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COVID-19: Original Article
Worsening of health disparities across COVID-19 pandemic stages in Korea
Hyejin Lee, Hyunwoo Nam, Jae-ryun Lee, Hyemin Jung, Jin Yong Lee
Epidemiol Health. 2024;46:e2024038.   Published online March 13, 2024
DOI: https://doi.org/10.4178/epih.e2024038
  • 3,476 View
  • 137 Download
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
With the end of the coronavirus disease 2019 (COVID-19) pandemic, the health outcomes of this disease in Korea must be examined. We aimed to investigate health outcomes and disparities linked to socioeconomic status during the COVID-19 pandemic in Korea and to identify risk factors for hospitalization and mortality.
METHODS
This nationwide retrospective study incorporated an analysis of individuals with and without COVID-19 in Korea between January 1, 2020 and December 31, 2022. The study period was divided into 4 stages. Prevalence, hospitalization, mortality, and case-fatality rates were calculated per 100,000 population. Multivariate logistic regression was performed to identify risk factors for COVID-19 hospitalization and mortality.
RESULTS
Overall, the incidence rate was 40,601 per 100,000 population, the mortality rate was 105 per 100,000 population, and the case-fatality rate was 259 per 100,000 cases. A total of 12,577,367 new cases (24.5%) were recorded in stage 3 and 8,979,635 cases (17.5%) in stage 4. Medical Aid recipients displayed the lowest 3-year cumulative incidence rate (32,737 per 100,000) but the highest hospitalization (5,663 cases per 100,000), mortality (498 per 100,000), and case-fatality (1,521 per 100,000) rates. Male sex, older age, lower economic status, non-metropolitan area of residence, high Charlson comorbidity index, and disability were associated with higher risk of hospitalization and death. Vaccination was found to reduce mortality risk.
CONCLUSIONS
As the pandemic progressed, surges were observed in incidence, hospitalization, and mortality, exacerbating disparities associated with economic status and disability. Nevertheless, Korea has maintained a low case-fatality rate across all economic groups.
Summary
Korean summary
국민건강보험공단 자료를 이용하여 2020-2022년 후향적 코호트를 구축하여 시기별 코로나19 유병률, 입원률, 사망률, 치명률과 장애, 소득에 따른 건강격차를 확인하였을 때, 코로나19 대유행이 진행됨에 따라 발병률, 입원률, 사망률이 급증하고 건강 격차가 확대되었다. 그러나 이러한 격차에도 불구하고 한국은 다른 국가들과 비교하여 모든 소득수준에서 낮은 치명률을 유지하였다.
Key Message
Using data from the National Health Insurance Service, a retrospective cohort for the years 2020-2022 was established. By examining the COVID-19 prevalence rate, hospitalisation rate, mortality rate, and case-fatality rate, along with health disparities based on disability and economic status, as the pandemic progressed, there was a surge in incidence, hospitalisation, and mortality, widening disparities related to economic status and disability. Despite these disparities, Korea has maintained a low case-fatality rate across all economic groups.
Original Articles
An epidemic of cataract surgery in Korea: the effects of private health insurance on the National Health Insurance Service
Hyejin Lee, Soo-Hee Hwang, Choon-Seon Park, Seol-Hee Chung, Catherine L. Chen, Jin Yong Lee, Jin Soo Lee
Epidemiol Health. 2024;46:e2024015.   Published online January 6, 2024
DOI: https://doi.org/10.4178/epih.e2024015
  • 2,674 View
  • 132 Download
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Abstract
OBJECTIVES
In Korea, the National Health Insurance Service (NHIS) covers essential healthcare expenses, including cataract surgery. To address concerns that private health insurance (PHI) might have inflated the need for such procedures, we investigated the extent of the PHI-attributable increase in cataract surgery and its impact on NHIS-reimbursed expenses.
METHODS
This retrospective, observational study uses nationwide claims data for cataract surgery from 2016 to 2020. We examined trends in utilization and cost, and we estimated the excess numbers of (1) cataract operations attributable to PHI and (2) types of intraocular lenses used for cataract surgery in 2020.
RESULTS
Between 2016 and 2020, a 36.8% increase occurred in the number of cataract operations, with increases of 63.5% and 731.8% in the total healthcare costs reimbursed by NHIS and PHI, respectively. Over a 5-year period, the surgical rate per 100,000 people doubled for patients aged <65 years (from 328 in 2016 to 664 in 2020). Among the 619,771 cases in 2020 of cataract surgery reimbursed by the Korean diagnosis-related group system, more non-NHIS-covered intraocular lenses were used for patients aged <65 years than ≥65 years (68.1 vs. 14.2%). In 2020 alone, an estimated 129,311 excess operations occurred, accounting for an excess cost of US$115 million.
CONCLUSIONS
A dramatic increase in the number and cost of cataract operations has occurred over the last 5 years. The PHI-related increase in operations resulted in increased costs to NHIS. Measures to curtail the non-indicated use of cataract surgery should be implemented regarding PHI.
Summary
Korean summary
백내장 수술에서 실손보험으로 인한 의료비 증가 수준을 확인하고 건강보험급여 비용에 미치는 영향을 조사했을 때 2016년과 2020년 사이에 백내장 수술 건수는 36.8% 증가했으며, 건강보험과 실손보험에서 지급한 총 의료 비용은 각각 63.5%와 731.8% 증가했다. 백내장 수술은 65세 미만에서 주로 증가하였으며, 이 연령층은 공단에서 급여하지 않는 고가의 인공수정체를 더 많이 사용하였다. 추정 초과 수술 건수는 2020년에만 129,311건으로 1억 1,500만 달러의 초과 비용이 발생했다.

Citations

Citations to this article as recorded by  
  • Global prevalence of cataract surgery
    Hassan Hashemi, Faezeh Fayaz, Alireza Hashemi, Mehdi Khabazkhoob
    Current Opinion in Ophthalmology.2024;[Epub]     CrossRef
Effects of adults’ health behaviors and combinations thereof on health outcomes: an analysis using National Health Insurance Service of Korea cohort data
Hyun-Jung Park, Eun-Jung Kim
Epidemiol Health. 2019;41:e2019042.   Published online October 8, 2019
DOI: https://doi.org/10.4178/epih.e2019042
  • 12,524 View
  • 163 Download
  • 2 Web of Science
  • 2 Crossref
AbstractAbstract AbstractSummary PDF
Abstract
OBJECTIVES
The purpose of this study was to estimate the effects of health-risk behaviors, alone and in combination, on health outcomes.
METHODS
This study used sample cohort data provided by the National Health Insurance Service focusing on the use of hospital services, direct medical expenses, length of stay, and re-entry rate according to health-risk behaviors. A frequency analysis and the chi-square test were used to investigate associations between the demographic characteristics of study subjects and their health-risk behaviors. The strength of the association of each factor was calculated as the odds ratio in a crossover analysis.
RESULTS
Obesity had the largest effect, especially in combination with smoking and drinking. In particular, significant associations were shown with the duration of hospitalization and direct medical expenses. After adjustment for sex, age, economic status, and pre-existing medical conditions, the duration of hospitalization was 7.37 times longer and that of medical expenses was 5.18 times higher in the obese group relative to the non-obese group. Drinking showed a statistically significant association with the number of days of hospitalization. After adjusting for the control variables, the number of hospital days was 1.24 longer in the drinking group than in the non-drinking group.
CONCLUSIONS
An analysis of combinations of health risk factors showed obesity had the largest effect.
Summary
Korean summary
본 연구에서는 건강위해행동이 건강결과에 미치는 영향을 추정하고, 건강위해행동 간 상호작용을 분석하여 보다 다차원적 측면에서 건강위해행동과 건강결과 간 관계를 다루었다. 그 결과, 흡연, 비만, 음주 중 1개의 위해행위를 가지고 있는 경우, 흡연 집단에서 모든 건강결과와의 관련성이 통계적으로 유의미하지 않았으나, 비만의 경우, 입원일수와 직접의료비간의 관련성이 유의미하였고, 특히, 비만한 집단의 경우, 성별, 연령, 경제적 수준 및 기저 질환을 보정한 후, 그렇지 않은 집단과 비교하여 입원일수와 의료비의 유의미한 증가가 확인되었다. 건강위험행태요인의 조합을 조사하여, 어떤 경우 건강행태에 영향을 크게 미치는지를 분석한 결과, 비만의 영향이 가장 큰 것으로 분석되었으며, 흡연과 음주, 단일의 건강위험행태보다, 비만과 함께 건강위험행태가 동반되었을 때 그 영향이 증가하였다.

Citations

Citations to this article as recorded by  
  • An analysis of protective health behavior and polypharmacy among older patients: a nationwide cohort study
    Zhaoyan Piao, Kyung sun Oh, Euna Han
    BMC Geriatrics.2024;[Epub]     CrossRef
  • Risk and protective behaviors for chronic non-communicable diseases among Brazilian adults
    R.B.N. de Carvalho, F. Rauber, R.M. Claro, R.B. Levy
    Public Health.2021; 195: 7.     CrossRef
Review Paper
Data resource profile: the National Health Insurance Research Database (NHIRD)
Liang-yu Lin, Charlotte Warren-Gash, Liam Smeeth, Pau-Chung Chen
Epidemiol Health. 2018;40:e2018062.   Published online December 27, 2018
DOI: https://doi.org/10.4178/epih.e2018062
  • 65,535 View
  • 690 Download
  • 306 Web of Science
  • 307 Crossref
AbstractAbstract PDFSupplementary Material
Abstract
Electronic health records (EHRs) can provide researchers with extraordinary opportunities for population-based research. The National Health Insurance system of Taiwan was established in 1995 and covers more than 99.6% of the Taiwanese population; this system’s claims data are released as the National Health Insurance Research Database (NHIRD). All data from primary outpatient departments and inpatient hospital care settings after 2000 are included in this database. After a change and update in 2016, the NHIRD is maintained and regulated by the Data Science Centre of the Ministry of Health and Welfare of Taiwan. Datasets for approved research are released in three forms: sampling datasets comprising 2 million subjects, disease-specific databases, and full population datasets. These datasets are de-identified and contain basic demographic information, disease diagnoses, prescriptions, operations, and investigations. Data can be linked to government surveys or other research datasets. While only a small number of validation studies with small sample sizes have been undertaken, they have generally reported positive predictive values of over 70% for various diagnoses. Currently, patients cannot opt out of inclusion in the database, although this requirement is under review. In conclusion, the NHIRD is a large, powerful data source for biomedical research.
Summary

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Data Profile
A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples
Logyoung Kim, Jee-Ae Kim, Sanghyun Kim
Epidemiol Health. 2014;36:e2014008.   Published online July 30, 2014
DOI: https://doi.org/10.4178/epih/e2014008
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AbstractAbstract PDFSupplementary Material
Abstract
The claims data of the Health Insurance Review and Assessment Service (HIRA) is an important source of information for healthcare service research. The claims data of HIRA is collected when healthcare service providers submit a claim to HIRA to be reimbursed for a service that they provided to patients. To improve the accessibility of healthcare service researchers to claims data of HIRA, HIRA has developed the Patient Samples which are extracted using a stratified randomized sampling method. The Patient Samples of HIRA consist of five tables: a table for general information (Table 20) containing socio-demographic information such as gender, age and medical aid, indicators for inpatient and outpatient services; a table for specific information on healthcare services provided (Table 30); a table for diagnostic information (Table 40); a table for outpatient prescriptions (Table 53) and a table for information on healthcare service providers (Table of providers). Researchers who are interested in using the Patient Sample data for research can apply via HIRA’s website (https://www.hira.or.kr).
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    Seminars in Arthritis and Rheumatism.2023; 63: 152280.     CrossRef
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    Doori Kim, Eun-San Kim, Yoon Jae Lee, Jee Young Lee, Kyong Sun Park, So Young Jung, Changsop Yang, Chang-Hyun Han, In-Hyuk Ha
    Journal of Pain Research.2023; Volume 16: 3197.     CrossRef
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    Hong Sun Kang, Seung Hoon Jeon, Su Bee Park, Jin Young Youn, Min Seob Kwak, Jae Myung Cha
    Intestinal Research.2023; 21(4): 500.     CrossRef
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    Wonbin Choi, Hyunji Koo, Kyeong Hye Jeong, Eunyoung Kim, Seung-Hun You, Min-Taek Lee, Sun-Young Jung
    Korean Journal of Clinical Pharmacy.2023; 33(3): 168.     CrossRef
  • The increased risk of colorectal cancer in the women who underwent hysterectomy from the South Korean National Health Insurance Database
    Jin -Sung Yuk, Seung-Woo Yang, Sang-Hee Yoon, Myoung Hwan Kim, Yong-Soo Seo, Yujin Lee, Jungbin Kim, Keunho Yang, Geumhee Gwak, Hyunjin Cho
    BMC Women's Health.2023;[Epub]     CrossRef
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    Jin-Sung Yuk, Seung-Woo Yang, Sang-Hee Yoon, Myoung Hwan Kim, Yong-Soo Seo, Yujin Lee, Yilseok Joo, Jungbin Kim, Sam-Youl Yoon, Hyunjin Cho, Keunho Yang, Geumhee Gwak
    Scientific Reports.2023;[Epub]     CrossRef
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    Jin-Sung Yuk, Sang-Hee Yoon, Astawus Alemayehu Feleke
    PLOS ONE.2023; 18(11): e0294405.     CrossRef
  • Machine learning-based prediction model for emergency department visits using prescription information in community-dwelling non-cancer older adults
    Soyoung Park, Changwoo Lee, Seung-Bo Lee, Ju-yeun Lee
    Scientific Reports.2023;[Epub]     CrossRef
  • Association Between Menopausal Hormone Therapy and Risk for Parkinson’s Disease
    Jin-Sung Yuk, Seong Ho Jeong
    Journal of Parkinson's Disease.2023; 13(8): 1357.     CrossRef
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    Kiyon Rhew
    Neuropsychiatric Disease and Treatment.2023; Volume 19: 2607.     CrossRef
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    Juyoung Kim, Minsu Ock, In-Hwan Oh, Min-Woo Jo, Yoon Kim, Moo-Song Lee, Sang-il Lee
    BMC Health Services Research.2023;[Epub]     CrossRef
  • Impact of COVID-19 Pandemic on Performance of Gastrointestinal Endoscopy
    Youn Kyung Kim, Su Bee Park, Moonhyung Lee, Jin Young Youn, Min Seob Kwak, Jae Myung Cha
    The Korean Journal of Gastroenterology.2023; 82(5): 239.     CrossRef
  • An economic evaluation of pharmacopuncture versus usual care for chronic neck pain: a pragmatic randomized controlled trial
    Doori Kim, Eun-San Kim, Hyun Jin Song, Sun-Young Park, Kyoung Sun Park, Yoon Jae Lee, In-Hyuk Ha
    BMC Health Services Research.2023;[Epub]     CrossRef
  • Development and validation of a machine learning-based fall-related injury risk prediction model using nationwide claims database in Korean community-dwelling older population
    Kyu-Nam Heo, Jeong Yeon Seok, Young-Mi Ah, Kwang-il Kim, Seung-Bo Lee, Ju-Yeun Lee
    BMC Geriatrics.2023;[Epub]     CrossRef
  • The Risk of Stress Urinary Incontinence After Hysterectomy for Uterine Fibroids
    Jin-Sung Yuk, In-Chang Cho, Jun Ho Lee
    International Neurourology Journal.2023; 27(4): 252.     CrossRef
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    Minjeong Kim, Nam Kyung Je
    Research in Clinical Pharmacy.2023; 1(2): 100.     CrossRef
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    Kyung-Bok Son
    Expert Review of Pharmacoeconomics & Outcomes Research.2022; 22(5): 815.     CrossRef
  • Pregnancy-associated risk factors and incidence of systemic sclerosis in primiparous women: A nationwide population-based cohort study
    Kyung-Ann Lee, JongSun Kim, Wonho Choi, Hyun-Sook Kim, Gi Hyeon Seo
    Modern Rheumatology.2022; 32(1): 149.     CrossRef
  • Androgen Deprivation Therapy in Patients with Prostate Cancer is Associated with the Risk of Subsequent Alzheimer's Disease but Not with Vascular Dementia
    Jong Won Kim, Do Kyung Kim, Hye Sun Lee, Ju-Young Park, Hyun Kyu Ahn, Jee Soo Ha, Dongu Lee, Kang Su Cho
    The World Journal of Men's Health.2022; 40(3): 481.     CrossRef
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    Kyun-Ho Shin, Seung-Beom Han, Ji-Eun Song
    The Journal of Arthroplasty.2022; 37(1): 49.     CrossRef
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    Kyeong Min Son, Ju-Ryoung Kim, Hang A Park, Hyun Ah Kim
    The Korean Journal of Internal Medicine.2022; 37(3): 681.     CrossRef
  • Incidence of bowel injury during gynecologic surgery for benign indications: A nationwide cross‐sectional study of cases from 2009 to 2018
    Jin‐Sung Yuk, Hyunjin Cho, Myoung H. Kim, Geumhee Gwak, Yong‐Soo Seo, Keunho Yang, Seung W. Yang, Byung‐Noe Bae, Sang‐Hee Yoon, Yujin Lee
    International Journal of Gynecology & Obstetrics.2022; 158(2): 338.     CrossRef
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    Joong Kyong Ahn, Jiwon Hwang, Gi Hyeon Seo
    Revue du Rhumatisme.2022; 89(2): 153.     CrossRef
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    Minhee Ku, Nam Kyung Je
    Journal of Chemotherapy.2022; 34(8): 534.     CrossRef
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    Sung Soo Ahn, Minkyung Han, Yong-Beom Park, Inkyung Jung, Sang-Won Lee
    Stroke and Vascular Neurology.2022; 7(2): 149.     CrossRef
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    The Journal of Clinical Endocrinology & Metabolism.2022; 107(4): 943.     CrossRef
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    Sungchul Bae, Byoung-Kee Yi
    Health Informatics Journal.2022;[Epub]     CrossRef
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    Kyung-Bok Son, Eui-Kyung Lee
    Family Practice.2022; 39(5): 791.     CrossRef
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    Kyu-Nam Heo, Young-Mi Ah, Ju-Yeun Lee
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    Namwoo Kim, Sungtaek Son, Saemina Kim, Jieun Lee, Yong Min Ahn, Dong Keon Yon, Bong-Jin Hahm
    American Journal of Alzheimer's Disease & Other Dementias®.2022;[Epub]     CrossRef
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    Tuberculosis and Respiratory Diseases.2022; 85(1): 74.     CrossRef
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    Bo-Guen Kim, Minwoong Kang, Jihyun Lim, Jin Lee, Danbee Kang, Minjung Kim, Jinhee Kim, Hyejeong Park, Kyung Hoon Min, Juhee Cho, Kyeongman Jeon
    BMC Pulmonary Medicine.2022;[Epub]     CrossRef
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    Susin Park, Nam Kyung Je
    International Journal of Arrhythmia.2022;[Epub]     CrossRef
  • Epidemiological profile of myasthenia gravis in South Korea using the national health insurance database
    Jin‐Sung Park, Kyung Yoon Eah, Jin‐Mo Park
    Acta Neurologica Scandinavica.2022; 145(5): 633.     CrossRef
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    Clinical Psychopharmacology and Neuroscience.2022; 20(1): 126.     CrossRef
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    Jin-Sung Yuk, Myounghwan Kim
    Frontiers in Medicine.2022;[Epub]     CrossRef
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    Ka-Won Kang, Ji Yoon Lee, Byung-Hyun Lee, Min Ji Jeon, Eun Sang Yu, Dae Sik Kim, Se Ryeon Lee, Chul Won Choi, Yong Park, Hwa Jung Sung, Byung Soo Kim
    Journal of Clinical Medicine.2022; 11(6): 1477.     CrossRef
  • Cost-effectiveness of antiviral therapy in untreated compensated cirrhosis patient with serum HBV–DNA level < 2000 IU/mL
    Hankil Lee, Sungin Jang, Sang Hoon Ahn, Beom Kyung Kim
    Hepatology International.2022; 16(2): 294.     CrossRef
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    Yujin Cho, Jiyoon Yeo, Ye-Seul Lee, Eun Jung Kim, Dongwoo Nam, Yeon-Cheol Park, In-Hyuk Ha, Yoon Jae Lee
    Healthcare.2022; 10(4): 636.     CrossRef
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    Sung Yub Jung, Eun‐San Kim, Koh‐Woon Kim, Jae‐Heung Cho, Yoon Jae Lee, In‐Hyuk Ha
    Journal of Oral Rehabilitation.2022; 49(7): 691.     CrossRef
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    Jin-Sung Yuk, Jung Min Kim
    Scientific Reports.2022;[Epub]     CrossRef
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    Hun-Gyu Hwang, Ju Hyun Lee, Sang-A Kim, Yang-Ki Kim, Ho-Young Yhim, Junshik Hong, Soo-Mee Bang
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Chulhan Kim, Sung-Youn Chun, Sun Jung Kim, Ki Hwa Yang, Ji Hyeon Baek, Ji Hyeon Shin, Ji Won Yoo, Young Woo Chang, Keon Wook Kang, Jinwook Hwang
    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Frontiers in Medicine.2022;[Epub]     CrossRef
  • Clinically refined epidemiology of nontuberculous mycobacterial pulmonary disease in South Korea: overestimation when relying only on diagnostic codes
    Jae Hyeon Park, Sue Shin, Taek Soo Kim, Hyunwoong Park
    BMC Pulmonary Medicine.2022;[Epub]     CrossRef
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    Cancers.2022; 14(13): 3090.     CrossRef
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    Doohyun Hong, Yu-Cheol Lim, Sook-Hyun Lee, Won-Suk Sung, Yoon Jae Lee, Eun-Jung Kim, In-Hyuk Ha
    Spine.2022; 47(12): E499.     CrossRef
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    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Seonyoung Park, Sola Han, Hae Sun Suh
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    Arthritis Research & Therapy.2022;[Epub]     CrossRef
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    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Kyung-Bok Son, Eui-Kyung Lee, Sang-Won Lee
    Frontiers in Public Health.2022;[Epub]     CrossRef
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    Korean Circulation Journal.2022; 52(11): 814.     CrossRef
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    Jin-Sung Yuk, Bo Young Kim
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    Journal of Clinical Medicine.2022; 11(21): 6248.     CrossRef
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    BMC Women's Health.2022;[Epub]     CrossRef
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    Scientific Reports.2022;[Epub]     CrossRef
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    Frontiers in Pharmacology.2022;[Epub]     CrossRef
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    Clinical Rheumatology.2021; 40(5): 2037.     CrossRef
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    International Journal of Clinical Pharmacy.2021; 43(3): 645.     CrossRef
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    Alimentary Pharmacology & Therapeutics.2020; 52(2): 371.     CrossRef
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  • Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis
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    International Journal of Environmental Research and Public Health.2018; 15(6): 1178.     CrossRef
  • Incidence of Adhesive Bowel Obstruction After Colon Cancer Surgery and its Risk Factors
    Gi Hyeon Seo, Eun Kyung Choe, Kyu Joo Park, Young Jun Chai
    Annals of Surgery.2018; 268(1): 114.     CrossRef
  • Rethinking the Role of the Public Health Clinic: Comparison of Outpatient Utilization in the Public Health Clinics and Private Clinics in Korea
    Agnus M. Kim, Seongcheol Cho, Hyun Joo Kim, Min-Woo Jo, Sang Jun Eun, Jin Yong Lee
    International Journal of Environmental Research and Public Health.2018; 15(7): 1312.     CrossRef
  • Temporal association between antibiotic use and resistance in Klebsiella pneumoniae at a tertiary care hospital
    Sukhyun Ryu, Eili Y. Klein, Byung Chul Chun
    Antimicrobial Resistance & Infection Control.2018;[Epub]     CrossRef
  • Real-world Evidence versus Randomized Controlled Trial: Clinical Research Based on Electronic Medical Records
    Hun-Sung Kim, Suehyun Lee, Ju Han Kim
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Analysis of Patients with Acute Toxic Exposure between 2009 and 2013: Data from the Korea Health Insurance Review and Assessment Service and the National Emergency Department Information System
    Young-Hoon Yoon, Jung-Youn Kim, Sung-Hyuk Choi
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Effect of providing drug utilization review information on tricyclic antidepressant prescription in the elderly
    Mi-Ju Park, Mi-Hee Kim, Sun Mi Shin, Soo Youn Chung
    Journal of Medical Systems.2018;[Epub]     CrossRef
  • Analysis of seasonal tendencies in pediatric Henoch–Schönlein purpura and comparison with outbreak of infectious diseases
    Hyun Ho Hwang, In Seok Lim, Byung-Sun Choi, Dae Yong Yi
    Medicine.2018; 97(36): e12217.     CrossRef
  • Increased use of third‐generation cephalosporin antibiotics in the outpatient setting in Korean children and adolescents
    Inmyung Song, Sang Jun Park, Seong Jun Byun, Young‐June Choe, Ju‐Young Shin
    Pediatrics International.2018; 60(9): 803.     CrossRef
  • Breast reconstruction statistics in Korea from the Big Data Hub of the Health Insurance Review and Assessment Service
    Jae-Won Kim, Jun-Ho Lee, Tae-Gon Kim, Yong-Ha Kim, Kyu Jin Chung
    Archives of Plastic Surgery.2018; 45(05): 441.     CrossRef
  • Association networks in a matched case-control design – Co-occurrence patterns of preexisting chronic medical conditions in patients with major depression versus their matched controls
    Min-hyung Kim, Samprit Banerjee, Yize Zhao, Fei Wang, Yiye Zhang, Yongjun Zhu, Joseph DeFerio, Lauren Evans, Sang Min Park, Jyotishman Pathak
    Journal of Biomedical Informatics.2018; 87: 88.     CrossRef
  • Antidepressant Prescription Patterns in Bipolar Disorder: a Nationwide, Register-based Study in Korea
    Woon Yoon, Seung-Hyun Shon, Youjin Hong, Yeon Ho Joo, Jung Sun Lee
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • Importance of family history of diabetes in computing a diabetes risk score in Korean prediabetic population
    Morena Ustulin, Sang Youl Rhee, Suk Chon, Kyu Keung Ahn, Ji Eun Lim, Bermseok Oh, Sung-Hoon Kim, Sei Hyun Baik, Yongsoo Park, Moon Suk Nam, Kwan Woo Lee, Young Seol Kim, Jeong-Taek Woo
    Scientific Reports.2018;[Epub]     CrossRef
  • Ectopic pregnancy incidence in the Republic of Korea in 2009–2015: A population-based cross-sectional study
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    Scientific Reports.2018;[Epub]     CrossRef
  • Glucocorticoids Are Associated with an Increased Risk for Vertebral Fracture in Patients with Rheumatoid Arthritis
    Dam Kim, Soo-Kyung Cho, Byeongju Park, Eun Jin Jang, Sang-Cheol Bae, Yoon-Kyoung Sung
    The Journal of Rheumatology.2018; 45(5): 612.     CrossRef
  • Building Linked Big Data for Stroke in Korea: Linkage of Stroke Registry and National Health Insurance Claims Data
    Tae Jung Kim, Ji Sung Lee, Ji-Woo Kim, Mi Sun Oh, Heejung Mo, Chan-Hyuk Lee, Han-Young Jeong, Keun-Hwa Jung, Jae-Sung Lim, Sang-Bae Ko, Kyung-Ho Yu, Byung-Chul Lee, Byung-Woo Yoon
    Journal of Korean Medical Science.2018;[Epub]     CrossRef
  • The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: analysis of Nationwide insurance data
    Boyoung Jung, Kyoung Hee Cho, Dong Hyun Lee, Soyoon Kim
    BMC Health Services Research.2018;[Epub]     CrossRef
  • Patterns and Persistence of Pharmacotherapy for Children and Adolescents with Attention Deficit Hyperactivity Disorder in South Korea
    Kyeong Eun Lee, Nam Kyung Je
    Korean Journal of Clinical Pharmacy.2018; 28(3): 216.     CrossRef
  • Identification of target risk groups for population-based Clostridium difficile infection prevention strategies using a population attributable risk approach
    Sung-Hee Oh, Hye-Young Kang
    International Journal of Infectious Diseases.2018; 66: 107.     CrossRef
  • Association between diabetes and asthma
    Ji Yeon Baek, Seung Eun Lee, Kyungdo Han, Eun Hee Koh
    Annals of Allergy, Asthma & Immunology.2018; 121(6): 699.     CrossRef
  • Is cupping therapy effective in patients with neck pain? A systematic review and meta-analysis
    Seoyoun Kim, Sook-Hyun Lee, Me-Riong Kim, Eun-Jung Kim, Deok-Sang Hwang, Jinho Lee, Joon-Shik Shin, In-Hyuk Ha, Yoon Jae Lee
    BMJ Open.2018; 8(11): e021070.     CrossRef
  • Role of Preemptive Genotyping in Preventing Serious Adverse Drug Events in South Korean Patients
    Grace Juyun Kim, Soo Youn Lee, Ji Hye Park, Brian Y. Ryu, Ju Han Kim
    Drug Safety.2017; 40(1): 65.     CrossRef
  • Evaluation of the predictors of readmission in Korean patients with heart failure
    J. E. Chung, E. Noh, H. S. Gwak
    Journal of Clinical Pharmacy and Therapeutics.2017; 42(1): 51.     CrossRef
  • Safety of resuming biologic DMARDs in patients who develop tuberculosis after anti-TNF treatment
    Soo-Kyung Cho, Dam Kim, Soyoung Won, Minkyung Han, Jiyoung Lee, Eun Jin Jang, Tae-Hyung Kim, Sang-Cheol Bae, Yoon-Kyoung Sung
    Seminars in Arthritis and Rheumatism.2017; 47(1): 102.     CrossRef
  • Health Care Utilization and Direct Costs in Mild, Moderate, and Severe Adult Asthma: A Descriptive Study Using the 2014 South Korean Health Insurance Database
    Yoo Ju Lee, Sun-Hong Kwon, Sung-Hyun Hong, Jin Hyun Nam, Hyun Jin Song, Jong Seop Lee, Eui-Kyung Lee, Ju-Young Shin
    Clinical Therapeutics.2017; 39(3): 527.     CrossRef
  • Participation inequality in the National General Health Examination based on enterprise size
    Young Joong Kang, Jong Heun Park, Huisu Eom, Bohwa Choi, Seyoung Lee, Ji-Won Lee, Jun-Pyo Myong
    Annals of Occupational and Environmental Medicine.2017;[Epub]     CrossRef
  • Applying of Decision Tree Analysis to Risk Factors Associated with Pressure Ulcers in Long-Term Care Facilities
    Mikyung Moon, Soo-Kyoung Lee
    Healthcare Informatics Research.2017; 23(1): 43.     CrossRef
  • Current Status of Pathologic Examinations in Korea, 2011–2015, Based on the Health Insurance Review and Assessment Service Dataset
    Sun-ju Byeon
    Journal of Pathology and Translational Medicine.2017; 51(2): 137.     CrossRef
  • High rate of systemic corticosteroid prescription among outpatient visits for psoriasis: A population‐based epidemiological study using the Korean National Health Insurance database
    Sang Jun Eun, Sihyeok Jang, Jin Yong Lee, Young Kyung Do, Seong Jin Jo
    The Journal of Dermatology.2017; 44(9): 1027.     CrossRef
  • Epidemiology of Chronic Urticaria in Korea Using the Korean Health Insurance Database, 2010-2014
    Nami Lee, Jeong-Dong Lee, Hyun-Young Lee, Dae Ryong Kang, Young-Min Ye
    Allergy, Asthma & Immunology Research.2017; 9(5): 438.     CrossRef
  • Prescription Pattern of Antidepressants for Children and Adolescents in Korea Based on Nationwide Data
    Myong-Wuk Chon, Jungsun Lee, Seockhoon Chung, Yangsik Kim, Hyo-Won Kim
    Journal of Korean Medical Science.2017; 32(10): 1694.     CrossRef
  • Prescription Trends of Psychotropics in Children and Adolescents with Autism Based on Nationwide Health Insurance Data
    Minha Hong, Seung Yup Lee, Juhee Han, Jin Cheol Park, Yeon Jung Lee, Ram Hwangbo, Hyejung Chang, Seong Woo Cho, Soo-Young Bhang, Bongseog Kim, Jun-Won Hwang, Geon Ho Bahn
    Journal of Korean Medical Science.2017; 32(10): 1687.     CrossRef
  • Seasonal Cycle and Relationship of Seasonal Rhino- and Influenza Virus Epidemics With Episodes of Asthma Exacerbation in Different Age Groups
    Seung Won Lee, Shinhae Lee, Youn Ho Sheen, Eun Kyo Ha, Sun Hee Choi, Min-Suk Yang, Sohyun Hwang, Sung Soon Kim, Jang-Hoon Choi, Man Yong Han
    Allergy, Asthma & Immunology Research.2017; 9(6): 517.     CrossRef
  • Monthly variations in aneurysmal subarachnoid hemorrhage incidence and mortality: Correlation with weather and pollution
    Myung-Hoon Han, Jinhee Kim, Kyu-Sun Choi, Choong Hyun Kim, Jae Min Kim, Jin Hwan Cheong, Hyeong-Joong Yi, Seon Heui Lee, Thanh G. Phan
    PLOS ONE.2017; 12(10): e0186973.     CrossRef
  • Analysis of medical service use of knee osteoarthritis and knee meniscal and ligament injuries in Korea: a cross-sectional study of national patient sample data
    Chang Yong Suh, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-riong Kim, Wonil Koh, Yun-Yeop Cha, Byung-Cheul Shin, Eui-Hyoung Hwang, Kristin Suhr, Mia Kim, In-Hyuk Ha
    BMC Musculoskeletal Disorders.2017;[Epub]     CrossRef
  • The Use Pattern and Clinical Impact of New Antiplatelet Agents Including Prasugrel and Ticagrelor on 30-day Outcomes after Acute Myocardial Infarction in Korea: Korean Health Insurance Review and Assessment Data
    Choongki Kim, Dong-Ho Shin, Chul-Min Ahn, Jung-Sun Kim, Byeong-Keuk Kim, Young-Guk Ko, Donghoon Choi, Myeong-Ki Hong, Juhee Park, Hyeyeong Lee, Yoon Jung Choi, Youn Song Choi, Sang-Kwon Oh, Yangsoo Jang
    Korean Circulation Journal.2017; 47(6): 888.     CrossRef
  • Use of Western Medicine and Traditional Korean Medicine for Joint Disorders: A Retrospective Comparative Analysis Based on Korean Nationwide Insurance Data
    Boyoung Jung, Sukjin Bae, Soyoon Kim, Gihyun Lee
    Evidence-Based Complementary and Alternative Medicine.2017;[Epub]     CrossRef
  • A national pharmacoepidemiological study of antibiotic use in Korean paediatric outpatients
    Yun-Kyoung Song, Nayoung Han, Myeong Gyu Kim, Hyeu-jin Chang, Hyun Soon Sohn, Eunhee Ji, Jung Mi Oh
    Archives of Disease in Childhood.2017; 102(7): 660.     CrossRef
  • The Annual Trends between Neurointerventional and Neurosurgical Procedures in Korea: Analysis using HIRA Data from 2010 to 2016
    Sang Hyun Suh
    Neurointervention.2017; 12(2): 77.     CrossRef
  • Warfarin Use in Patients With Atrial Fibrillation Undergoing Hemodialysis
    Chang-Yun Yoon, Juhwan Noh, Jong Hyun Jhee, Tae Ik Chang, Ea Wha Kang, Youn Kyung Kee, Hyoungnae Kim, Seohyun Park, Hae-Ryong Yun, Su-Young Jung, Hyung Jung Oh, Jung Tak Park, Seung Hyeok Han, Shin-Wook Kang, Changsoo Kim, Tae-Hyun Yoo
    Stroke.2017; 48(9): 2472.     CrossRef
  • Medical service use and usual care of common shoulder disorders in Korea: a cross-sectional study using the Health Insurance Review and Assessment Service National Patient Sample
    Hwansoo Joo, Yoon Jae Lee, Joon-Shik Shin, Jinho Lee, Me-riong Kim, Wonil Koh, Yeoncheol Park, Yun Kyung Song, Jae-Heung Cho, In-Hyuk Ha
    BMJ Open.2017; 7(7): e015848.     CrossRef
  • Comparison of Survival Outcomes in Women with Unsuspected Uterine Malignancy Diagnosed After Laparotomic Versus Laparoscopic Myomectomy: A National, Population-Based Study
    Jin-Sung Yuk, Hyun Young Ji, Ji-Yeon Shin, Log Young Kim, Sang-Hyun Kim, Jung Hun Lee
    Annals of Surgical Oncology.2016; 23(4): 1287.     CrossRef
  • Burns in South Korea: An analysis of nationwide data from the Health Insurance Review and Assessment Service
    Hyunjin Oh, Sunjoo Boo
    Burns.2016; 42(3): 675.     CrossRef
  • Regional differences in vitamin D levels and incidence of food-induced anaphylaxis in South Korea
    Si-Heon Kim, Ga-Young Ban, Hae-Sim Park, Su-chin Kim, Young-Min Ye
    Annals of Allergy, Asthma & Immunology.2016; 116(3): 237.     CrossRef
  • The Epidemiology of Myasthenia Gravis in Korea
    Hyung Seok Lee, Hye Sun Lee, Ha Young Shin, Young-Chul Choi, Seung Min Kim
    Yonsei Medical Journal.2016; 57(2): 419.     CrossRef
  • The Clinical Status of Radiation Therapy in Korea in 2009 and 2013
    Jin-Kyu Kang, Mi-Sook Kim, Won-Il Jang, Hee Jin Kim, Chul Koo Cho, Hyung Jun Yoo, Young Seok Seo, Eun Kyung Paik, Yu Jin Cha
    Cancer Research and Treatment.2016; 48(3): 892.     CrossRef
  • Graves Disease Is Associated With Endometriosis
    Jin-Sung Yuk, Eun-Ju Park, Yong-Soo Seo, Hee Jin Kim, Seon-Young Kwon, Won I. Park
    Medicine.2016; 95(10): e2975.     CrossRef
  • Higher prevalence of dementia in patients with schizophrenia: A nationwide population‐based study
    Hyemin Ku, Eui‐Kyung Lee, Kyoung‐Uk Lee, Min‐Young Lee, Jin‐Won Kwon
    Asia-Pacific Psychiatry.2016; 8(2): 145.     CrossRef
  • Utilization of Western and Traditional Korean Medicine for Children and Adolescents with Mental Disorders: a Nationwide Population-based Study from 2010 to 2012
    Su Jin Kim, Bongseog Kim, Young Sik Lee, Geon Ho Bahn
    Journal of Korean Medical Science.2016; 31(5): 770.     CrossRef
  • Network analysis of human diseases using Korean nationwide claims data
    Jin Hee Kim, Ki Young Son, Dong Wook Shin, Sang Hyuk Kim, Jae Won Yun, Jung Hyun Shin, Mi So Kang, Eui Heon Chung, Kyoung Hun Yoo, Jae Moon Yun
    Journal of Biomedical Informatics.2016; 61: 276.     CrossRef
  • Analysis of Surgical Pathology Data in the HIRA Database: Emphasis on Current Status and Endoscopic Submucosal Dissection Specimens
    Sun-ju Byeon, Woo Ho Kim
    Journal of Pathology and Translational Medicine.2016; 50(3): 204.     CrossRef
  • The Incidence of Unexpected Uterine Malignancy in Women Undergoing Hysterectomy for a Benign Condition: A National Population-Based Study
    Jin-Sung Yuk, Log Young Kim, Sang-Hyun Kim, Jung Hun Lee
    Annals of Surgical Oncology.2016; 23(12): 4029.     CrossRef
  • Association between pregnancy and adnexal torsion
    Jin-Sung Yuk, Ji-Yeon Shin, Won I. Park, Dae Woon Kim, Jung Whan Shin, Jung Hun Lee
    Medicine.2016; 95(24): e3861.     CrossRef
  • Incidence and Risk Factors Associated With Hospitalization for Variant Angina in Korea
    Hack-Lyoung Kim, Sang Hyung Lee, Jayeun Kim, Hyun Joo Kim, Woo-Hyun Lim, Jae-Bin Seo, Woo-Young Chung, Sang-Hyun Kim, Joo-Hee Zo, Myung-A Kim, Jin Yong Lee
    Medicine.2016; 95(13): e3237.     CrossRef
  • Incidence, Survival and Prevalence Statistics of Classical Myeloproliferative Neoplasm in Korea
    Yoojoo Lim, Jeong-Ok Lee, Soo-Mee Bang
    Journal of Korean Medical Science.2016; 31(10): 1579.     CrossRef
  • The incidence rates of endometrial hyperplasia and endometrial cancer: a four-year population-based study
    Jin-Sung Yuk
    PeerJ.2016; 4: e2374.     CrossRef
  • Risk of hospitalization for hypoglycemia among older Korean people with diabetes mellitus
    Hyun Min Kim, Jong-Mi Seong, Jaetaek Kim
    Medicine.2016; 95(42): e5016.     CrossRef
  • Prevalence and socio-economic burden of heart failure in an aging society of South Korea
    Hankil Lee, Sung-Hee Oh, Hyeonseok Cho, Hyun-Jai Cho, Hye-Young Kang
    BMC Cardiovascular Disorders.2016;[Epub]     CrossRef
  • The Diagnostic Distribution of Psychiatric Disorders among the Population Under 19 Years Old: Based on the National Insurance Data
    Ram Hwangbo, Hyejung Chang, Minha Hong, Seongwoo Cho, Geon Ho Bahn
    Journal of the Korean Academy of Child and Adolescent Psychiatry.2016; 27(2): 139.     CrossRef
  • Finding the Primary Care Providers in the Specialist-Dominant Primary Care Setting of Korea: A Cluster Analysis
    Jin Yong Lee, Sang Jun Eun, Hyun Joo Kim, Min-Woo Jo, David W. Dowdy
    PLOS ONE.2016; 11(8): e0161937.     CrossRef
  • National trends in carotid endarterectomy and stenting in Korea from 2004 to 2013
    Sung-Shin Cho, Jin Hyun Joh, Hyung-Joon Ahn, Ho-Chul Park
    Experimental and Therapeutic Medicine.2016; 12(4): 2639.     CrossRef
  • National trends for open and endovascular repair of aneurysms in Korea: 2004-2013
    Jin Hyun Joh, Yun-Young Park, Sung-Shin Cho, Ho-Chul Park
    Experimental and Therapeutic Medicine.2016; 12(5): 3333.     CrossRef
  • Evaluation of use and cost of medical care of common lumbar disorders in Korea: cross-sectional study of Korean Health Insurance Review and Assessment Service National Patient Sample data
    Yong-Jun Ahn, Joon-Shik Shin, Jinho Lee, Yoon Jae Lee, Me-Riong Kim, Ki Byung Park, Jun-Hwan Lee, Kyung-Min Shin, In-Hyuk Ha
    BMJ Open.2016; 6(9): e012432.     CrossRef
  • Rapid Increase of Health Care Utilization and Cost due to Benign Prostatic Hyperplasia in Korean Men: Retrospective Population-based Analysis Using the Health Insurance Review and Assessment Service Data
    Hwancheol Son, Juhyun Park, Sang Hoon Song, Jung Yoon Kang, Sung Kyu Hong, Hyun Moo Lee, Sun-Hee Kim, Byung-Joo Park, Hyung-Lae Lee, Kyung Seop Lee
    Journal of Korean Medical Science.2015; 30(2): 180.     CrossRef
  • Unexpected uterine malignancy in women who have undergone myomectomy
    Jin‐Sung Yuk, Hyun Young Ji, Sung Ha Lee, Yong Soo Park, Jung Hun Lee
    International Journal of Gynecology & Obstetrics.2015; 129(3): 270.     CrossRef
  • High rate of nickel allergy in women with endometriosis: A 3‐year population‐based study
    Jin‐Sung Yuk, Yong Jin Kim, Kyong‐Wook Yi, Kim Tak, Jun‐Young Hur, Jung‐Ho Shin
    Journal of Obstetrics and Gynaecology Research.2015; 41(8): 1255.     CrossRef
  • Difference in Healthcare Utilization for Percutaneous Transluminal Coronary Angioplasty Inpatients by Insurance Types: Propensity Score Matching Analysis
    Eun-Won Seo, Kwang-Soo Lee
    Health Policy and Management.2015; 25(1): 3.     CrossRef
  • Correlation between Drug Market Withdrawals and Socioeconomic, Health, and Welfare Indicators Worldwide
    Kye Hwa Lee, Grace Juyun Kim, Ju Han Kim
    Journal of Korean Medical Science.2015; 30(11): 1567.     CrossRef
  • Frontal Lobe Function and Risk of Hip Fracture in Patient With Alzheimer Disease
    Hyun Woong Roh, Chang Hyung Hong, SooJin Lee, Yunhwan Lee, Kang Soo Lee, Ki Jung Chang, Byoung Hoon Oh, Seong Hye Choi, Seong Yoon Kim, Joung Hwan Back, Young Ki Chung, Ki Young Lim, Jai Sung Noh, Sang Joon Son
    Medicine.2015; 94(45): e1918.     CrossRef
  • National trends for the treatment of peripheral arterial disease in Korea between 2004 and 2013
    Youn Young Park, Jin Hyun Joh, Sang-Ah Han, Sang Hyun Kim, Sungsin Cho, Ho-Chul Park, Hyung Joon Ahn
    Annals of Surgical Treatment and Research.2015; 89(6): 319.     CrossRef
  • Diabetes Mellitus and Site-specific Colorectal Cancer Risk in Korea: A Case-control Study
    Hyeongtaek Woo, Jeeyoo Lee, Jeonghee Lee, Ji Won Park, Sungchan Park, Jeongseon Kim, Jae Hwan Oh, Aesun Shin
    Journal of Preventive Medicine and Public Health.2015; 49(1): 45.     CrossRef
  • Association between Aspirin Therapy and Clinical Outcomes in Patients with Non-Obstructive Coronary Artery Disease: A Cohort Study
    In-Chang Hwang, Joo-Yeong Jeon, Younhee Kim, Hyue Mee Kim, Yeonyee E. Yoon, Seung-Pyo Lee, Hyung-Kwan Kim, Dae-Won Sohn, Jidong Sung, Yong-Jin Kim, Michael J Lipinski
    PLOS ONE.2015; 10(6): e0129584.     CrossRef
  • Co-Medication of Statins with Contraindicated Drugs
    Bo Ram Yang, Jong-Mi Seong, Nam-Kyong Choi, Ju-Young Shin, Joongyub Lee, Ye-Jee Kim, Mi-Sook Kim, Soyoung Park, Hong Ji Song, Byung-Joo Park, Stephan Henrik Schirmer
    PLOS ONE.2015; 10(5): e0125180.     CrossRef

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