Journal of Korean Neurosurgical Society

  • 제65권5호
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  • Pages.741-750
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  • 2022
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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A Nationwide Study on the Impact of COVID-19 Pandemic on Volume of Spine Surgery in South Korea

  • Lee, Mu Ha (Department of Neurosurgery, Soonchunhyang University Seoul Hospital) ;
  • Park, Hye Ran (Department of Neurosurgery, Soonchunhyang University Seoul Hospital) ;
  • Chang, Jae Chil (Department of Neurosurgery, Soonchunhyang University Seoul Hospital) ;
  • Park, Hyung Ki (Department of Neurosurgery, Soonchunhyang University Seoul Hospital) ;
  • Lee, Gwang Soo (Department of Neurosurgery, Soonchunhyang University Gumi Hospital)
  • 투고 : 2022.04.23
  • 심사 : 2022.06.30
  • 발행 : 2022.09.01
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초록

Objective : In March 2020, World Health Organization declared a global pandemic caused by a novel coronavirus (SARS-CoV-2). The disease caused by this virus is called COVID-19. Due to its high contagiousness, many changes have occurred in overall areas of our daily life including hospital use by patients. The aim of this study was to investigate the impact of COVID-19 on volume of spine surgery in South Korea using the National Health Insurance database and compare it with the volume of a homologous period before the pandemic. Methods : Data of related to spine surgery from January 2019 to April 2021 were obtained from the National Health Insurance and Health Insurance Review and Assessment Service database. Primary outcomes were total number of patients, rate of patients per 100000 population, and total number of procedures. The number of patients by hospital size was also analyzed. Results : COVID-19 outbreaks occurred in South Korea in March, August, and December of 2020. Compared to the previous year, the total number of patients who underwent spinal surgery showed a decrease for 2-3 months after the first and second outbreaks. However, it showed an increasing trend after the third outbreak. The same pattern was observed in terms of the ratio of the number of patients per 100000 population. Between 2019 and 2021, the mean number of spine surgeries per month tended to increase. Mean annual medical expenses increased over the years (p=0.001). When the number of spine surgeries was analyzed by hospital size, proportion of tertiary general hospital in 2021 increased compared to those in 2019 and 2020 (vs. 2019, p=0.012; vs. 2020, p=0.016). The proportion of general hospital was significantly decreased in 2020 compared to that in 2019 (p=0.037). Conclusion : After the COVID-19 outbreak, patients tended to postpone spinal surgery temporarily. The number of spinal surgeries decreased for 2-3 months after the first and second outbreaks. However, as the ability to respond to the COVID-19 pandemic at the hospital and society-wide level gradually increased, the number of spine surgeries did not decrease after the third outbreak in December 2020. In addition, the annual number of spine surgeries continued to increase. However, it should be noted that patients tend to be increasingly concentrated in tertiary hospitals for spinal surgery.

키워드

과제정보

This research was supported by Soonchunhyang University Research Fund.

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