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신생병원의 5년 유방암 치료 경험: 임상 데이터 웨어하우스를 이용한 분석
Five-years of Breast Cancer Management in a New Hospital: Analysis Using Clinical Data Warehouse

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Authors
강은영; 한상아; 김새리; 김선미; 장미정; 이희은; 박소연; 임재영; 양은주; 김인아; 김유경; 허찬영; 김유정; 김지현; 김정현; 김성원
Issue Date
2010-03
Publisher
KOREAN BREAST CANCER SOC
Citation
JOURNAL OF BREAST CANCER; Vol.13 1; 96-103
Keywords
Breast neoplasmComputerized medical records systems유방암임상 데이터 웨어하우스
Abstract
Purpose This study is to review the initial 5-years of breast cancer management in a single hospital using the clinical data warehouse (CDW) Methods: We reviewed the electronic medical records of 754 patients with breast cancer who were treated by a single surgeon between June 2003 and December 2007 in Seoul National University Bundang Hospital We analyzed the epidemiological, clinical and therapeutic profiles of the breast cancer patients which were encoded and stored at the CDW Results: The mean age of the patients was 49.3 years and the peak incidence was in the fifth decade (36.6%) Symptomatic breast cancer was 74.6% and screening-detected breast cancer was 25.4%. Breast conserving surgery (BCS) was performed in 54 1% of all cases and the BCS rate increased annually Immediate reconstruction after mastectomy was performed in 62 cases (17.7%). Sentinel lymph node (SLN) biopsy for nodal staging was performed in 501 cases (72 1%) and 160 cases (23 0%) underwent complete axillary lymph node dissection The proportion of in situ and early stage invasive breast cancer was 85.0%. Six hundred and ninety three patients (92.5%) received more than one adjuvant therapy Thirty one patients experienced local or systemic relapse after surgery and ipsilateral breast tumor recurrence (IBTR) occurred in 6 cases. The median follow-up penod was 29.5 months Two-year and 3-year disease-free survival rates were 95 9% and 94.4% Conclusion. BCS and SLN biopsy continuously increased and immediate reconstruction after mastectomy was performed widely. Most patients received more than one adjuvant therapy. Moreover, we saved the time and human power to review the medical record by using the CDW
ISSN
1738-6756
Language
Korean
URI
http://hdl.handle.net/10371/77956
DOI
https://doi.org/10.4048/jbc.2010.13.1.96
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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