  • 3,114 View
  • 13 Download
  • 22 Crossref
AbstractAbstract PDF
Objectives
There are an increasing number of studies being carried out on depression in patients with diabetes. Individuals with diabetes have been reported as having a higher prevalence of depression compared to those without diabetes. However, only a few studies involving Korean patients have been conducted. The aims of this study were to examine the prevalence of depression and to find various risk factors according to the degree of depression among Korean patients with Type 2 diabetes mellitus (T2DM).
Methods
An Ansan-community-based epidemiological study was conducted from 2005 to 2012. The total number of participants in this study was 3,540, from which patients with diabetes (n = 753) have been selected. The presence of depression was evaluated using the Beck Depression Inventory total score.
Results
The prevalence of depression was 28.8%. The mean age of participants was 55.5 ± 8.2 years. We divided the participants into three groups (without-depression, moderate-depression, and severe-depression groups) to examine the depression prevalence among Korean T2DM patients. The unemployed participants had 2.40 [95% confidence interval (CI) 1.21–4.76], the low-income participants had 2.57 (95% CI 1.52–4.35), the participants using an oral diabetes medicine or insulin had 2.03 (95% CI 1.25–3.32), the participants who are currently smoking had 2.03 (95% CI 1.10–3.73), and those without regular exercise had 1.91 (95% CI 1.17–3.14) times higher odds of depression in the severe-depression group, compared with the without-depression group.
Conclusion
There was a significant association between depression prevalence and diabetes, and we found various risk factors according to the degree of depression in Korean patients with T2DM.

Citations

Citations to this article as recorded by  
  • Psychological Health and Diabetes Self-Management among Patients with Type 2 Diabetes during COVID-19 in the Southwest of Saudi Arabia
    Abdulrhman H. Alkhormi, Mohamed Salih Mahfouz, Najim Z. Alshahrani, Abdulrahman Hummadi, Wali A. Hakami, Doha H. Alattas, Hassan Q. Alhafaf, Leena E. Kardly, Mulook A. Mashhoor
    Medicina.2022; 58(5): 675.     CrossRef
  • Higher risk of depression in individuals with type 2 diabetes and obesity: Results of a meta-analysis
    Thelma Beatriz González-Castro, Yudy Merady Escobar-Chan, Ana Fresan, María Lilia López-Narváez, Carlos Alfonso Tovilla-Zárate, Isela Esther Juárez-Rojop, Jorge L Ble-Castillo, Alma Delia Genis-Mendoza, Pedro Iván Arias-Vázquez
    Journal of Health Psychology.2021; 26(9): 1404.     CrossRef
  • The Effects of Meditation with a Biofeedback Program on Stress and Depression Levels among People with Mild Depression Diabetes
    Ormanee Patarathipakorn, Manyat Ruchiwit, Marlaine Smith
    The Open Public Health Journal.2021; 14(1): 104.     CrossRef
  • Association between the level of adherence to dietary guidelines and depression among Korean patients with type 2 diabetes mellitus
    Seonghee Park, Kyong Park
    Journal of Psychosomatic Research.2021; 145: 110463.     CrossRef
  • Depression Among Patients with Type 2 Diabetes Mellitus: Prevalence and Associated Factors in Hue City, Vietnam
    Nhu Minh Hang Tran, Quang Ngoc Linh Nguyen, Thi Han Vo, Tran Tuan Anh Le, Ngoc Ha Ngo
    Diabetes, Metabolic Syndrome and Obesity: Targets .2021; Volume 14: 505.     CrossRef
  • Factors Associated with Depressive Symptoms in Korean Adults with Diabetes Mellitus: A Cross-Sectional Study
    Mihyun Jeong
    Healthcare.2021; 9(8): 1049.     CrossRef
  • Spiritual intelligence, mindfulness, emotional dysregulation, depression relationship with mental well-being among persons with diabetes during COVID-19 pandemic
    Wojujutari Kenni Ajele, Teslim Alabi Oladejo, Abimbola A. Akanni, Oyeyemi Bukola Babalola
    Journal of Diabetes & Metabolic Disorders.2021; 20(2): 1705.     CrossRef
  • Depression and Its Predictors among Diabetes Mellitus Patients Attending Treatment in Hawassa University Comprehensive Specialized Hospital, Southern Ethiopia
    Bereket Beyene Gebre, Suzan Anand, Zebene Mekonnen Assefa
    Journal of Diabetes Research.2020; 2020: 1.     CrossRef
  • Effect of Study Design and Survey Instrument to Identify the Association Between Depressive Symptoms and Physical Activity in Type 2 Diabetes, 2000-2018: A Systematic Review
    Jusung Lee, Timothy Callaghan, Marcia Ory, Hongwei Zhao, Margaret Foster, Jane N. Bolin
    The Diabetes Educator.2020; 46(1): 28.     CrossRef
  • Genetic Overlap Between Type 2 Diabetes and Depression in a Sri Lankan Population Twin Sample
    Carol Kan, Kaushalya Jayaweera, Anushka Adikari, Sisira Siribaddana, Helena M.S. Zavos, Lisa Harber-Aschan, Athula Sumathipala, Matthew Hotopf, Khalida Ismail, Frühling Rijsdijk
    Psychosomatic Medicine.2020; 82(2): 247.     CrossRef
  • Depression in Iranian Children with Diabetes and Related Factors
    Azadeh Sayarifard, Fatemeh Sayarifard, Maryam Nazari, Morteza Nikzadian, Mona Amrollahinia, Javad Mahmoudi-Gharaei
    Iranian Journal of Pediatrics.2020;[Epub]     CrossRef
  • Prevalence of Undiagnosed Depression in Patients With Type 2 Diabetes
    Dina Siddiq Abdulhadi Alajmani, Amna Mohamad Alkaabi, Mariam Waleed Alhosani, Ayesha Abdulaziz Folad, Fawzia Ahmed Abdouli, Frederick Robert Carrick, Mahera Abdulrahman
    Frontiers in Endocrinology.2019;[Epub]     CrossRef
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    Aidibai Simayi, Patamu Mohemaiti
    Endocrine Journal.2019; 66(9): 793.     CrossRef
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    Mohammad Khaledi, Fahimeh Haghighatdoost, Awat Feizi, Ashraf Aminorroaya
    Acta Diabetologica.2019; 56(6): 631.     CrossRef
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  • Past and Current Status of Adult Type 2 Diabetes Mellitus Management in Korea: A National Health Insurance Service Database Analysis
    Seung-Hyun Ko, Kyungdo Han, Yong-ho Lee, Junghyun Noh, Cheol-Young Park, Dae-Jung Kim, Chang Hee Jung, Ki-Up Lee, Kyung-Soo Ko
    Diabetes & Metabolism Journal.2018; 42(2): 93.     CrossRef
  • Why Early Psychological Attention for Type 2 Diabetics Could Contribute to Metabolic Control
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    Diabetes & Metabolism Journal.2017; 41(4): 296.     CrossRef
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    Psychiatry Research.2017; 252: 45.     CrossRef
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    International Journal of Mental Health Systems.2016;[Epub]     CrossRef
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    International Psychogeriatrics.2016; 28(7): 1191.     CrossRef

PHRP : Osong Public Health and Research Perspectives