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Cancer Research and Treatment > Accepted Articles
doi: https://doi.org/10.4143/crt.2022.389    [Accepted]
Recent Trends of Medical Expenses Associated with Radiation Therapy in Korea Based on HIRA Big Data
Jeong Eun Lee1 , Kyungmi Yang2 , Yong Chan Ahn2, Won Park2, Seung Jae Huh3
1Department of Radiation Oncology, Kyungpook National University, School of Medicine, Daegu, Korea
2Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
3Healthcare Review and Assessment Committee, Health Insurance Review and Assessment Service, Seoul, Korea
Correspondence  Kyungmi Yang ,Tel: 82-3410-2612, Fax: 82-2-3410-2619, Email: kyungmi.yang@samsung.com
Seung Jae Huh ,Tel: 82-3410-2616, Fax: 82-2-3410-2619, Email: sjhuh5201@gmail.com
Received: June 17, 2022;  Accepted: January 6, 2023.  Published online: January 30, 2023.
We aimed to determine the trends in the use of radiotherapy (RT) and the expenses associated with it in South Korea.
Materials and Methods
The statistical data of the claims and reimbursement records provided on the Health and Insurance Review and Assessment Service website were utilized. This included information such as the number of patients, fractions, medical expenses according to treatment codes, in/outpatient, sex, age, and regions of hospitals. We analyzed data from 2016 to 2020.
With a growing RT infrastructure and an increase in the number of radiation oncologists, the expenses for RT were 605.5 million USD in 2020, which had increased 1.5 times from 394.7 million USD in 2016. This growth was mainly because of the increased usage of advanced RT techniques. Furthermore, the proportion of intensity-modulated radiation therapy (IMRT) expenses in the total expenses increased by 1.6 times from 48.8% in 2016 to 76.9% in 2020. Advanced techniques were used more commonly in older individuals or children. However, the proportion of IMRT expenses increased mostly in young women. Additionally, geographical differences in RT use and expense were observed, although the gap in the IMRT fractions decreased among the regions.
Recent medical expenses associated with RT in Korea have increased in tandem with technological advances and changes in demographics.
Key words: Radiotherapy, Health Care Costs, Radiotherapy, Intensity-Modulated, Population Dynamics
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