Nationwide big data analysis of inguinal hernia surgery trends in South Korea (2016-2022).

IF 1.2 4区 医学 Q3 SURGERY
Hyunjeong Ki, Seyoung Koo, Gil Ho Kang, Jiyoung Sul, Junbeom Park
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引用次数: 0

Abstract

Purpose: This study aimed to analyze nationwide trends and regional disparities in inguinal hernia surgeries in South Korea between 2016 and 2022. Additionally, we aimed to evaluate changes in surgery frequency, including urban concentration and the introduction of robotic surgery.

Methods: This retrospective review used nationwide data on inguinal hernia surgeries from the Health Insurance Review and Assessment Service database.

Results: From 2016 to 2022, 254,367 inguinal hernia surgeries were performed in South Korea, with males accounting for 88.9% of cases. The annual number of surgeries fluctuated, particularly in 2020, owing to the coronavirus disease 2019 pandemic. Medical costs increased from $1,218.4 to $1,970 on average, whereas patient copayments rose from $180.2 to $293.3. Robotic inguinal hernia surgeries, introduced in 2019, increased to 226 cases in 2022. Pediatric surgeries steadily declined, whereas adult surgeries remained stable, with a slight increase in 2022. The average hospital stay did not change significantly but varied between pediatric and adult patients. Regional disparities were notable, especially in pediatric surgery rates between metropolitan areas, such as Seoul and the surrounding provinces.

Conclusion: This study highlights stable overall surgery rates, a decline in pediatric cases, and an increase in robotic inguinal hernia surgeries. The persistent concentration of healthcare services in metropolitan areas suggests a need for policy interventions to address regional disparities and ensure equitable healthcare access. The findings underscore the importance of ongoing efforts to improve healthcare distribution and the need for long-term strategies to address changing surgical trends.

2016-2022年韩国腹股沟疝手术趋势大数据分析。
目的:本研究旨在分析2016年至2022年韩国腹股沟疝手术的全国趋势和地区差异。此外,我们旨在评估手术频率的变化,包括城市集中度和机器人手术的引入。方法:本回顾性研究使用来自健康保险审查和评估服务数据库的全国腹股沟疝手术数据。结果:2016 - 2022年,韩国腹股沟疝手术254367例,男性占88.9%。由于2019年冠状病毒大流行,每年的手术数量波动较大,特别是在2020年。医疗费用平均从1 218.4美元增加到1 970美元,而患者共付额从180.2美元增加到293.3美元。2019年推出的腹股沟疝机器人手术,到2022年增加到226例。儿科手术稳步下降,而成人手术保持稳定,2022年略有增加。儿童和成人患者的平均住院时间没有显著变化,但存在差异。特别是首尔等首都圈和周边地区的小儿手术率,地区间的差异非常明显。结论:本研究强调总体手术率稳定,儿科病例下降,机器人腹股沟疝手术增加。保健服务持续集中在大都市地区,这表明需要采取政策干预措施,以解决地区差距并确保公平获得保健服务。研究结果强调了持续努力改善医疗保健分配的重要性,以及需要制定长期战略来应对不断变化的手术趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.30
自引率
7.10%
发文量
75
期刊介绍: Manuscripts to the Annals of Surgical Treatment and Research (Ann Surg Treat Res) should be written in English according to the instructions for authors. If the details are not described below, the style should follow the Uniform Requirements for Manuscripts Submitted to Biomedical Journals: Writing and Editing for Biomedical Publications available at International Committee of Medical Journal Editors (ICMJE) website (http://www.icmje.org).
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