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- 저자 : 류기진 ( Ki Jin Ryu ) (검색결과 2 건)
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류기진 ( Ki-jin Ryu ),( Min Sun Kim ),( Hyun Kyun Kim ),( Yong Jin Kim ),( Kyong Wook Yi ),( Jung Ho Shin ),( Jun Young Hur ),( Tak Kim ),( Hyuntae Park ) 대한산부인과학회 2022 대한산부인과학회 학술대회 Vol.108 No.-
Objective: To investigate the relationship between polycystic ovary syndrome (PCOS) and type 2 diabetes mellitus (T2DM) in Korean women. Design: Longitudinal case-control study. Setting: Not applicable. Patient(s): PCOS patients aged 15 to 44 years (n = 1,136) and control individuals (n = 5,675), matched 1:5 by age group, income, and region of residence. Intervention(s): Not applicable. Main Outcome Measure(s): The occurrence of T2DM. Result(s): In the PCOS and control groups, 15.7% and 14.4%, respectively, were obese (body mass index ≥R25 kg/m<sup>2</sup>). The incidence rate of T2DM was 15.84/1,000 and 5.80/1,000 person-years in the PCOS and control groups, respectively. The unadjusted hazard ratio (HR) of T2DM in women with PCOS was 2.6-fold higher than that in control individuals. Women with PCOS still had a higher HR of T2DM than did control individuals after adjustment for body mass index, family history of T2DM, physical exercise level, and total cholesterol. PCOS was significantly associated with T2DM in women both with and without obesity. Conclusion(s): PCOS is independently associated with an increased incidence of T2DM in both obese and nonobese women. Screening for T2DM should be considered for both obese and nonobese women with PCOS in Korea. (Fertil Steril® 2021;115:1569-75. ⓒ 2020 by American Society for Reproductive Medicine.) El resumen está disponible en Español al final del artículo.
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전국 건강보험가입자의 소득계층별 산과 의료서비스 이용 실적 비교분석
김경하 ( Kyung Ha Kim ),황라일 ( Rah Il Hwang ),윤지원 ( Ji Won Yoon ),류기진 ( Ki Jin Ryu ),홍순철 ( Soon Cheol Hong ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.11
목적 본 연구는 소득계층별 산과 진료실적 추이, 주요 다빈도 질환 및 의료기관 이용양상을 비교분석하기 위해 시도하였다. 연구방법 2004-2008년 지난 5년간 건강보험청구자료 중 산과코드(O00-O99) 전체를 발췌하여 분석하였다. 대상자의 건강보험 자격자료를 이용해 대상자의 일반적 특성을 구분하였고, 건강보험료 부과수준에 따라 소득분위를 5분위로 구분하여 분석하였다. 통계분석은 SAS 프로그램을 이용하였다. 결과 소득1분위 집단은 입원진료실적은 가장 낮은 비율을 차지하는 반면, 외래진료 실적은 최근 2년간 증가추세를 보이는 가운데 가장 높은 비율을 차지하는 것으로 나타났다. 소득1분위는 유산, 전자간증, 자간증의 진료 비율이 높고, 분만은 적은 비율을 차지하였으며, 소득5분위는 고령임부, 다태임신 비율이 높은 것으로 나타났다. 또한 소득수준이 높아질수록 대형병원의 입원 및 외래 이용률이 높은 것으로 나타났다. 결론 본 연구결과, 소득계층별로 다빈도 산과질환 및 의료기관 이용이 차이를 보이는 것으로 확인되었다. 향후 대상자의 소득수준별 특성에 맞는 산전관리프로그램이 필요하며, 특히 저소득층 임신부를 위한 제도적 지원 강화 방안 모색이 필요하다. Objective this study was conducted to compare the trend of obstetrical care service and its performance, different kinds of common obstetrical disease, and different pattern of health care utilization by the classification of income among the National Health Insurance Beneficiaries. Methods This study was investigated on the base of data which were drawn from the “nationwide claim database of Korean National Health Insurance Corporation”. Data were composed of the total cases related to pregnancy, childbirth, and the puerperium from 2004 to 2008. Subjects were divided into five income classes by the amount of medical insurance premium. Statistical analysis was performed using SAS program. Results In terms of the lowest income class, there was the lowest rate of admission but the highest rate of outpatient visits, which were remarkably increased during the last 2 years. The lowest income group showed higher rate of abortion (O00?O08), ectopic pregnancy and preeclampsia (O10?O16) but there was small number of delivery (O80?O84). The highest income group showed higher rate of multifetal gestation and elderly gravida. As they have higher income, they showed tendency to visit general hospital for admission care or outpatient care, Conclusion There were significant differences in obstetric services utilization and prevalence of common obstetrical disease according to income class. New strategy of public medical insurance is needed to support different disease category according to the socioeconomic status. Especially, institutional support should be considered for lower income women who are exposed to higher pregnancy complications.
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