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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
  • 1,245 View
  • 78 Download
AbstractAbstract AbstractSummary PDF
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.
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
  • 10,814 View
  • 162 Download
  • 1 Web of Science
  • 1 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  
  • 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
  • 29,725 View
  • 657 Download
  • 269 Web of Science
  • 274 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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    Asia-Pacific Journal of Ophthalmology.2022; 11(6): 505.     CrossRef
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    Medicina.2022; 58(11): 1568.     CrossRef
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    Ying-Jhen Huang, Yi-Chi Chu, Chia-Wei Chen, Hsin-Chou Yang, Hung-Ling Huang, Jing-Shiang Hwang, Chun-Houh Chen, Ta-Chien Chan
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  • Patterns of Systemic Disease Diagnoses among Medical Professionals in Taiwan: Statistical Analysis and Data Mining
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    International Journal of Environmental Research and Public Health.2022; 19(21): 14017.     CrossRef
  • Association of laparoscopy and laparotomy with adverse fetal outcomes: a retrospective population-based case–control study
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    Surgical Endoscopy.2021; 35(11): 6048.     CrossRef
  • Residential green space structures are associated with a lower risk of bipolar disorder: A nationwide population-based study in Taiwan
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    Environmental Pollution.2021; 283: 115864.     CrossRef
  • Changes in Pramipexole Utilization after Introduction of the Extended-Release Formulation: A Nationwide Study in Taiwan
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  • Income level and outcomes in patients with heart failure with universal health coverage
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  • Increased risk of dementia in patients with nasopharyngeal cancer treated with radiation therapy: A nationwide population-based cohort study
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    Archives of Gerontology and Geriatrics.2021; 93: 104303.     CrossRef
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  • Association of Obstructive Sleep Apnea With the Risk of Male Infertility in Taiwan
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    JAMA Network Open.2021; 4(1): e2031846.     CrossRef
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    Neuropsychiatric Disease and Treatment.2021; Volume 17: 2315.     CrossRef
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    Pharmacoepidemiology and Drug Safety.2021; 30(12): 1653.     CrossRef
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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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    Jin‐Sung Yuk
    International Journal of Gynecology & Obstetrics.2023; 162(2): 502.     CrossRef
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    Jin-Sung Yuk, Myounghwan Kim
    Menopause.2023; 30(5): 490.     CrossRef
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    Sunwon Kim, Jong-Seok Lee, Jungkuk Lee, Yong-Hyun Kim, Jin-Seok Kim, Sang-Yup Lim, Seong Hwan Kim, Jeong-Cheon Ahn, Woo-Hyuk Song
    Journal of Clinical Medicine.2023; 12(7): 2675.     CrossRef
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    Gi Chan Park, Jung Wha Chung, Eun Sun Jang, Jin-Wook Kim
    Digestive and Liver Disease.2023; 55(10): 1368.     CrossRef
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    Jing Chen, Ju-Young Shin, Hyungwoo Kim, Ju Hwan Kim, Ahhyung Choi, Hee Jin Cheong, Yeon-Mok Oh, Adrienne Guignard, Sumitra Shantakumar
    COPD: Journal of Chronic Obstructive Pulmonary Disease.2023; 20(1): 126.     CrossRef
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    Kyung Min Kwon, Jae-Jun Shim, Gi-Ae Kim, Bo Ok Kim, Helin Han, Hyun Jung Ahn
    The Korean Journal of Internal Medicine.2023; 38(3): 338.     CrossRef
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    Dementia and Neurocognitive Disorders.2023; 22(2): 49.     CrossRef
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    Jaeseo Ahn, Jiyoon Yeo, Sook-Hyun Lee, Yoon Jae Lee, Yeoncheol Park, Bonhyuk Goo, In-Hyuk Ha
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    JAMA Network Open.2023; 6(6): e2317145.     CrossRef
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    Sangsu Youm, Pusoon Chun
    Korean Journal of Clinical Pharmacy.2023; 33(2): 113.     CrossRef
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    Jin-Mo Park, Minsung Kang, Jin-Sung Park
    Journal of Neurology.2023; 270(10): 5017.     CrossRef
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  • Skin cancer risk of menopausal hormone therapy in a Korean cohort
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  • Impact of statin treatment on cardiovascular events in patients with retinal vein occlusion: a nested case-control study in Korea
    Joonsang Yoo, Joo Youn Shin, Jimin Jeon, Jinkwon Kim
    Epidemiology and Health.2023; 45: e2023035.     CrossRef
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    Chan-Young Kwon, Seungwon Shin, O-Jin Kwon, Wonkyung Moon, Namkwen Kim, Minjung Park
    Journal of Pharmacopuncture.2023; 26(2): 198.     CrossRef
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    Sohee Jung, Gucheol Jung, Dayoung Kim, Jeeyoung Oh, Kyomin Choi
    Journal of Clinical Neurology.2023; 19(6): 558.     CrossRef
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    Sohyun Cho, Yu-Cheol Lim, Eun-Jung Kim, Yeoncheol Park, In-Hyuk Ha, Ye-Seul Lee, Yoon Jae Lee
    Healthcare.2023; 11(16): 2353.     CrossRef
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    Yen Min Wang, Yu-Cheol Lim, Deok-Sang Hwang, Yoon Jae Lee, In-Hyuk Ha, Ye-Seul Lee
    Medicina.2023; 59(9): 1505.     CrossRef
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    Min Ah Suh, Su Bee Park, Min Seob Kwak, Jin Young Yoon, Jae Myung Cha
    Yonsei Medical Journal.2023; 64(9): 549.     CrossRef
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    Frontiers in Aging Neuroscience.2023;[Epub]     CrossRef
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    Jin-Sung Yuk, Yong-Soo Seo, Yo Han Im, Ji Hyoun Kim
    Seminars in Arthritis and Rheumatism.2023; 63: 152280.     CrossRef
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    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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    Korean Journal of Clinical Pharmacy.2023; 33(3): 168.     CrossRef
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    BMC Women's Health.2023;[Epub]     CrossRef
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    Jin-Sung Yuk, Sang-Hee Yoon, Astawus Alemayehu Feleke
    PLOS ONE.2023; 18(11): e0294405.     CrossRef
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    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
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    The Korean Journal of Gastroenterology.2023; 82(5): 239.     CrossRef
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    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
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    Kyung-Ann Lee, JongSun Kim, Wonho Choi, Hyun-Sook Kim, Gi Hyeon Seo
    Modern Rheumatology.2022; 32(1): 149.     CrossRef
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    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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    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
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    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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    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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    BMC Pulmonary Medicine.2022;[Epub]     CrossRef
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    Jin‐Sung Park, Kyung Yoon Eah, Jin‐Mo Park
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    Frontiers in Medicine.2022;[Epub]     CrossRef
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    Journal of Clinical Medicine.2022; 11(6): 1477.     CrossRef
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    Hepatology International.2022; 16(2): 294.     CrossRef
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    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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    Scientific Reports.2022;[Epub]     CrossRef
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    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Journal of Korean Medical Science.2022;[Epub]     CrossRef
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    Frontiers in Public Health.2022;[Epub]     CrossRef
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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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    American Journal of Industrial Medicine.2021; 64(4): 245.     CrossRef
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    The Journal of Clinical Endocrinology & Metabolism.2021; 106(6): 1773.     CrossRef
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    Journal of Diabetes Investigation.2018; 9(2): 430.     CrossRef
  • Incidence of Clinically Relevant Incisional Hernia After Colon Cancer Surgery and Its Risk Factors: A Nationwide Claims Study
    Gi Hyeon Seo, Eun Kyung Choe, Kyu Joo Park, Young Jun Chai
    World Journal of Surgery.2018; 42(4): 1192.     CrossRef
  • Epidemiology and comorbidities of patients with chronic urticaria in Korea: A nationwide population‐based study
    Bo Ri Kim, Seungkeol Yang, Jee Woong Choi, Chong Won Choi, Sang Woong Youn
    The Journal of Dermatology.2018; 45(1): 10.     CrossRef
  • Risk of diabetes in viral hepatitis B or C patients compared to that in noninfected individuals in Korea, 2002‐2013: A population‐based cohort study
    H. Y. Choi, Y. Kim, H. Cho, B. H. Kim, M. Ki
    Journal of Viral Hepatitis.2018; 25(3): 272.     CrossRef
  • Update on the prevalence and incidence of rheumatoid arthritis in Korea and an analysis of medical care and drug utilization
    Soyoung Won, Soo-Kyung Cho, Dam Kim, Minkyung Han, Jiyoung Lee, Eun Jin Jang, Yoon-Kyoung Sung, Sang-Cheol Bae
    Rheumatology International.2018; 38(4): 649.     CrossRef
  • The prevalence and treatment pattern of clinically diagnosed pelvic organ prolapse: a Korean National Health Insurance Database-based cross-sectional study 2009–2015
    Jin-Sung Yuk, Jung Hun Lee, Jun-Young Hur, Jung-Ho Shin
    Scientific Reports.2018;[Epub]     CrossRef
  • Incidence of venous thromboembolism in Korea from 2009 to 2013
    Junshik Hong, Ju Hyun Lee, Ho-Young Yhim, Won-Il Choi, Soo-Mee Bang, Heeyoung Lee, Doyeun Oh, Christophe Leroyer
    PLOS ONE.2018; 13(1): e0191897.     CrossRef
  • Integrating and analyzing medical and environmental data using ETL and Business Intelligence tools
    Alejandro Villar, María T. Zarrabeitia, Pablo Fdez-Arroyabe, Ana Santurtún
    International Journal of Biometeorology.2018; 62(6): 1085.     CrossRef
  • The incidence of unexpected uterine malignancy in women undergoing hysteroscopic myomectomy or polypectomy: A national population-based study
    Jin-Sung Yuk, Ji-Yeon Shin, Hye-Sung Moon, Jung Hun Lee
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2018; 224: 12.     CrossRef
  • Measuring the effect of nurse staffing on patient outcomes: A comment on Kim & Bae (2018)
    Joachim Rapin, Cédric Mabire, Sylvie Gendron, Carl-Ardy Dubois
    International Journal of Nursing Studies.2018; 82: 11.     CrossRef
  • South Korean geriatrics on Beers Criteria medications at risk of adverse drug events
    Grace Juyun Kim, Kye Hwa Lee, Ju Han Kim, Pei-Ning Wang
    PLOS ONE.2018; 13(3): e0191376.     CrossRef
  • Nationwide Epidemiologic Study of Atypical Antipsychotic Use Among Pediatric Population with Mental Illness in Korea
    Hankil Lee, Dong-Ho Song, Euna Han, Hye-Young Kang
    Journal of Child and Adolescent Psychopharmacology.2018; 28(3): 205.     CrossRef
  • Tuberculosis infection via the emergency department among inpatients in South Korea: a propensity-score matched analysis of the National Inpatient Sample
    Jin-young Min, Hyun-Jin Kim, Chungsik Yoon, Kiyoung Lee, Myoungsouk Yeo, Kyoung-bok Min
    Journal of Hospital Infection.2018;[Epub]     CrossRef
  • Administration of oral fluoroquinolone and the risk of rhegmatogenous retinal detachment: A nationwide population-based study in Korea
    Seung Yong Choi, Hyun-A. Lim, Hyeon Woo Yim, Young-Hoon Park, Der-Chong Tsai
    PLOS ONE.2018; 13(4): e0195563.     CrossRef
  • Estimation of cost savings between 2011 and 2014 attributed to infliximab biosimilar in the South Korean healthcare market: real‐world evidence using a nationwide database
    Jiyoun Kim, Dongmun Ha, Inmyung Song, Haesun Park, Sang‐Won Lee, Eui‐Kyung Lee, Ju‐Young Shin
    International Journal of Rheumatic Diseases.2018; 21(6): 1227.     CrossRef
  • Osteoporosis and fracture after gastrectomy for stomach cancer
    Gi Hyeon Seo, Hae Yeon Kang, Eun Kyung Choe
    Medicine.2018; 97(17): e0532.     CrossRef
  • Temporal relationship between antibiotic use and respiratory virus activities in the Republic of Korea: a time-series analysis
    Sukhyun Ryu, Sojung Kim, Bryan I. Kim, Eili Y. Klein, Young Kyung Yoon, Byung Chul Chun
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  • The prevalence of primary hyperparathyroidism in Korea: a population-based analysis from patient medical records
    Jong-kyu Kim, Young Jun Chai, Jung Kee Chung, Ki-Tae Hwang, Seung Chul Heo, Su-Jin Kim, June Young Choi, Ka Hee Yi, Sang Wan Kim, Sung Yong Cho, Kyu Eun Lee
    Annals of Surgical Treatment and Research.2018; 94(5): 235.     CrossRef
  • Interactive data visualization based on conventional statistical findings for antihypertensive prescriptions using National Health Insurance claims data
    Inseok Ko, Hyejung Chang
    International Journal of Medical Informatics.2018; 116: 1.     CrossRef
  • Impact of the Health Insurance Coverage Policy on Oral Anticoagulant Prescription among Patients with Atrial Fibrillation in Korea from 2014 to 2016
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  • Cumulative Dose Threshold for the Chemopreventive Effect of Aspirin Against Gastric Cancer
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  • Primary Care Patients’ Preference for Hospitals over Clinics in Korea
    Agnus Kim, Seongcheol Cho, Hyun Kim, Hyemin Jung, Min-Woo Jo, Jin Lee, Sang Eun
    International Journal of Environmental Research and Public Health.2018; 15(6): 1119.     CrossRef
  • Medical care costs of cancer in the last year of life using national health insurance data in Korea
    Mihai Park, Inmyung Song, M Barton Laws
    PLOS ONE.2018; 13(6): e0197891.     CrossRef
  • Hospital-Acquired Pneumonia among Inpatients via the Emergency Department: A Propensity-Score Matched Analysis
    Jin-young Min, Hye-Jin Kim, Chungsik Yoon, Kiyoung Lee, Myoungsouk Yeo, Kyoung-bok Min
    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
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    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
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  • Real-world Evidence versus Randomized Controlled Trial: Clinical Research Based on Electronic Medical Records
    Hun-Sung Kim, Suehyun Lee, Ju Han Kim
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  • 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
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  • Increased use of third‐generation cephalosporin antibiotics in the outpatient setting in Korean children and adolescents
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    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
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    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
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  • 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
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  • Ectopic pregnancy incidence in the Republic of Korea in 2009–2015: A population-based cross-sectional study
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  • 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
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  • The effects of continuity of care on hospital utilization in patients with knee osteoarthritis: analysis of Nationwide insurance data
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  • Patterns and Persistence of Pharmacotherapy for Children and Adolescents with Attention Deficit Hyperactivity Disorder in South Korea
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    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
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    Annals of Allergy, Asthma & Immunology.2018; 121(6): 699.     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
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    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
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    The Journal of Dermatology.2017; 44(9): 1027.     CrossRef
  • Epidemiology of Chronic Urticaria in Korea Using the Korean Health Insurance Database, 2010-2014
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  • Prescription Pattern of Antidepressants for Children and Adolescents in Korea Based on Nationwide Data
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    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
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  • 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
    Evidence-Based Complementary and Alternative Medicine.2017; 2017: 1.     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
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    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
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  • Comparison of Survival Outcomes in Women with Unsuspected Uterine Malignancy Diagnosed After Laparotomic Versus Laparoscopic Myomectomy: A National, Population-Based Study
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    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
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    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
  • 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
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  • 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

Epidemiol Health : Epidemiology and Health