دورية أكاديمية
Trends in Regional Disparities in Cardiovascular Surgery and Mortality in Korea: A National Cross-sectional Study
| العنوان: | Trends in Regional Disparities in Cardiovascular Surgery and Mortality in Korea: A National Cross-sectional Study |
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| المؤلفون: | Dal-Lae Jin, Kyoung-Hoon Kim, Euy Suk Chung, Seok-Jun Yoon |
| المصدر: | Journal of Preventive Medicine and Public Health, Vol 57, Iss 3, Pp 260-268 (2024) |
| بيانات النشر: | Korean Society for Preventive Medicine, 2024. |
| سنة النشر: | 2024 |
| المجموعة: | LCC:Medicine LCC:Public aspects of medicine |
| مصطلحات موضوعية: | healthcare disparities, cardiovascular diseases, cardiovascular surgical procedures, coronary artery bypass, percutaneous coronary intervention, Medicine, Public aspects of medicine, RA1-1270 |
| الوصف: | Objectives: Regional disparities in cardiovascular care in Korea have led to uneven patient outcomes. Despite the growing need for and access to procedures, few studies have linked regional service availability to mortality rates. This study analyzed regional variation in the utilization of major cardiovascular procedures and their associations with short-term mortality to provide better evidence regarding the relationship between healthcare resource distribution and patient survival. Methods: A cross-sectional study was conducted using nationwide claims data for patients who underwent coronary artery bypass grafting (CABG), percutaneous coronary intervention (PCI), stent insertion, or aortic aneurysm resection in 2022. Regional variation was assessed by the relevance index (RI). The associations between the regional RI and 30-day mortality were analyzed. Results: The RI was lowest for aortic aneurysm resection (mean, 26.2; standard deviation, 26.1), indicating the most uneven regional distribution among the surgical procedures. Patients undergoing this procedure in regions with higher RIs showed significantly lower 30-day mortality (adjusted odds ratio [aOR], 0.73; 95% confidence interval, 0.55 to 0.96; p=0.026) versus those with lower RIs. This suggests that cardiovascular surgery regional availability, as measured by RI, has an impact on mortality rates for certain complex surgical procedures. The RI was not associated with significant mortality differences for more widely available procedures like CABG (aOR, 0.96), PCI (aOR, 1.00), or stent insertion (aOR, 0.91). Conclusions: Significant regional variation and underutilization of cardiovascular surgery were found, with reduced access linked to worse mortality for complex procedures. Disparities should be addressed through collaboration among hospitals and policy efforts to improve outcomes. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 1975-8375 2233-4521 |
| Relation: | http://jpmph.org/upload/pdf/jpmph-24-057.pdf; https://doaj.org/toc/1975-8375; https://doaj.org/toc/2233-4521 |
| DOI: | 10.3961/jpmph.24.057 |
| URL الوصول: | https://doaj.org/article/4eba5e9e9303455dadbe1814b5c33feb |
| رقم الأكسشن: | edsdoj.4eba5e9e9303455dadbe1814b5c33feb |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 19758375 22334521 |
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| DOI: | 10.3961/jpmph.24.057 |