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Hoo Sun Chang 3 Articles
Association Between Socioeconomic Status and All-Cause Mortality After Breast Cancer Surgery: Nationwide Retrospective Cohort Study.
Mi Jin Park, Woojin Chung, Sunmi Lee, Jong Hyock Park, Hoo Sun Chang
J Prev Med Public Health. 2010;43(4):330-340.
DOI: https://doi.org/10.3961/jpmph.2010.43.4.330
  • 5,767 View
  • 72 Download
  • 8 Crossref
AbstractAbstract PDF
OBJECTIVES
This study aims to evaluate and explain the socioeconomic inequalities of all-cause mortality after breast cancer surgery in South Korea. METHODS: This population based study included all 8868 females who underwent radical mastectomy for breast cancer between January 2002 and June 2003. Follow-up for mortality continued from January 2002 to June 2006. The patients were divided into 4 socioeconomic classes according to their socioeconomic status as defined by the National Health Insurance contribution rate. The relationship between socioeconomic status and all-cause mortality after breast cancer surgery was assessed using the Cox proportional hazards model with adjusting for age, the Charlson's index score, emergency hospitalization, the type of hospital and the hospital ownership. RESULTS: Those in the lowest socioeconomic status group had a significantly higher hazard ratio of 2.09 (95% CI =1.50 - 2.91) compared with those in the highest socioeconomic group after controlling for all the identifiable confounding variables. For all-cause mortality after radical mastectomy, all the other income groups showed significantly higher 3-year mortality rates than did the highest income group. CONCLUSIONS: The socioeconomic status of breast cancer patients should be considered as an independent prognostic factor that affects all-cause mortality after radical mastectomy, and this is possibly due to a delayed diagnosis, limited access or minimal treatment leading to higher mortality. This study may provide tangible support to intensify surveillance and treatment for breast cancer among low socioeconomic class women.
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  • Higher complication rates after management of lower extremity fractures in lower socioeconomic classes: Are risk adjustment models necessary?
    Jeffrey M Henstenburg, Alexander M Lieber, Anthony J Boniello, Yehuda E Kerbel, Mitesh Shah
    Trauma.2022; 24(2): 131.     CrossRef
  • Income Disparity in Breast Cancer Incidence and Stage at Presentation: A National Population Study of South Korea
    Seung-Ah Choe, Minji Roh, Hye Ri Kim, Soohyeon Lee, Myung Ki, Domyung Paek, Mia Son
    Journal of Breast Cancer.2022; 25(5): 415.     CrossRef
  • Pain-related Prescribing Patterns and Associated Factor in Breast Cancer Patients
    Jin Lee, Ie Byung Park, Hwa Jeong Seo
    Korean Journal of Clinical Pharmacy.2021; 31(2): 115.     CrossRef
  • Higher breast cancer prevalence associated with higher socioeconomic status in the South Korean population; Has it resulted from overdiagnosis?
    Seong-Woo Choi, So-Yeon Ryu, Mi-ah Han, Jong Park, Antonio Palazón-Bru
    PLOS ONE.2018; 13(7): e0200484.     CrossRef
  • Barriers to Cancer Care, Perceived Social Support, and Patient Navigation Services for Korean Breast Cancer Patients
    Jung-won Lim
    Social Work in Health Care.2015; 54(1): 47.     CrossRef
  • Equity in health care: current situation in South Korea
    Hong-Jun Cho
    Journal of the Korean Medical Association.2013; 56(3): 184.     CrossRef
  • Cancer Control and the Communication Innovation in South Korea: Implications for Cancer Disparities
    Minsoo Jung
    Asian Pacific Journal of Cancer Prevention.2013; 14(6): 3411.     CrossRef
  • Performance of Papanicolaou Testing and Detection of Cervical Carcinoma In Situ in Participants of Organized Cervical Cancer Screening in South Korea
    Mi Ah Han, Kui Son Choi, Hoo-Yeon Lee, Jae Kwan Jun, Kyu Won Jung, Sokbom Kang, Eun-Cheol Park, Konradin Metze
    PLoS ONE.2012; 7(4): e35469.     CrossRef
Socioeconomic Costs of Stroke in Korea: Estimated from the Korea National Health Insurance Claims Database.
Seung ji Lim, Han joong Kim, Chung mo Nam, Hoo sun Chang, Young Hwa Jang, Sera Kim, Hye Young Kang
J Prev Med Public Health. 2009;42(4):251-260.
DOI: https://doi.org/10.3961/jpmph.2009.42.4.251
  • 7,505 View
  • 148 Download
  • 42 Crossref
AbstractAbstract PDF
OBJECTIVES
To estimate the annual socioeconomic costs of stroke in Korea in 2005 from a societal perspective. METHODS: We identified those 20 years or older who had at least one national health insurance (NHI) claims record with a primary or a secondary diagnosis of stroke (ICD-10 codes: I60-I69, G45) in 2005. Direct medical costs of the stroke were measured from the NHI claims records. Direct non-medical costs were estimated as transportation costs incurred when visiting the hospitals. Indirect costs were defined as patients' and caregivers' productivity loss associated with office visits or hospitalization. Also, the costs of productivity loss due to premature death from stroke were calculated. RESULTS: A total of 882,143 stroke patients were identified with prevalence for treatment of stroke at 2.44%. The total cost for the treatment of stroke in the nation was estimated to be 3,737 billion Korean won (KRW) which included direct costs at 1,130 billion KRW and indirect costs at 2,606 billion KRW. The per-capita cost of stroke was 3 million KRW for men and 2 million KRW for women. The total national spending for hemorrhagic and ischemic stroke was 1,323 billion KRW and 1,553 billion KRW, respectively, which together consisted of 77.0% of the total cost for stroke. Costs per patient for hemorrhagic and ischemic stroke were estimated at 6 million KRW and 2 million KRW, respectively. CONCLUSIONS: Stroke is a leading public health problem in Korea in terms of the economic burden. The indirect costs were identified as the largest component of the overall cost.
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Citations

Citations to this article as recorded by  
  • Healthcare expenditure trends among adult stroke patients in the United States, 2011-2020
    Venkataraghavan Ramamoorthy, Kelvin Chan, Mukesh Roy, Anshul Saxena, Md Ashfaq Ahmed, Zhenwei Zhang, Sandeep Appunni, Ronnie Thomas, Peter McGranaghan, Michael McDermott, Felipe De Los Rios La Rosa, Muni Rubens
    Journal of Stroke and Cerebrovascular Diseases.2023; 32(10): 107333.     CrossRef
  • Meta-analysis of risk factors associated with suicidal ideation after stroke
    Shuangmei Zhang, Anrong Wang, Weifeng Zhu, Zhaoyang Qiu, Zhaoxu Zhang
    Annals of General Psychiatry.2022;[Epub]     CrossRef
  • Associations of stroke with all-cause and cause-specific mortality: A population-based matched cohort study
    Juyeong Kim, Eun-Cheol Park
    Journal of Public Health.2022;[Epub]     CrossRef
  • Association between Stroke and Abdominal Obesity in the Middle-Aged and Elderly Korean Population: KNHANES Data from 2011–2019
    Jong Yeon Kim, Sung Min Cho, Youngmin Yoo, Taesic Lee, Jong Koo Kim
    International Journal of Environmental Research and Public Health.2022; 19(10): 6140.     CrossRef
  • The risk for future cerebrovascular disease in pregnant women with Moyamoya disease: a nationwide population-based study in South Korea
    Yeonseong Jeong, Yun Ji Jung, Eunjin Noh, Sungyeon Ha, Jeongeun Hwang, Geum Joon Cho, Min-Jeong Oh, Young-Han Kim
    BMC Pregnancy and Childbirth.2022;[Epub]     CrossRef
  • National Trends in Medical Costs and Prognosis of Acute Ischemic Stroke Patients in Endovascular Thrombectomy Era: Analysis Using Medical Claim Data in Korea
    Woo Sang Jung, Kwon-Duk Seo, Sang Hyun Suh
    Neurointervention.2022; 17(3): 152.     CrossRef
  • Relationship between Obsessive-compulsive Disorder and Overactive Bladder Syndrome
    Farzad Allameh, Mahtab Motamed, Mohammad Poury, Ali Tayyebiazar, Saleh Ghiasy, Morteza Fallah-Karkan, Saba Faraji, Seyyed Ali Hojjati
    Iranian Journal of Psychiatry and Behavioral Sciences.2021;[Epub]     CrossRef
  • Prevalence and socioeconomic burden of diabetes mellitus in South Korean adults: a population-based study using administrative data
    Sung-Hee Oh, Hyemin Ku, Kang Seo Park
    BMC Public Health.2021;[Epub]     CrossRef
  • The economic burden of chronic diseases: Estimates and projections for China, Japan, and South Korea
    David E. Bloom, Simiao Chen, Michael Kuhn, Mark E. McGovern, Les Oxley, Klaus Prettner
    The Journal of the Economics of Ageing.2020; 17: 100163.     CrossRef
  • Predictive costs in medical care for Koreans with metabolic syndrome from 2009 to 2013 based on the National Health Insurance claims dataset
    Jeong Seon Yoo, Eun Yeong Choe, Yoo Mee Kim, Se Hwa Kim, Young Jun Won
    The Korean Journal of Internal Medicine.2020; 35(4): 936.     CrossRef
  • Lifetime risks and health impacts of hemorrhagic and ischemic stroke in South Korea
    Soyeon Cheon, Hyangsook Lee, Jiyoon Won, Bo-Hyoung Jang, Jung-Der Wang
    Scientific Reports.2020;[Epub]     CrossRef
  • Comparative Study on the Outcome of Stroke Patients Transferred by Doctor Helicopters and Ground Ambulances in South Korea: A Retrospective Controlled Study
    Jeong Il Lee, Kang Hyun Lee, Oh Hyun Kim, Roberto Cirocchi
    Emergency Medicine International.2020; 2020: 1.     CrossRef
  • Propensity score matching analysis on inpatient period differences of hemorrhagic stroke survivors depending on medical insurance coverage
    Sang-Mi Kim, Young Kim, Seong-A Lee
    Physical Therapy Rehabilitation Science.2019; 8(2): 67.     CrossRef
  • Socioeconomic Costs of Age-related Macular Degeneration in Korea
    Yongsun Ahn, Donghyun Jee
    Journal of the Korean Ophthalmological Society.2019; 60(8): 765.     CrossRef
  • Disability Measurement for Korean Community-Dwelling Adults With Stroke: Item-Level Psychometric Analysis of the Korean Longitudinal Study of Ageing
    Ickpyo Hong, Young Joo Kim, Mandi L. Sonnenfeld, Emily Grattan, Timothy A. Reistetter
    Annals of Rehabilitation Medicine.2018; 42(2): 336.     CrossRef
  • The Economic Burden of Stroke Based on South Korea’s National Health Insurance Claims Database
    Yu-Jin Cha
    International Journal of Health Policy and Management.2018; 7(10): 904.     CrossRef
  • Changing Disease Trends in the Northern Gyeonggi-do Province of South Korea from 2002 to 2013: A Big Data Study Using National Health Information Database Cohort
    Young Soo Kim, Dong-Hee Lee, Hiun Suk Chae, Kyungdo Han
    Osong Public Health and Research Perspectives.2018; 9(5): 248.     CrossRef
  • A Nation-Wide Epidemiological Study of Newly Diagnosed Primary Spine Tumor in the Adult Korean Population, 2009-2011
    Seil Sohn, Jinhee Kim, Chun Kee Chung, Na Rae Lee, Moon Jun Sohn, Sung Hwan Kim
    Journal of Korean Neurosurgical Society.2017; 60(2): 195.     CrossRef
  • Analysis of Total Hospital Charges, Length of Stay, and Cost of Rehabilitation by Hospital and Stroke Type
    Sun-Mi Kim, Da-Yang Kim, Kwang-Soo Lee
    The Korean Journal of Health Service Management.2017; 11(1): 91.     CrossRef
  • The Economic Burden of Hepatitis A, B, and C in South Korea
    Changwoo Shon, Hyung-Yun Choi, Jae-Jun Shim, So-Youn Park, Kyung Suk Lee, Seok-Jun Yoon, In-Hwan Oh
    Japanese Journal of Infectious Diseases.2016; 69(1): 18.     CrossRef
  • Validation of Stroke and Thrombolytic Therapy in Korean National Health Insurance Claim Data
    Tai Hwan Park, Jay Chol Choi
    Journal of Clinical Neurology.2016; 12(1): 42.     CrossRef
  • Suicidal ideation and attempts in patients with stroke: a population-based study
    Jae Ho Chung, Jung Bin Kim, Ji Hyun Kim
    Journal of Neurology.2016; 263(10): 2032.     CrossRef
  • The Epidemiology and Economic Burden ofClostridium difficileInfection in Korea
    Hyung-Yun Choi, So-Youn Park, Young-Ae Kim, Tai-Young Yoon, Joong-Myung Choi, Bong-Keun Choe, So-Hee Ahn, Seok-Jun Yoon, Ye-Rin Lee, In-Hwan Oh
    BioMed Research International.2015; 2015: 1.     CrossRef
  • Antithrombotic treatment for stroke prevention in atrial fibrillation: The Asian agenda
    Chen-Huan Chen, Mien-Cheng Chen, Harry Gibbs, Sun U. Kwon, Sidney Lo, Young Keun On, Azhari Rosman, Nijasri C. Suwanwela, Ru San Tan, Louie S. Tirador, Andreas Zirlik
    International Journal of Cardiology.2015; 191: 244.     CrossRef
  • Nationwide epidemiology and healthcare utilization of spine tumor patients in the adult Korean population, 2009–2012
    Seil Sohn, Jinhee Kim, Chun Kee Chung, Na-Rye Lee, Eunjung Park, Ung-Kyu Chang, Moon Jun Sohn, Sung Hwan Kim
    Neuro-Oncology Practice.2015; 2(2): 93.     CrossRef
  • Direct medical cost of stroke in Singapore
    Charmaine Shuyu Ng, Matthias Paul Han Sim Toh, Jiaying Ng, Yu Ko
    International Journal of Stroke.2015; 10(SA100): 75.     CrossRef
  • Clinical characteristics of patients with treated epilepsy in Korea: A nationwide epidemiologic study
    Dong Wook Kim, Seo‐Young Lee, Soo‐Eun Chung, Hae‐Kwan Cheong, Ki‐Young Jung
    Epilepsia.2014; 55(1): 67.     CrossRef
  • The association between inhaled long-acting bronchodilators and less in-hospital care in newly-diagnosed COPD patients
    Jinhee Kim, Kyungjoo Kim, Yuri Kim, Kwang-Ha Yoo, Chin Kook Lee, Hyoung Kyu Yoon, Young Sam Kim, Young Bum Park, Jin Hwa Lee, Yeon-Mok Oh, Sang-Do Lee, Sei Won Lee
    Respiratory Medicine.2014; 108(1): 153.     CrossRef
  • Medical Utilization and Cost in Patients with Overlap Syndrome of Chronic Obstructive Pulmonary Disease and Asthma
    Chin Kook Rhee, Hyoung Kyu Yoon, Kwang Ha Yoo, Young Sam Kim, Sei Won Lee, Yong Bum Park, Jin Hwa Lee, Yuri Kim, Kyungjoo Kim, Jinhee Kim, Yeon Mok Oh, Sang Do Lee
    COPD: Journal of Chronic Obstructive Pulmonary Disease.2014; 11(2): 163.     CrossRef
  • The costs of hepatitis A infections in South Korea
    Kyohyun Kim, Baek-Geun Jeong, Moran Ki, Mira Park, Jin Kyung Park, Bo Youl Choi, Weon-Seob Yoo
    Epidemiology and Health.2014; 36: e2014011.     CrossRef
  • The Incidence and Prevalence of Diabetes Mellitus and Related Atherosclerotic Complications in Korea: A National Health Insurance Database Study
    Bo Kyung Koo, Chang-Hoon Lee, Bo Ram Yang, Seung-sik Hwang, Nam-Kyong Choi, Mohammad Ebrahim Khamseh
    PLoS ONE.2014; 9(10): e110650.     CrossRef
  • Two-Year Direct Medical Costs of Stroke in Korea: A Multi-Centre Incidence-Based Study from Hospital Perspectives
    Joung-Ho Rha, Jaseong Koo, Ki Hyun Cho, Eung-Gyu Kim, Gun Sei Oh, Se Jin Lee, Jae Kwan Cha, Jin-Jeong Oh, Gyoung-Rye Ham, Hyun-Soo Seo, Jong S. Kim
    International Journal of Stroke.2013; 8(3): 186.     CrossRef
  • Stroke Statistics in Korea: Part I. Epidemiology and Risk Factors: A Report from the Korean Stroke Society and Clinical Research Center for Stroke
    Keun-Sik Hong, Oh Young Bang, Dong-Wha Kang, Kyung-Ho Yu, Hee-Joon Bae, Jin Soo Lee, Ji Hoe Heo, Sun U. Kwon, Chang Wan Oh, Byung-Chul Lee, Jong S. Kim, Byung-Woo Yoon
    Journal of Stroke.2013; 15(1): 2.     CrossRef
  • The effect of severity of depressive disorder on economic burden in a university hospital in Singapore
    Roger CM Ho, Kwok-Kei Mak, Anna NC Chua, Cyrus SH Ho, Anselm Mak
    Expert Review of Pharmacoeconomics & Outcomes Research.2013; 13(4): 549.     CrossRef
  • The Socioeconomic Burden of Coronary Heart Disease in Korea
    Hoo-Sun Chang, Han-Joong Kim, Chung-Mo Nam, Seung-Ji Lim, Young-Hwa Jang, Sera Kim, Hye-Young Kang
    Journal of Preventive Medicine and Public Health.2012; 45(5): 291.     CrossRef
  • Prevalence of Dyslipidemia among Korean Adults: Korea National Health and Nutrition Survey 1998-2005
    Myung Ha Lee, Hyeon Chang Kim, Song Vogue Ahn, Nam Wook Hur, Dong Phil Choi, Chang Gyu Park, Il Suh
    Diabetes & Metabolism Journal.2012; 36(1): 43.     CrossRef
  • Itemized Hospital Charges for Acute Cerebral Infarction Patients Influenced by Severity in an Academic Medical Center in Korea
    Sung Sang Yoon, Hyejung Chang, Young Dae Kwon
    Journal of Clinical Neurology.2012; 8(1): 58.     CrossRef
  • The economic burden of stroke in 2010 in Korea
    Hyun-Jin Kim, Young-Ae Kim, Hye-Young Seo, Eun-Jung Kim, Seok-Jun Yoon, In-Hwan Oh
    Journal of the Korean Medical Association.2012; 55(12): 1226.     CrossRef
  • Prevalence of Treated Epilepsy in Korea Based on National Health Insurance Data
    Seo-Young Lee, Ki-Young Jung, Il Keun Lee, Sang Do Yi, Yong Won Cho, Dong Wook Kim, Seung-Sik Hwang, Sejin Kim
    Journal of Korean Medical Science.2012; 27(3): 285.     CrossRef
  • The Factors Associated with Good Responses to Speech Therapy Combined with Transcranial Direct Current Stimulation in Post-stroke Aphasic Patients
    Il-Young Jung, Jong Youb Lim, Eun Kyoung Kang, Hae Min Sohn, Nam-Jong Paik
    Annals of Rehabilitation Medicine.2011; 35(4): 460.     CrossRef
  • How Much Amount of Socioeconomic Loss Is Caused by Digestive Diseases?
    Kyung Sik Park
    The Korean Journal of Gastroenterology.2011; 58(6): 297.     CrossRef
  • Health Care Costs of Digestive Diseases in Korea
    Hye-kyung Jung, BoHyoung Jang, Youn Hee Kim, JooYeon Park, Sun Young Park, Mi-Hee Nam, Myung-Gyu Choi
    The Korean Journal of Gastroenterology.2011; 58(6): 323.     CrossRef
Impact of Multiple Cardiovascular Risk Factors on the Carotid Intima-media Thickness in Young Adults: The Kangwha Study.
Hoo Sun Chang, Hyeon Chang Kim, Song Vogue Ahn, Nam Wook Hur, Il Suh
J Prev Med Public Health. 2007;40(5):411-417.
DOI: https://doi.org/10.3961/jpmph.2007.40.5.411
  • 5,016 View
  • 32 Download
  • 6 Crossref
AbstractAbstract PDF
OBJECTIVES
Although risk factors for coronary artery disease are also associated with increased carotid intima-media thickness (IMT), there is little information available on the asymptomatic, young adult population. We examined the association between multiple cardiovascular risk factors and the common carotid IMT in 280 young Korean adults. METHODS: The data used for this study was obtained from 280 subjects (130 men and 150 women) aged 25 years who participated in the Kangwha Study follow-up examination in 2005. We measured cardiovascular risk factors, including anthropometrics, blood pressure, blood chemistry, carotid ultrasonography, and reviewed questionnaires on health behaviors. Risk factors were defined as values above the sex-specific 75th percentile of systolic blood pressure, body mass index, total cholesterol/high-density lipoprotein cholesterol ratio, fasting blood glucose and smoking status. RESULTS: The mean carotid IMT+/-standard deviation observed was 0.683+/-0.079 mm in men and 0.678+/-0.067 mm in women (p=0.567) and the evidence of plaque was not observed in any individuals. Mean carotid IMT increased with an increasing number of risk factors(p for trend <0.001) and carotid IMT values were 0.665 mm, 0.674 mm, 0.686 mm, 0.702 mm, and 0.748 mm for 0, 1, 2, 3, and 4 to 5 risk factors, respectively. The odds ratio for having the top quartile carotid IMT in men with 3 or more risk factors versus 0-2 risk factors was 5.09 (95% CI, 2.05-12.64). CONCLUSIONS: Current findings indicate the need for prevention and control of cardiovascular risk factors in young adults and more focus on those with multiple cardiovascular risk factors.
Summary

Citations

Citations to this article as recorded by  
  • Association Between Risk Factors in Childhood and Sex Differences in Prevalence of Carotid Artery Plaques and Intima‐Media Thickness in Mid‐Adulthood in the Childhood Determinants of Adult Health Study
    Mohammad Shah, Marie‐Jeanne Buscot, Jing Tian, Hoang T. Phan, Brooklyn J. Fraser, Thomas H. Marwick, Terence Dwyer, Alison Venn, Seana Gall
    Journal of the American Heart Association.2023;[Epub]     CrossRef
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    Hye Min Cho, Dae Ryong Kang, Hyeon Chang Kim, Sun Min Oh, Byeong-Keuk Kim, Il Suh
    Yonsei Medical Journal.2015; 56(4): 921.     CrossRef
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    M Knapp, A Lisowska, B Sobkowicz, A Tycińska, R Sawicki, WJ Musiał
    Advances in Medical Sciences.2013; 58(1): 44.     CrossRef
  • Association between Depressive Symptoms and Bone Stiffness Index in Young Adults: The Kangwha Study
    Sun Min Oh, Hyeon Chang Kim, Kyoung Min Kim, Song Vogue Ahn, Dong Phil Choi, Il Suh, Chih-Hsin Tang
    PLoS ONE.2013; 8(7): e69929.     CrossRef
  • The importance of intima-media thickness (IMT) measurements in monitoring of atherosclerosis progress after myocardial infarction
    A Lisowska, M Knapp, S Bolińska, P Lisowski, A Krajewska, B Sobkowicz, WJ Musiał
    Advances in Medical Sciences.2012; 57(1): 112.     CrossRef
  • Association between Blood Pressure and Carotid Intima-Media Thickness
    Sun Min Lim, Hyeon Chang Kim, Hoon Sang Lee, Joo Young Lee, Mina Suh, Song Vogue Ahn
    The Journal of Pediatrics.2009; 154(5): 667.     CrossRef

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