The Impact of Socioeconomic Status on Mortality in Patients with Hepatocellular Carcinoma: A Korean National Cohort Study
DC Field | Value | Language |
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dc.contributor.author | Yang, Woo Jin | - |
dc.contributor.author | Kang, Danbee | - |
dc.contributor.author | Song, Myung Gyu | - |
dc.contributor.author | Seo, Tae-Seok | - |
dc.contributor.author | Kim, Ji Hoon | - |
dc.date.accessioned | 2022-11-20T02:41:20Z | - |
dc.date.available | 2022-11-20T02:41:20Z | - |
dc.date.created | 2022-11-17 | - |
dc.date.issued | 2022 | - |
dc.identifier.issn | 1976-2283 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/146064 | - |
dc.description.abstract | Background/Aims: We studied the impact of socioeconomic status (SES) on mortality in hepa-tocellular carcinoma patients and analyzed the effect of SES on initial treatment allocation. Methods: A cohort study was conducted using data from the National Health Insurance Service-National Sample Cohort of Korea. A total of 3,032 hepatocellular carcinoma patients who were newly diagnosed between January 2003 and December 2013 were included. Income level was categorized as Medical Aid and <= 30th, 31st-70th, or >70th percentile as an SES indicator. Results: The proportion of Medical Aid was 4.3%. The highest risks of all-cause mortality associ-ated with Medical Aid were evident in the transcatheter arterial chemoembolization group (fully adjusted hazard ratio [HR], 2.40; 95% confidence interval [CI], 1.25 to 4.58), the other treatments group (fully adjusted HR, 2.86; 95% CI, 1.85 to 4.41), and the no treatment group (fully adjusted HR, 2.69; 95% CI, 1.79 to 4.04) but not in the curative treatment group. An association between the lower-income percentile and higher liver cancer-specific mortality was also observed, except in the curative treatment group. The association between income percentile and all-cause mortal-ity was nonlinear, with a stronger association in the lower-income percentiles than in the higher income percentiles (p-value for nonlinear spline terms <0.05). Conclusions: Patients in the lower SES group, especially patients not eligible for curative treat-ment, had an increased risk of mortality. In addition, the association between SES and the risk for mortality was stronger in the lower-income percentile than in the moderate to higher income percentiles. (Gut Liver, Published online April 22, 2022) | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | EDITORIAL OFFICE GUT & LIVER | - |
dc.subject | HEALTH INSURANCE | - |
dc.subject | RACE | - |
dc.title | The Impact of Socioeconomic Status on Mortality in Patients with Hepatocellular Carcinoma: A Korean National Cohort Study | - |
dc.title.alternative | The Impact of Socioeconomic Status on Mortality in Patients with Hepatocellular Carcinoma: A Korean National Cohort Study | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Song, Myung Gyu | - |
dc.identifier.doi | 10.5009/gnl210567 | - |
dc.identifier.scopusid | 2-s2.0-85142401025 | - |
dc.identifier.wosid | 000792108000001 | - |
dc.identifier.bibliographicCitation | GUT AND LIVER, v.16, no.6, pp.976 - 984 | - |
dc.relation.isPartOf | GUT AND LIVER | - |
dc.citation.title | GUT AND LIVER | - |
dc.citation.volume | 16 | - |
dc.citation.number | 6 | - |
dc.citation.startPage | 976 | - |
dc.citation.endPage | 984 | - |
dc.type.rims | ART | - |
dc.type.docType | Article; Early Access | - |
dc.identifier.kciid | ART002896369 | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | HEALTH INSURANCE | - |
dc.subject.keywordPlus | RACE | - |
dc.subject.keywordAuthor | Carcinoma | - |
dc.subject.keywordAuthor | hepatocellular | - |
dc.subject.keywordAuthor | Mortality | - |
dc.subject.keywordAuthor | Social class | - |
dc.subject.keywordAuthor | Socioeconomic status | - |
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