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Korean J Gastroenterol  <  Volume 75(1); 2020 <  Articles

Korean J Gastroenterol 2020; 75(1): 17-22  https://doi.org/10.4166/kjg.2020.75.1.17
Analysis of Prognosis according to Type of Health Insurance in Five Major Gastrointestinal Cancer Patients in Public Hospitals: Single-institution Retrospective Study
Dong Seok Lee, Jaekyung Lee, Ji Won Kim , Kook Lae Lee, Byeong Gwan Kim, Su Hwan Kim and Yong Jin Jung
Department of Gastroenterology, Seoul National University Boramae Medical Center, Seoul National University of College of Medicine, Seoul, Korea
Correspondence to: Ji Won Kim, Department of Gastroenterology, Seoul National University Boramae Medical Center, Seoul National University of College of Medicine,
20 Boramae-ro 5-gil, Dongjak-gu, Seoul 07061, Korea. Tel: +82-2-870-2221, Fax: +82-2-870-3866, E-mail: kjwjor@snu.ac.kr, ORCID: https://orcid.org/0000-0002-1214-5544

Financial support: This work was supported by a clinical research grant-in-aid from the Seoul Metropolitan Government Seoul National University (SMG-SNU) Boramae Medical Center (03-2017-25).
Received: May 27, 2019; Revised: October 13, 2019; Accepted: November 2, 2019; Published online: January 25, 2020.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background/Aims: Public hospitals were established to provide high quality medical services to low socioeconomic status patients. This study examined the effects of public hospitals on the treatment and prognosis of patients with five-major gastrointestinal (GI) cancers (stomach cancer, colon cancer, liver cancer, bile duct cancer, and pancreatic cancer).
Methods: Among the 1,268 patients treated at Seoul National University Boramae Medical Center from January 2010 to December 2017, 164 (13%) were in the medicare group. The data were analyzed to identify and compare the clinical manifestations, treatment modality, and clinical outcomes between the groups.
Results: No statistically significant differences in the clinical data (age, sex), treatment method, and five-year survival rate were observed between the health insurance group and medicare group in the five major GI cancer patients. On the other hand, some medicare group patients tended more comorbidities and fewer treatment options than health insurance patients.
Conclusions: Public hospitals have a positive effect on the treatment and prognosis in medicare group patients with the five-major GI cancers.
Keywords: 5 major gastrointestinal cancer; Hospitals, public; Insurance coverage; Survival


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