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Yu HW, An AR, Kang HI, Suh YJ, Kwon H, Kim SJ, Chai YJ, Choi JY, Choi H, Lee KE, Cho B. Does Thyroidectomy Impact Quality of Life: Retrospective Case-Control Study of Post-Thyroidectomy Patients and Matched Individuals from the General Population. ACTA ACUST UNITED AC 2020; 56:medicina56110603. [PMID: 33182641 PMCID: PMC7697461 DOI: 10.3390/medicina56110603] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 11/01/2020] [Accepted: 11/09/2020] [Indexed: 11/16/2022]
Abstract
Background and objectives: The study assesses quality of life (QoL) in patients who underwent thyroidectomy compared to the general population. Materials and Methods: QoL data from post-thyroidectomy patients and individuals with no subjective health concerns, who had attended a routine health screening visit, were evaluated. QoL was assessed using the modified version of Korean Short Form 12 questionnaire (SF-12). Patients and controls were matched using the propensity score approach and a ratio of 1:4. Results: Data from a total of 105 patients and 420 controls were analyzed. For five SF-12 items, lower QoL was found in patients (p < 0.05). Multivariate analysis revealed that a follow-up duration of <1-year, female sex, and an age of >50 years were independent risk factors. No significant difference was found between controls and patients who were >1-year post-surgery. Conclusions: For specific SF-12 items, QoL was lower in post-thyroidectomy patients than in controls. No intergroup difference in QoL was found >1-year post-surgery.
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Affiliation(s)
- Hyeong Won Yu
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si 13620, Korea; (H.W.Y.); (J.Y.C.)
| | - Ah Reum An
- Department of Family Medicine, Seoul National University Hospital Healthcare System Gangnam Center and College of Medicine, Seoul 06236, Korea; (A.R.A.); (B.C.)
| | - Hye In Kang
- Department of Surgery, Seoul National University Hospital, Seoul 03080, Korea;
| | - Yong Joon Suh
- Department of Breast and Endocrine Surgery, Hallym University Sacred Heart Hospital, Anyang 14068, Korea;
| | - Hyungju Kwon
- Department of Surgery, Ewha Womans University College of Medicine, Seoul 07985, Korea;
| | - Su-jin Kim
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul 03080, Korea;
- Correspondence: (S.-j.K.); (H.C.)
| | - Young Jun Chai
- Department of Surgery, Seoul National University Boramae Medical Center, Seoul 07061, Korea;
| | - June Young Choi
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si 13620, Korea; (H.W.Y.); (J.Y.C.)
| | - Hochun Choi
- Department of Family Medicine, Seoul National University Hospital Healthcare System Gangnam Center and College of Medicine, Seoul 06236, Korea; (A.R.A.); (B.C.)
- Correspondence: (S.-j.K.); (H.C.)
| | - Kyu Eun Lee
- Department of Surgery, Seoul National University Hospital and College of Medicine, Seoul 03080, Korea;
| | - Belong Cho
- Department of Family Medicine, Seoul National University Hospital Healthcare System Gangnam Center and College of Medicine, Seoul 06236, Korea; (A.R.A.); (B.C.)
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Yun YH, Kim KN, Sim JA, Lee J, Choo J, An AR, Yoo SH, Keam B, Kim TY, Chang YJ, Kim YJ, Lee NR, Kang JH, Kwon JH, Lee JL, Lee SN, Kim SY, Kang EJ, Do YR, Yun HJ, Jung KH. Attitudes of the General Population, Cancer Patients, their Family Caregivers, and Physicians toward Dying and Death: A Nationwide Survey. Glob J Health Sci 2017. [DOI: 10.5539/gjhs.v9n10p201] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Seo YG, Choi HC, An AR, Park DJ, Park YJ, Lee KE, Park SK, Hwang Y, Cho B. The Association between Type 2 Diabetes Mellitus and Thyroid Cancer. J Diabetes Res 2017; 2017:5850879. [PMID: 28770232 PMCID: PMC5523441 DOI: 10.1155/2017/5850879] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2017] [Revised: 05/30/2017] [Accepted: 06/12/2017] [Indexed: 01/13/2023] Open
Abstract
AIM The incidence of thyroid cancer is increasing worldwide. The prevalence of type 2 diabetes mellitus (T2DM) is also increasing. Therefore, we aimed to analyze the effect of T2DM on thyroid cancer. METHODS A case-control study was performed. A total of 415 healthy controls with thyroid ultrasound screening and physician consultation were selected from the Thyroid Cancer Longitudinal Study (T-CALOS). Among patients with thyroid cancer who were enrolled in T-CALOS, 415 patients were matched to the control group according to age and sex. We assessed the effects of T2DM, T2DM duration, and T2DM medication on thyroid cancer. RESULTS Women with T2DM had lower odds of thyroid cancer than women without T2DM (odds ratio [OR]: 0.40, 95% confidence interval [CI]: 0.20-0.81). Individuals receiving T2DM medication had higher odds of thyroid cancer compared to those without T2DM medication (OR: 5.21, 95% CI: 1.58-17.15). Individuals with T2DM duration <6 years had lower odds of thyroid cancer compared to those without T2DM (OR: 0.58, 95% CI: 0.34-0.97). CONCLUSIONS Individuals with early T2DM are presumed to have a low incidence of thyroid cancer, and this effect seems to last up to 6 years after diagnosis of T2DM.
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Affiliation(s)
- Young-Gyun Seo
- Department of Family Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do 14068, Republic of Korea
| | - Ho-Chun Choi
- Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, Seoul 03080, Republic of Korea
| | - Ah Reum An
- Department of Family Medicine, Center for Health Promotion and Optimal Aging, Health Promotion Center for Cancer Survivor, Seoul National University Hospital, Seoul 03080, Republic of Korea
| | - Do Joon Park
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
| | - Young Joo Park
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
| | - Kyu Eun Lee
- Department of Surgery, Seoul National University Hospital & College of Medicine, Seoul 03080, Republic of Korea
| | - Sue K. Park
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
- Department of Biomedical Science, Seoul National University Graduate School, Seoul 03080, Republic of Korea
- Cancer Research Institute, Seoul National University, Seoul 03080, Republic of Korea
| | - Yunji Hwang
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
- Department of Biomedical Science, Seoul National University Graduate School, Seoul 03080, Republic of Korea
- Cancer Research Institute, Seoul National University, Seoul 03080, Republic of Korea
| | - Belong Cho
- Department of Family Medicine, Center for Health Promotion and Optimal Aging, Health Promotion Center for Cancer Survivor, Seoul National University Hospital, Seoul 03080, Republic of Korea
- Advanced Institutes of Convergence Technology, Seoul National University, Suwon, Gyeonggi-do 16229, Republic of Korea
- Institute on Aging, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
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Kim DH, An AR, Kim EJ, Lee JK, Lee SH. Evaluation of an extracurricular program for students interested in rural and public health. Korean J Med Educ 2017; 29:111-116. [PMID: 28597874 PMCID: PMC5465439 DOI: 10.3946/kjme.2017.58] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Revised: 04/07/2017] [Accepted: 05/08/2017] [Indexed: 06/07/2023]
Abstract
PURPOSE The problem regarding the geographic imbalance of the physician workforce has been a long-standing problem in South Korea. Additionally, rural medicine and public health have been marginalized across whole undergraduate curriculums. The aim of this study was to evaluate the effectiveness of an extracurricular program targeting medical students interested in rural and public health. METHODS A 2-day extracurricular program was held twice in 2015 and 2016. A total of 53 students were selected among eighty students who voluntarily applied to participate in the program. The effectiveness of the program was evaluated by pre- and post-program surveys. RESULTS The overall satisfaction for the program was 5.35 out of 6. The participants showed a significant improvement in perception of the clerkship experience in a rural and public health care setting as well as the importance of rural medicine and public health in South Korea. CONCLUSION In conclusion, this study showed the acceptability of a short-term extracurricular program for medical students interested in rural and public health.
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Affiliation(s)
- Do-Hwan Kim
- Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea
| | - Ah Reum An
- Public Health Medical Service, Seoul National University Hospital, Seoul, Korea
| | - Eun Jeong Kim
- Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea
| | - Jong-Koo Lee
- JW Lee Center for Global Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Seung-Hee Lee
- Department of Medical Education, Seoul National University College of Medicine, Seoul, Korea
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Kim MS, Song IG, An AR, Kim KH, Sohn JH, Yang SW. Healthcare access challenges facing six African refugee mothers in South Korea: a qualitative multiple-case study. Korean J Pediatr 2017; 60:138-144. [PMID: 28592976 PMCID: PMC5461277 DOI: 10.3345/kjp.2017.60.5.138] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Revised: 01/17/2017] [Accepted: 01/31/2017] [Indexed: 11/27/2022]
Abstract
Purpose Following legal reform in 2013, the annual number of asylum seekers entering South Korea has increased from 1,143 in 2012 to 5,711 in 2015. We interviewed six African refugee mothers of young children regarding their health needs and barriers to access maternal child health services. Methods We recruited mothers who had visited a clinic for immigrants between July 2013 and August 2015. Participants were African refugee women, aged over 18 years, who had given birth in Korea within the previous 5 years and had come to Korea over a year before recruitment. Interview questions examined participants' experiences in pregnancy and childbirth and concerns regarding their child's health status. Initial data analysis involved all researchers' immersion in the entire collection of transcripts. We then noted recurrent topics and themes and identified similar issues. Results At the time of giving birth, 5 participants were asylum seekers and one had undocumented status. The following barriers impeded their access to maternal child healthcare: socioeconomic factors (unstable social identity, low economic status, difficulty obtaining health insurance), language barriers (lack of linguistically appropriate health information, limited access to translation services), and cultural barriers (religious and cultural differences). Weak social support also hindered access to healthcare soon after migration; however, social links with the community emerged as a key coping strategy following settlement. Conclusion We identified barriers to maternal and child healthcare and coping strategies among African refugee mothers in Korea. Future research should assess refugees' health status and improve health access and literacy among refugee mothers.
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Affiliation(s)
- Min Sun Kim
- Institute of Public Health and Medical Service, Seoul, Korea.,Department of Pediatrics, Seoul National University Hospital, Seoul, Korea
| | - In Gyu Song
- Department of Pediatrics, Seoul National University Hospital, Seoul, Korea
| | - Ah Reum An
- Institute of Public Health and Medical Service, Seoul, Korea
| | - Kyae Hyung Kim
- Institute of Public Health and Medical Service, Seoul, Korea
| | - Ji Hoon Sohn
- Institute of Public Health and Medical Service, Seoul, Korea
| | - Sei Won Yang
- Department of Pediatrics, Seoul National University Hospital, Seoul, Korea
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Lee J, Choi YJ, An AR, Kim Y. Duration of and fee for comprehensive assessment and care planning for patients with hypertension and/or diabetes in primary care. J Korean Med Assoc 2017. [DOI: 10.5124/jkma.2017.60.1.72] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Jeehye Lee
- Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea
| | - Yong-Jun Choi
- Department of Social and Preventive Medicine, College of Medicine, Hallym University, Chuncheon, Korea
- Health Services Research Center, Hallym University, Chuncheon, Korea
| | - Ah Reum An
- Public Health Medical Service, Seoul National University Hospital, Seoul, Korea
| | - Yoon Kim
- Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea
- Institute of Health Policy and Management, Medical Research Center, Seoul National University, Seoul, Korea
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Lee KE, Park YJ, Cho B, Hwang Y, Choi JY, Kim SJ, Choi H, Choi HC, An AR, Park DJ, Park SK, Youn YK. Protocol of a thyroid cancer longitudinal study (T-CALOS): a prospective, clinical and epidemiological study in Korea. BMJ Open 2015; 5:e007234. [PMID: 25564151 PMCID: PMC4289710 DOI: 10.1136/bmjopen-2014-007234] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2014] [Accepted: 11/24/2014] [Indexed: 01/08/2023] Open
Abstract
INTRODUCTION Thyroid cancer incidence in Korea is the highest in the world and has recently increased steeply. However, factors contributing to this sudden increase have not been fully elucidated, and few studies have explored the postoperative prognosis. The Thyroid Cancer Longitudinal Study (T-CALOS) was initiated with three aims: (1) to identify factors predicting quality of life, recurrence, and incidence of other diseases after thyroid cancer treatments; (2) to investigate environmental exposure to radiation, toxicants and molecular factors in relation to tumour aggressiveness; and (3) to evaluate gene-environment interactions that increase thyroid cancer in comparison with healthy participants from a pool of nationwide population-based healthy examinees. METHODS AND ANALYSIS T-CALOS enrols patients with incident thyroid cancer from three general hospitals, Seoul National University Hospital, Seoul National University Bundang Hospital and National Medical Center, Korea. The study is an ongoing project expecting to investigate 5000 patients with thyroid cancer up until 2017. Healthy examinees with a normal thyroid confirmed by sonography have been enrolled at the Healthy Examination Center at Seoul National University Hospital. We are also performing individual matching using two nationwide databases that are open to the public. Follow-up information is obtained at patients' clinical visits and by linkage to the national database. For statistical analysis, we will use conditional logistic regression models and a Cox proportional hazard regression model. A number of stratifications and sensitivity analyses will be performed to confirm the results. ETHICS AND DISSEMINATION Based on a large sample size, a prospective study design, comprehensive data collection and biobank, T-CALOS has been independently peer-reviewed and approved by the three hospitals and two funding sources (National Research Foundation of Korea and Korean Foundation for Cancer Research). The results of T-CALOS will be published according to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria.
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Affiliation(s)
- Kyu Eun Lee
- Department of Surgery, Seoul National University Hospital & College of Medicine, Seoul, Korea
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Division of Surgery, Thyroid Center, Seoul National University Cancer Hospital, Seoul, Korea
| | - Young Joo Park
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Belong Cho
- Department of Family Medicine, Health Promotion Center for Cancer survivor, Seoul National University Hospital, Seoul, Korea
| | - Yunji Hwang
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - June Young Choi
- Department of Surgery, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea
| | - Su-jin Kim
- Department of Surgery, Seoul National University Hospital & College of Medicine, Seoul, Korea
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Division of Surgery, Thyroid Center, Seoul National University Cancer Hospital, Seoul, Korea
| | - Hoonsung Choi
- Department of Internal Medicine, Kangwon National University Hospital, Chuncheon, Gangwon-do, Korea
| | - Ho-Chun Choi
- Department of Family Medicine, Health Promotion Center for Cancer survivor, Seoul National University Hospital, Seoul, Korea
| | - Ah Reum An
- Department of Family Medicine, Health Promotion Center for Cancer survivor, Seoul National University Hospital, Seoul, Korea
| | - Do Joon Park
- Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Sue K Park
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Department of Biomedical Science, Seoul National University Graduate School, Seoul, Korea
- Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea
| | - Yeo-Kyu Youn
- Department of Surgery, Seoul National University Hospital & College of Medicine, Seoul, Korea
- Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
- Division of Surgery, Thyroid Center, Seoul National University Cancer Hospital, Seoul, Korea
- Department of Surgery, National Medical Center, Seoul, Korea
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Ahn E, Son KY, Shin DW, Han MK, Lee H, An AR, Kim EH, Cho B. Perceived risk as a barrier to appropriate diagnosis of irritable bowel syndrome. World J Gastroenterol 2014; 20:18360-18366. [PMID: 25561803 PMCID: PMC4277973 DOI: 10.3748/wjg.v20.i48.18360] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2014] [Revised: 06/16/2014] [Accepted: 07/11/2014] [Indexed: 02/06/2023] Open
Abstract
AIM: To evaluate perceived risk, diagnostic testing, and acceptance of a diagnosis of irritable bowel syndrome (IBS) among the Korean laypersons.
METHODS: We designed a conceptual framework to evaluate the health-seeking behavior of subjects based on a knowledge, attitude, and practice model. We developed a vignette-based questionnaire about IBS based on a literature review and focused group interviews. The vignette described a 40-year-old woman who meets the Rome III criteria for IBS without red-flag signs. It was followed by questions about demographic characteristics, health behaviors, IBS symptoms, risk perception, perceived need for diagnostic tests, and acceptance of a positive diagnosis of IBS. We planned a nationwide survey targeting laypersons without IBS and between the ages of 20 and 69 years. Survey participants were selected by quota sampling stratified by gender, age, and nationwide location. A multivariate logistic model was constructed based on literature reviews, univariate analysis, and a stepwise selection method to investigate correlations between the perceived risk, need for diagnostic tests, and acceptance of a positive diagnosis.
RESULTS: Of 2354 eligible households, 1000 subjects completed the survey and 983 subjects were analyzed, excluding those who met symptom criteria for IBS. After reading the IBS vignette, the majority of subjects (86.8%) responded that the patient was at increased risk of severe disease. The most frequent concern was colon cancer (59.8%), followed by surgical condition (51.5%). Most subjects responded the patient needs diagnostic tests (97.2%). Colonoscopy was the most commonly required test (79.5%). Less than half of the respondents requested a stool examination (45.0%), blood test (40.7%), abdominal ultrasound (36.0%), or computed tomography (20.2%). The subjects who felt increased risk were more likely to see a need for colonoscopy [adjusted odds ratio (aOR) = 2.10, 95%CI: 1.38-3.18]. When asked about the positive diagnosis, the most frequent response was that “the patient would not be reassured” (65.7%). The increased risk perception group was less likely to be reassured by a positive diagnosis of IBS, compared to the other respondents (aOR = 0.52, 95%CI: 0.34-0.78).
CONCLUSION: For IBS diagnosis, increased risk perception is a possible barrier to the appropriate use of diagnostic tests and to the patient’s acceptance of a positive diagnosis.
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An AR, Lee JK, Yun YH, Heo DS. Terminal cancer patients' and their primary caregivers' attitudes toward hospice/palliative care and their effects on actual utilization: A prospective cohort study. Palliat Med 2014; 28:976-985. [PMID: 24781817 DOI: 10.1177/0269216314531312] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
BACKGROUND Previous studies on hospice/palliative care indicated that patients' socio-demographic factors, disease status, and availability of health-care resources were associated with hospice/palliative care utilization. However, the impact of family caregivers on hospice/palliative care utilization has not been thoroughly investigated. AIM To evaluate the association between attitudes toward hospice/palliative care of both patients with terminal cancer (defined as progressive, advanced cancer in which the patient will die within months) and their family caregivers and utilization of inpatient hospice/palliative care facilities. DESIGN A prospective observational cohort study was performed in 12 hospitals in South Korea. Attitude toward hospice/palliative care was assessed immediately after terminal cancer diagnosis. After the patient's death, caregivers were interviewed whether they utilized hospice/palliative care facilities. PARTICIPANTS A total of 359 patient-caregiver dyads completed baseline questionnaires. After the patients' death, 257 caregivers were interviewed. RESULTS At the baseline questionnaire, 137/359 (38.2%) patients and 185/359 (51.5%) of caregivers preferred hospice/palliative care. Preference for hospice/palliative care was associated with awareness of terminal status among both patients (adjusted odds ratio: 1.87, 95% confidence interval: 1.16-3.03) and caregivers (adjusted odds ratio: 2.14, 95% confidence interval: 1.20-3.81). Religion, metastasis, and poor performance status were also independently associated with patient preference for hospice/palliative care. At the post-bereavement interview, 104/257 (40.5%) caregivers responded that they utilized hospice/palliative care facilities. Caregiver's preferences for hospice/palliative care were significantly associated with actual utilization (adjusted odds ratio: 2.67, 95% confidence interval: 1.53-4.67). No patient-related factors were associated with hospice/palliative care utilization. CONCLUSION Promoting awareness of prognosis and to improve communication between doctors and families is important for facilitating the use of hospice/palliative care.
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Affiliation(s)
- Ah Reum An
- Department of Family Medicine, Seoul National University Hospital, Seoul, Korea
| | - June-Koo Lee
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Young Ho Yun
- Department of Medicine, Seoul National University College of Medicine, Seoul, Korea Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
| | - Dae Seog Heo
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea Department of Medicine, Seoul National University College of Medicine, Seoul, Korea Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea
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An AR, Shin DW, Kim S, Lee CH, Park JH, Park JH, Oh MK, Hwang SH, Kim Y, Cho B. Health behaviors of people with retinitis pigmentosa in the republic of Korea. Ophthalmic Epidemiol 2014; 21:279-86. [PMID: 24968102 DOI: 10.3109/09286586.2014.926939] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
PURPOSE To investigate the health behaviors of people with retinitis pigmentosa (RP) in the Republic of Korea. METHODS An online questionnaire was used to survey members of the Korean Retinitis Pigmentosa Society (KRPS), over 3 months from December 2010 to February 2011. Controls were selected from participants of the 4th Korean National Health and Nutrition Examination Survey and were matched with people with RP using the propensity score method to optimize comparative analysis. A semi-structured interview was also conducted with five members of the KRPS to identify potential reasons for physical inactivity and unhealthy diet and to develop effective interventions. RESULTS A total of 194 eligible people with RP responded to the online survey, and 187 individuals were matched with the control population by propensity score matching. RP subjects reported a lower rate of current smoking and greater use of preventive healthcare services. However, people with RP were more physically inactive (50.8% vs 27.3%, p < 0.001) and consumed more fast food (69.5% vs 58.3%, p = 0.024) than the control population. CONCLUSION Physical inactivity and fast food consumption were more frequently reported in people with RP than the general population. Efforts to understand the possible reasons and develop interventions to improve these health behaviors are warranted.
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Affiliation(s)
- Ah Reum An
- Department of Family Medicine, Seoul National University Hospital , Seoul , Republic of Korea
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An AR, Shin DW, Lee SM, Cho J, Ahn E, Lee H, Son KY, Choi HC, Park JH, Cho B. Sexual problems of female cancer survivors compared to women without cancer. J Clin Oncol 2014. [DOI: 10.1200/jco.2014.32.15_suppl.9586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Ah Reum An
- Department of Family Medicine, Seoul National University Hospital, Seoul, South Korea
| | | | - Seung Mi Lee
- Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, South Korea
| | - Juhee Cho
- Cancer Education Center, Samsung Medical Center, Seoul, South Korea
| | - Eunmi Ahn
- Seoul National University Hospital, Seoul, South Korea
| | - Hyejin Lee
- Seoul National University Hospital, Seoul, South Korea
| | - Ki Young Son
- Seoul National University Hospital, Seoul, South Korea
| | - Ho-Chun Choi
- Seoul National University Hospital, Seoul, South Korea
| | - Jin Ho Park
- Seoul National University Hospital, Seoul, South Korea
| | - Belong Cho
- Seoul National University Hospital, Seoul, South Korea
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Lee JK, Yun YH, An AR, Heo DS, Park BW, Cho CH, Kim S, Lee DH, Lee SN, Lee ES, Kang JH, Kim SY, Lee JL, Lee CG, Lim YK, Kim S, Choi JS, Jeong HS, Chun M. The Understanding of Terminal Cancer and Its Relationship with Attitudes toward End-of-Life Care Issues. Med Decis Making 2013; 34:720-30. [PMID: 23975503 DOI: 10.1177/0272989x13501883] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2013] [Accepted: 07/25/2013] [Indexed: 11/15/2022]
Abstract
BACKGROUND Although terminal cancer is a widely used term, its meaning varies, which may lead to different attitudes toward end-of-life issues. The study was conducted to investigate differences in the understanding of terminal cancer and determine the relationship between this understanding and attitudes toward end-of-life issues. METHODS A questionnaire survey was performed between 2008 and 2009. A total of 1242 cancer patients, 1289 family caregivers, 303 oncologists from 17 hospitals, and 1006 participants from the general population responded. RESULTS A "6-month life expectancy" was the most common understanding of terminal cancer (45.6%), followed by "treatment refractoriness" (21.1%), "metastatic/recurrent disease" (19.4%), "survival of a few days/weeks" (11.4%), and "locally advanced disease" (2.5%). The combined proportion of "treatment refractoriness" and "6-month life expectancy" differed significantly between oncologists and the other groups combined (76.0% v. 65.9%, P = 0.0003). Multivariate analyses showed that patients and caregivers who understood terminal cancer as "survival of a few days/weeks" showed more negative attitudes toward disclosure of terminal status compared with participants who chose "treatment refractoriness" (adjusted odds ratio [aOR] 0.42, 95% confidence interval [CI] 0.22-0.79 for patients; aOR 0.34, 95% CI 0.18-0.63 for caregivers). Caregivers who understood terminal cancer as "locally advanced" or "metastatic/recurrent disease" showed a significantly lower percentage of agreement with withdrawal of futile life-sustaining treatment compared with those who chose "treatment refractoriness" (aOR 0.19, 95% CI 0.07-0.54 for locally advanced; aOR 0.39, 95% CI 0.21-0.72 for metastatic/recurrent). CONCLUSIONS The understanding of terminal cancer varied among the 4 participant groups. It was associated with different preferences regarding end-of-life issues. Standardization of these terms is needed to better understand end-of-life care.
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Affiliation(s)
- June Koo Lee
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea (JKL, DSH)
| | - Young Ho Yun
- Department of Medical Science, Seoul National University College of Medicine, Seoul, Korea (YHY)
| | - Ah Reum An
- Department of Family Medicine, Seoul National University Hospital, Seoul, Korea (ARA)
| | - Dae Seog Heo
- Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea (JKL, DSH)
| | - Byeong-Woo Park
- Department of Surgery, Yonsei University Medical Center, Yonsei University College of Medicine, Seoul, Korea (BWP)
| | - Chi-Heum Cho
- Department of Obstetrics and Gynecology, School of Medicine, Keimyung University, Daegu, Korea (C-HC)
| | - Sung Kim
- Department of Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Korea (SK)
| | - Dae Ho Lee
- Quality of Life Improvement Team and Department of Oncology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea (DHL)
| | - Soon Nam Lee
- Section of Medical Oncology, Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea (SNL)
| | - Eun Sook Lee
- Department of Surgery, Anam Medical Center, Korea University, School of Medicine, Seoul, Korea (ESL)
| | - Jung Hun Kang
- Department of Internal Medicine, Postgraduate Medical School, Gyeongsang National University, Jinju, Korea (JHK)
| | - Si-Young Kim
- Department of Medical Oncology/Hematology, Kyung Hee University Hospital, Seoul, Korea (S-YK)
| | - Jung Lim Lee
- Department of Hematooncology, Fatima Hospital, Daegu, Korea (JLL)
| | - Chang Geol Lee
- Department of Radiation Oncology, Yonsei University College of Medicine, Yonsei Cancer Center, Seoul, Korea (CGL)
| | | | - Samyong Kim
- Division of Hematooncology, Department of Internal Medicine, College of Medicine, Chungnam National University, Daejeon, Korea (SK)
| | - Jong Soo Choi
- Department of Internal Medicine, Hongcheon Asan Hospital, Hongcheon, Korea (JSC)
| | | | - Mison Chun
- Department of Radiation Oncology, Ajou University School of Medicine, Suwon, Korea (MC)
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Lee JK, Keam B, An AR, Kim TM, Lee SH, Kim DW, Heo DS. Surrogate decision-making in Korean patients with advanced cancer: a longitudinal study. Support Care Cancer 2012; 21:183-90. [DOI: 10.1007/s00520-012-1509-5] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2012] [Accepted: 05/20/2012] [Indexed: 10/28/2022]
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