Purpose This study aims to investigate the trend in medical travel by non-Seoul residents to Seoul for treatment of prostate cancer and also to investigate the possible factors affecting the trend. Materials and Methods This study represents a retrospective cohort study using data from the Korean National Health Insurance System from 2002 to 2015. Annual trends were produced for proportions of patients who traveled according to the age group, economic status and types of treatment. Multiple logistic analysis was used to determine factors affecting surgeries at medical facilities in Seoul among the non-Seoul residents. Results A total of 68,543 patients were defined as newly diagnosed prostate cancer cohorts from 2005 to 2014. The proportion of patients who traveled to Seoul for treatment, estimated from cases with prostate cancer-related claims, decreased slightly over 9 years (28.0 at 2005 and 27.0 at 2014, p=0.02). The average proportion of medical travelers seeking radical prostatectomy increased slightly but the increase was not statistically significant (43.1 at 2005 and 45.4 at 2014, p=0.26). Income level and performance of robot-assisted radical prostatectomy were significant positive factors for medical travel to medical facilities in Seoul. Combined comorbidity diseases and year undergoing surgery were significant negative factors for medical travel to medical facilities in Seoul. Conclusion The general trend of patients travelling from outside Seoul for prostate cancer treatment decreased from 2005 to 2014. However, a large proportion of traveling remained irrespective of direct distance from Seoul.
Bibliographical noteFunding Information:
The Korean Prostate Society and National Health Insurance Service (NHIS) of Korea collaborated on this study. National Health Information Database was provided by the KNHIS (NHIS-2017-4-029). The authors would like to thank the KNHIS for cooperation. This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (No. 2015R1D1A1A01057786) and by the Ministry of Science, ICT & Future Planning (No. 2015R1A2A2A-03004100 & No.2016R1A2B4011045).
© 2018 Springer New York LLC.All Rights Reserved.
All Science Journal Classification (ASJC) codes
- Cancer Research