Archives of Plastic Surgery

  • 제45권3호
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  • Pages.239-245
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  • 2018
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Trends in breast reconstruction: Implications for the National Health Insurance Service

  • Hong, Ki Yong (Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital) ;
  • Son, Yoosung (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Chang, Hak (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital) ;
  • Jin, Ung Sik (Department of Plastic and Reconstructive Surgery, Seoul National University Hospital)
  • 투고 : 2017.08.31
  • 심사 : 2017.03.15
  • 발행 : 2018.05.22
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초록

Background Breast reconstruction has become more common as mastectomy has become more frequent. In Korea, the National Health Insurance Service (NHIS) began covering breast reconstruction in April 2015. This study aimed to investigate trends in mastectomy and breast reconstruction over the past 10 years and to evaluate the impact of NHIS coverage on breast reconstruction. Methods Nationwide data regarding mastectomy and breast reconstruction were collected from the Korean Breast Cancer Society registry database. Multiple variables were analyzed in the records of patients who underwent breast reconstruction from January 2005 to March 2017 at a single institution. Results At Seoul National University Hospital, the total number of reconstruction cases increased 13-fold from 2005 to 2016. The proportion of immediate breast reconstruction (IBR) cases out of all cases of total mastectomy increased from 4% in 2005 to 52.0% in 2016. The proportion of delayed breast reconstruction (DBR) cases out of all cases of breast reconstruction and the overall number of DBR cases increased from 8.8% (20 cases) in 2012 to 18.3% (76 cases) in 2016. After NHIS coverage was initiated, the proportions of IBR and DBR showed statistically significant increases (P<0.05). Among the IBR cases, the percentage of prosthesis-based reconstructions increased significantly (P<0.05), but this trend was not found with DBR. Total mastectomy became significantly more common after the expansion of NHIS coverage (P<0.05). Conclusions Over the last decade, there has been an increase in mastectomy and breast reconstruction, and the pace of increase accelerated after the expansion of NHIS coverage. It is expected that breast reconstruction will be a routine option for patients with breast cancer under the NHIS.

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참고문헌

  1. Korean Breast Cancer Society. 2016 Breast cancer facts & figures. Seoul: Korean Breast Cancer Society; 2016.
  2. Min SY, Kim Z, Hur MH, et al. The basic facts of Korean breast cancer in 2013: results of a nationwide survey and breast cancer registry database. J Breast Cancer 2016;19:1-7. https://doi.org/10.4048/jbc.2016.19.1.1
  3. Hu ES, Pusic AL, Waljee JF, et al. Patient-reported aesthetic satisfaction with breast reconstruction during the long-term survivorship period. Plast Reconstr Surg 2009;124:1-8.
  4. Yueh JH, Slavin SA, Adesiyun T, et al. Patient satisfaction in postmastectomy breast reconstruction: a comparative evaluation of DIEP, TRAM, latissimus flap, and implant techniques. Plast Reconstr Surg 2010;125:1585-95. https://doi.org/10.1097/PRS.0b013e3181cb6351
  5. Yang RL, Newman AS, Lin IC, et al. Trends in immediate breast reconstruction across insurance groups after enactment of breast cancer legislation. Cancer 2013;119:2462-8. https://doi.org/10.1002/cncr.28050
  6. American Cancer Society. Women's Health and Cancer Rights Act [Internet]. Atlanta, GA: American Cancer Society [cited 2018 Mar 27]. Available from: https://www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-laws/womens-health-and-cancer-rights-act.html.
  7. Ministry of Health and Welfare. Details on the criteria and method of application of allowance of medical care_revision [Internet]. Sejong: Ministry of Health and Welfare [cited 2018 Mar 27]. Available from: http://www.mohw.go.kr/react/index.jsp.
  8. Ko BS, Noh WC, Kang SS, et al. Changing patterns in the clinical characteristics of Korean breast cancer from 1996-2010 using an online nationwide breast cancer database. J Breast Cancer 2012;15:393-400. https://doi.org/10.4048/jbc.2012.15.4.393
  9. Jung J. Nationwide Korean breast data of 2004 using breast cancer registration program. J Breast Cancer 2006;9:151-61. https://doi.org/10.4048/jbc.2006.9.2.151
  10. Jung YS, Na KY, Kim KS, et al. Nation-wide Korean breast cancer data from 2008 using the breast cancer registration program. J Breast Cancer 2011;14:229-36. https://doi.org/10.4048/jbc.2011.14.3.229
  11. Kim Z, Min SY, Yoon CS, et al. The basic facts of Korean breast cancer in 2011: results of a nationwide survey and breast cancer registry database. J Breast Cancer 2014;17:99-106. https://doi.org/10.4048/jbc.2014.17.2.99
  12. Kim Z, Min SY, Yoon CS, et al. The basic facts of Korean breast cancer in 2012: results from a nationwide survey and breast cancer registry database. J Breast Cancer 2015;18:103-11. https://doi.org/10.4048/jbc.2015.18.2.103
  13. American Society of Plastic Surgeons. 2016 Plastic surgery statistics [Internet]. Arlington Heights, IL: The Society [cited 2018 Mar 27]. Available from: https://www.plasticsurgery.org/news/plastic-surgery-statistics?sub=2016+Plastic+Surgery+Statistics.
  14. Adesiyun TA, Lee BT, Yueh JH, et al. Impact of sequencing of postmastectomy radiotherapy and breast reconstruction on timing and rate of complications and patient satisfaction. Int J Radiat Oncol Biol Phys 2011;80:392-7. https://doi.org/10.1016/j.ijrobp.2010.02.039
  15. Farhangkhoee H, Matros E, Disa J. Trends and concepts in post-mastectomy breast reconstruction. J Surg Oncol 2016; 113:891-4. https://doi.org/10.1002/jso.24201
  16. Albornoz CR, Bach PB, Mehrara BJ, et al. A paradigm shift in U.S. breast reconstruction: increasing implant rates. Plast Reconstr Surg 2013;131:15-23.
  17. Cemal Y, Albornoz CR, Disa JJ, et al. A paradigm shift in U.S. breast reconstruction: part 2. the influence of changing mastectomy patterns on reconstructive rate and method. Plast Reconstr Surg 2013;131:320e-326e. https://doi.org/10.1097/PRS.0b013e31827cf576
  18. Jagsi R, Jiang J, Momoh AO, et al. Trends and variation in use of breast reconstruction in patients with breast cancer undergoing mastectomy in the United States. J Clin Oncol 2014;32:919-26. https://doi.org/10.1200/JCO.2013.52.2284
  19. Leff DR, Bottle A, Mayer E, et al. Trends in immediate postmastectomy breast reconstruction in the United Kingdom. Plast Reconstr Surg Glob Open 2015;3:e507. https://doi.org/10.1097/GOX.0000000000000484
  20. Lang JE, Summers DE, Cui H, et al. Trends in post-mastectomy reconstruction: a SEER database analysis. J Surg Oncol 2013;108:163-8. https://doi.org/10.1002/jso.23365

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