Lee Heeyoung, Lee Kun Sei, Sim Sung Bo, Jeong Hyo Seon, Ahn Hye Mi, Chee Hyun Keun
Center for Preventive Medicine and Public Health, Seoul National University Bundang Hospital.
Department of Preventive Medicine, Konkuk University School of Medicine.
Korean J Thorac Cardiovasc Surg. 2016 Dec;49(Suppl 1):S60-S67. doi: 10.5090/kjtcs.2016.49.S1.S60. Epub 2016 Dec 5.
Coronary angioplasty has been replacing coronary artery bypass grafting (CABG) because of the relative advantage in terms of recovery time and noninvasiveness of the procedure. Compared to other Organization for Economic Cooperation and Development (OECD) countries, Korea has experienced a rapid increase in coronary angioplasty volumes.
We analyzed changes in procedure volumes of CABG and of percutaneous coronary intervention (PCI) from three sources: the OECD Health Data, the National Health Insurance Service (NHIS) surgery statistics, and the National Health Insurance claims data.
We found the ratio of procedure volume of PCI to that of CABG per 100,000 population was 19.12 in 2014, which was more than triple the OECD average of 5.92 for the same year. According to data from NHIS statistics, this ratio was an increase from 11.4 to 19.3 between 2006 and 2013.
We found that Korea has a higher ratio of total procedure volumes of PCI with respect to CABG and also a more rapid increase of volumes of PCI than other countries. Prospective studies are required to determine whether this increase in absolute volumes of PCI is a natural response to a real medical need or representative of medical overuse.
由于冠状动脉成形术在恢复时间和手术无创性方面具有相对优势，其已逐渐取代冠状动脉旁路移植术（CABG）。与其他经济合作与发展组织（OECD）国家相比，韩国的冠状动脉成形术数量增长迅速。
我们从三个来源分析了冠状动脉旁路移植术（CABG）和经皮冠状动脉介入治疗（PCI）的手术量变化：经合组织卫生数据、国民健康保险服务（NHIS）手术统计数据以及国民健康保险理赔数据。
我们发现，2014年每10万人口中PCI与CABG的手术量之比为19.12，这是同年经合组织平均水平5.92的三倍多。根据国民健康保险服务统计数据，2006年至2013年间，这一比例从11.4增至19.3。
我们发现，韩国PCI与CABG的总手术量之比更高，且PCI手术量的增长速度比其他国家更快。需要进行前瞻性研究，以确定PCI绝对手术量的增加是对实际医疗需求的自然反应，还是医疗过度使用的表现。
