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. 2017 Apr;49(2):330-337.
doi: 10.4143/crt.2016.196. Epub 2016 Jul 18.

Current Trends of Lung Cancer Surgery and Demographic and Social Factors Related to Changes in the Trends of Lung Cancer Surgery: An Analysis of the National Database from 2010 to 2014

Samina Park  1 , In Kyu Park  1 , Eung Re Kim  1 , Yoohwa Hwang  1 , Hyun Joo Lee  1 , Chang Hyun Kang  1 , Young Tae Kim  1
Affiliations

Current Trends of Lung Cancer Surgery and Demographic and Social Factors Related to Changes in the Trends of Lung Cancer Surgery: An Analysis of the National Database from 2010 to 2014

Samina Park et al. Cancer Res Treat. 2017 Apr.

Abstract

Purpose: We investigated current trends in lung cancer surgery and identified demographic and social factors related to changes in these trends.

Materials and methods: We estimated the incidence of lung cancer surgery using a procedure code-based approach provided by the Health Insurance Review and Assessment Service (http://opendata.hira.or.kr). The population data were obtained every year from 2010 to 2014 from the Korean Statistical Information Service (http://kosis.kr/). The annual percent change (APC) and statistical significance were calculated using the Joinpoint software.

Results: From January 2010 to December 2014, 25,687 patients underwent 25,921 lung cancer surgeries, which increased by 45.1% from 2010 to 2014. The crude incidence rate of lung cancer surgery in each year increased significantly (APC, 9.5; p < 0.05). The male-to-female ratio decreased from 2.1 to 1.6 (APC, -6.3; p < 0.05). The incidence increased in the age group of ≥ 70 years for both sexes (male: APC, 3.7; p < 0.05; female: APC, 5.96; p < 0.05). Furthermore, the proportion of female patients aged ≥ 65 years increased (APC, 7.2; p < 0.05), while that of male patients aged < 65 years decreased (APC, -3.9; p < 0.05). The proportions of segmentectomies (APC, 17.8; p < 0.05) and lobectomies (APC, 7.5; p < 0.05) increased, while the proportion of pneumonectomies decreased (APC, -6.3; p < 0.05). Finally, the proportion of patients undergoing surgery in Seoul increased (APC, 1.1; p < 0.05), while the proportion in other areas decreased (APC, -1.5; p < 0.05).

Conclusion: An increase in the use of lung cancer surgery in elderly patients and female patients, and a decrease in the proportion of patients requiring extensive pulmonary resection were identified. Furthermore, centralization of lung cancer surgery was noted.

Keywords: Incidence; Lung neoplasms; Republic of Korea; Thoracic surgery.

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Conflict of interest statement

Conflict of interest relevant to this article was not reported.

Figures

Fig. 1.
Fig. 1.
Trends in age-specific incidence of lung cancer surgery by year.
Fig. 2.
Fig. 2.
Trends in type of surgery by year.
Fig. 3.
Fig. 3.
Trends in area-specific incidence of lung cancer surgery by year.
Fig. 4.
Fig. 4.
Average monthly case of lung cancer surgery in tertiary hospitals by year.
See this image and copyright information in PMC

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