Initiating Liver Transplantation at a Public Hospital in Korea
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 이두호 | - |
dc.contributor.author | 이해원 | - |
dc.contributor.author | 안영준 | - |
dc.contributor.author | 김혜영 | - |
dc.contributor.author | 이남준 | - |
dc.contributor.author | 이광웅 | - |
dc.contributor.author | 서경석 | - |
dc.date.available | 2021-03-16T05:40:13Z | - |
dc.date.created | 2021-03-16 | - |
dc.date.issued | 2017-12 | - |
dc.identifier.issn | 1598-1711 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/80443 | - |
dc.description.abstract | Background: Although there more than 1,000 liver transplantations (LTs) are performed in Korea annually, their immense cost remains a great hurdle. Hence, in an attempt to reduce the medical costs of LT, a program was initiated at a public hospital affiliated with the Seoul National University Hospital. Methods: A total of 11 LTs have been successfully executed since the first LT performed at Seoul Metropolitan Government Seoul National University Boramae Medical Center in July 2011 through December 2014. Results: Nine patients (81.8%) were male and two (18.2%) were female. The mean age of patients was 53.4±11.4 years. Hepatitis B virus-related liver disease (n=6, 54.5%) was the most common causative disease, followed by alcoholic liver disease (ALD) (n=4, 36.4%). The actuarial 3-year survival rate was 90.9%. The median total medical cost of LTs was US $41,583 (calculated from operation to discharge), but only $11,860 was actually charged for patients with health insurance coverage. One female patient who had undergone deceased donor LT for alcoholic liver cirrhosis died during follow-up. This patient was non-compliant with the medical instructions after discharge, and finally expired due to septic shock at 10 months post-LT. Conclusions: In the public hospital, LT was successfully performed at a much lower cost. However, LT guidelines and peritransplant management protocols for patients with ALD must be established before escalating LT at public hospitals since ALD with poor compliance is one of the most common causes of complications at public hospitals. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | 대한이식학회 | - |
dc.relation.isPartOf | Korean Journal of Transplantation | - |
dc.title | Initiating Liver Transplantation at a Public Hospital in Korea | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 2 | - |
dc.identifier.doi | 10.4285/jkstn.2017.31.4.193 | - |
dc.identifier.bibliographicCitation | Korean Journal of Transplantation, v.31, no.4, pp.193 - 199 | - |
dc.identifier.kciid | ART002307743 | - |
dc.description.isOpenAccess | N | - |
dc.citation.endPage | 199 | - |
dc.citation.startPage | 193 | - |
dc.citation.title | Korean Journal of Transplantation | - |
dc.citation.volume | 31 | - |
dc.citation.number | 4 | - |
dc.contributor.affiliatedAuthor | 이두호 | - |
dc.subject.keywordAuthor | 간이식 | - |
dc.subject.keywordAuthor | 공공병원 | - |
dc.subject.keywordAuthor | 의료비용 | - |
dc.subject.keywordAuthor | 알코올성 간질환 | - |
dc.subject.keywordAuthor | Liver transplantation | - |
dc.subject.keywordAuthor | Public hospital | - |
dc.subject.keywordAuthor | Medical cost | - |
dc.subject.keywordAuthor | Alcoholic liver disease | - |
dc.description.journalRegisteredClass | kci | - |
dc.description.journalRegisteredClass | other | - |
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