Evidence map›Paper›PMID 35578585›Full record

ArticleJournal of Korean medical science2022

The Impact of the Amendment of the Health Insurance Coverage for F-18 Fluorodeoxyglucose Positron Emission Tomography on the Healthcare Behaviors for Breast Cancer: An Interrupted Time Series Analysis of the Korean National Data From 2013 to 2018.

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

Abstract read
In one paragraph

Article in Journal of Korean medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chulhan KimDepartment of Nuclear Medicine, Chungbuk National University Hospital, Cheongju, Korea.ORCID https://orcid.org/0000-0002-3786-1846
Sung-Youn ChunDepartment of Research and Analysis, National Health Insurance Service Ilsan Hospital, Goyang, Korea.ORCID https://orcid.org/0000-0003-4323-8724
Sun Jung KimDepartment of Health Administration and Management, College of Medical Science, Soonchunhyang University, Asan, Korea.ORCID https://orcid.org/0000-0003-1756-1376
Ki Hwa YangHealthcare Review and Assessment Committee, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0003-0134-3059
Ji Hyeon BaekQuality Assessment Department, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0002-5876-3225
Ji Hyeon ShinQuality Assessment Administration Department, Health Insurance Review and Assessment Service, Wonju, Korea.ORCID https://orcid.org/0000-0001-8915-6885
Ji Won YooDepartment of Internal Medicine, University of Nevada Las Vegas School of Medicine, Las Vegas, NV, USA.ORCID https://orcid.org/0000-0001-7196-8682
Young Woo ChangDivision of Breast and Endocrine Surgery, Department of Surgery, Korea University Ansan Hospital, Ansan, Korea.ORCID https://orcid.org/0000-0001-5396-7467
Keon Wook KangDepartment of Nuclear Medicine, Seoul National University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2622-9017
Jinwook HwangDepartment of Thoracic and Cardiovascular Surgery, Korea University Ansan Hospital, Ansan, Korea. znuke75@korea.ac.kr.ORCID https://orcid.org/0000-0003-4940-165X

Funding

Health Insurance Review and Assessment Service M20200214321
6 · The paper itself

Abstract

backgroundF-18 Fluorodeoxyglucose positron emission tomography (F-18 FDG PET), which can cover the body from the skull base to the thigh in one scan, is beneficial for evaluating distant metastasis. F-18 FDG PET has interested policymakers because of its relatively high cost. This study investigated the effect of the F-18 FDG PET reimbursement criteria amendment on healthcare behavior in breast cancer using an interrupted time series (ITS) analysis.

methodsWe retrospectively analyzed the inpatient and outpatient data from Korea's Health Insurance Review and Assessment Service (HIRA) from January 1, 2013 to December 31, 2018. ITS analysis was performed for the number of each medical imaging modality and the total medical imaging cost of the breast cancer patients.

resultsThe annual number of breast cancer patients has been increasing steadily since 2013. The trend of F-18 FDG PET increased before the reimbursement criteria was amended, but intensely decreased immediately thereafter. The chest and abdomen computed tomography scans showed a statistically significant increase immediately after the amendment and kept steadily increasing. A change in the total medical imaging cost for the breast cancer patient claimed every month showed an increasing trend before the amendment (β = 5,475, standard error [SE] = 1,992,

conclusionRestriction of health insurance coverage for cancer may affect healthcare behaviors. To compensate for it, the policymakers must consider this and anticipate the impact following implementation.

Indexed as

Breast NeoplasmsFluorodeoxyglucose F18Delivery of Health CareFemaleHumansInsurance CoverageInterrupted Time Series AnalysisPositron-Emission TomographyPositron Emission Tomography Computed TomographyRadiopharmaceuticalsRepublic of KoreaRetrospective StudiesFluorodeoxyglucose F18RadiopharmaceuticalsBreast NeoplasmsDiagnostic ImagingInterrupted Time Series AnalysisPositron-Emission Tomography

Identifiers

PMID35578585
PMCPMC9110263

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.