Abstract：
Purpose:Laparoscopic antireflux surgery is not widely used in Korea, but published data suggest that its results are comparable to those of Western countries. The purpose of this study was to compare the clinical characteristics, medical utilization, and medical costs of antireflux surgery and proton pump inhibitor (PPI) treatments. Methods:We used Korean patients who underwent fundoplication (n = 342, surgery group) and a 25% random sample of all patients diagnosed with gastroesophageal reflux disease (GERD) who were prescribed PPIs for more than 12 weeks (n = 130,987, medication group) between 2007 to 2016. We compared medical costs and utilization between the 2 groups. Results:The average cost of fundoplication was $4,631. The costs of GERD treatment in the first year after surgery and during the follow-up period were $78.1 and $50.1 per month, respectively. In the surgery group, the average monthly medical expenses decreased as the year progressed, but the average monthly medical expenses ($137.5 per month) did not decrease in the medication group. After stratifying by age group, the medical costs of the surgery group were lower than those of the medication group for all ages except for patients between the ages of 70 and 79. The cost difference between the 2 groups was prominent between the ages of 20 and 49. Conclusion:This study showed that a significant decrease in cost was observed 1 year after surgery, and it was more apparent in younger patients. Further research is needed to determine the appropriateness of antireflux surgery for each group of patients.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Park S,Kwon JW,Park JM,Park S,Hwang J,Seo KWdoi
10.4174/astr.2020.98.5.254subject
Has Abstractpub_date
2020-05-01 00:00:00pages
254-261issue
5eissn
2288-6575issn
2288-6796journal_volume
98pub_type
杂志文章abstract：PURPOSE:The postoperative treatment after appendectomy is usually decided on the basis of the surgeons' intraoperative findings. Comparatively, the pathologic diagnosis of appendicitis is confirmed several days after the surgery; therefore, it usually does not affect the postoperative treatment strategy. The aim of thi...
journal_title：Annals of surgical treatment and research
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abstract：:Single-incision laparoscopic surgery has gained increasing attention due to its potential to improve the benefits of laparoscopic surgery. However, inconvenience remains for inexperienced surgeons during surgery when instruments conflict with each other, and a glove port is used hesitantly for such diagnosis related g...
journal_title：Annals of surgical treatment and research
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abstract：PURPOSE:Treatment of patients with para-aortic lymph node metastasis from colorectal cancer is controversial. The goal of this study was to investigate the technical feasibility of laparoscopic intrarenal para-aortic lymph node dissection in patients with colorectal cancer and clinically suspected para-aortic lymph nod...
journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
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abstract：Purpose:Infection remains the main cause of morbidity and mortality in liver transplantation (LT) recipients; however infection is notoriously difficult to diagnose because its usual signs and symptoms of infection may be masked or absent. This study comprises an analysis of bacterial infections in the early period aft...
journal_title：Annals of surgical treatment and research
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abstract：PURPOSE:This study aimed to compare the learning curves and early postoperative outcomes for conventional laparoscopic (CL) and single incision laparoscopic (SIL) right hemicolectomy (RHC). METHODS:This retrospective study included the initial 35 cases in each group. Learning curves were evaluated by the moving averag...
journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.88.5.269
更新日期：2015-05-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.91.1.17
更新日期：2016-07-01 00:00:00
abstract：Purpose:Clinically suspected T4 stage colon cancer from a preoperative exam is often diagnosed as T3 stage colon cancer pathologically after surgery, raising concerns about understaging. The aims of this study were to compare the survival of clinical T3 and T4 colon cancer patients who had received a pathologic T3 stag...
journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2016.90.6.340
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2019.97.3.113
更新日期：2019-09-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type：
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更新日期：2014-05-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.93.3.143
更新日期：2017-09-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2017.93.4.203
更新日期：2017-10-01 00:00:00
abstract：:Anastomotic leakage following rectal resection is a serious and fearful complication, and may cause presacral abscess and/or peritonitis. To our knowledge, massive hematochezia secondary to presacral abscess caused by anastomotic leakage has not yet been reported in the literature. We observed this rare and life-threa...
journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2015.88.4.236
更新日期：2015-04-01 00:00:00
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journal_title：Annals of surgical treatment and research
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doi：10.4174/astr.2019.97.2.83
更新日期：2019-08-01 00:00:00
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.89.1.17
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journal_title：Annals of surgical treatment and research
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.87.5.245
更新日期：2014-11-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.90.3.164
更新日期：2016-03-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 已发布勘误
doi：10.4174/astr.2015.88.3.178
更新日期：2015-03-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type：
doi：10.4174/astr.2016.90.2.111
更新日期：2016-02-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2016.91.3.104
更新日期：2016-09-01 00:00:00
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journal_title：Annals of surgical treatment and research
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更新日期：2017-11-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.86.1.1
更新日期：2014-01-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2015.89.3.117
更新日期：2015-09-01 00:00:00
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journal_title：Annals of surgical treatment and research
pub_type： 杂志文章
doi：10.4174/astr.2014.86.4.206
更新日期：2014-04-01 00:00:00
