Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea
OBJECTIVES This study aimed to evaluate changes in the cancer treatment rate among patients newly diagnosed with stage IV cancer using socio-demographic and clinical subgroups in a nationwide cohort of Korean patients. METHODS This retrospective, national-level study used the Korea Central Cancer Re...
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| Format: | Article |
| Language: | English |
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Korean Society of Epidemiology
2023-02-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/epih-45-e2023021.pdf |
| _version_ | 1797305287777976320 |
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| author | Kyuwoong Kim Hyun Jung Jho So Jung Park Bohyun Park Jin Young Choi |
| author_facet | Kyuwoong Kim Hyun Jung Jho So Jung Park Bohyun Park Jin Young Choi |
| author_sort | Kyuwoong Kim |
| collection | DOAJ |
| description | OBJECTIVES This study aimed to evaluate changes in the cancer treatment rate among patients newly diagnosed with stage IV cancer using socio-demographic and clinical subgroups in a nationwide cohort of Korean patients. METHODS This retrospective, national-level study used the Korea Central Cancer Registry (KCCR), which is linked to the National Health Insurance Service (NHIS) database, from January 1, 2012 to December 31, 2017. The records of patients newly diagnosed with stage IV of the 5 cancers with the highest cancer-related mortality rate were identified to analyze changes in the treatment rate. The main outcome examined in this study was the change in the cancer treatment rate between 2012 and 2017, as measured using the annual percent change (APC). RESULTS A total of 106,082 patients with newly diagnosed gastric, colorectal, liver, pancreatic, and lung cancers at the end of life (EoL) were identified from the KCCR-NHIS database. Of these patients, 76,533 (72.1%) received cancer treatment. Over the study period (2012-2017), the proportion of patients who received cancer treatment at EoL decreased by 8.3%, with an APC of -2.1% (95% confidence interval, -2.6 to -1.6). This declining trend of cancer treatment among patients with advanced cancer stage at EoL was consistent among socio-demographic and clinical subgroups. CONCLUSIONS The proportion of untreated patients with stage IV cancer is increasing in the Korea. For patients who are not undergoing standard cancer treatment near EoL, an alternative care plan, such as early palliative care, should be considered. |
| first_indexed | 2024-03-08T00:24:46Z |
| format | Article |
| id | doaj.art-4c9fbc77d5594e1687e2593739407743 |
| institution | Directory Open Access Journal |
| issn | 2092-7193 |
| language | English |
| last_indexed | 2024-03-08T00:24:46Z |
| publishDate | 2023-02-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj.art-4c9fbc77d5594e1687e25937394077432024-02-16T01:04:24ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932023-02-014510.4178/epih.e20230211383Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in KoreaKyuwoong Kim0Hyun Jung Jho1So Jung Park2Bohyun Park3Jin Young Choi4 National Hospice Center, National Cancer Control Institute, Goyang, Korea National Hospice Center, National Cancer Control Institute, Goyang, Korea National Hospice Center, National Cancer Control Institute, Goyang, Korea National Hospice Center, National Cancer Control Institute, Goyang, Korea National Hospice Center, National Cancer Control Institute, Goyang, KoreaOBJECTIVES This study aimed to evaluate changes in the cancer treatment rate among patients newly diagnosed with stage IV cancer using socio-demographic and clinical subgroups in a nationwide cohort of Korean patients. METHODS This retrospective, national-level study used the Korea Central Cancer Registry (KCCR), which is linked to the National Health Insurance Service (NHIS) database, from January 1, 2012 to December 31, 2017. The records of patients newly diagnosed with stage IV of the 5 cancers with the highest cancer-related mortality rate were identified to analyze changes in the treatment rate. The main outcome examined in this study was the change in the cancer treatment rate between 2012 and 2017, as measured using the annual percent change (APC). RESULTS A total of 106,082 patients with newly diagnosed gastric, colorectal, liver, pancreatic, and lung cancers at the end of life (EoL) were identified from the KCCR-NHIS database. Of these patients, 76,533 (72.1%) received cancer treatment. Over the study period (2012-2017), the proportion of patients who received cancer treatment at EoL decreased by 8.3%, with an APC of -2.1% (95% confidence interval, -2.6 to -1.6). This declining trend of cancer treatment among patients with advanced cancer stage at EoL was consistent among socio-demographic and clinical subgroups. CONCLUSIONS The proportion of untreated patients with stage IV cancer is increasing in the Korea. For patients who are not undergoing standard cancer treatment near EoL, an alternative care plan, such as early palliative care, should be considered.http://www.e-epih.org/upload/epih-45-e2023021.pdfneoplasmstherapeuticsdeathdatabase |
| spellingShingle | Kyuwoong Kim Hyun Jung Jho So Jung Park Bohyun Park Jin Young Choi Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea Epidemiology and Health neoplasms therapeutics death database |
| title | Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea |
| title_full | Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea |
| title_fullStr | Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea |
| title_full_unstemmed | Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea |
| title_short | Changes in the treatment rate of patients newly diagnosed with stage IV cancer near the end of life from 2012 to 2017 in Korea |
| title_sort | changes in the treatment rate of patients newly diagnosed with stage iv cancer near the end of life from 2012 to 2017 in korea |
| topic | neoplasms therapeutics death database |
| url | http://www.e-epih.org/upload/epih-45-e2023021.pdf |
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