Publications by authors named "Myeongjee Lee"

The present study aimed to investigate the impact of the COVID-19 pandemic on the incidence rates of psychiatric disorders using nationwide cohort data. A retrospective cohort study was conducted using South Korea's nationwide claims database, covering 1,598,540 patients with new psychiatric diagnoses from January 2017 to June 2021. We calculated incidence rate ratios pre- and during-pandemic and employed the autoregressive integrated moving average (ARIMA) model and interrupted time-series analysis to assess pandemic effects on incidence.

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Background: The longitudinal relationship between kidney and lung function remains poorly understood. We examined the longitudinal association between estimated glomerular filtration rate (eGFR) and lung function in a Korean population with normal kidney and lung function from 2005 to 2014.

Methods: We recruited participants from the Ansan and Ansung cohorts of the Korean Genome and Epidemiology Study.

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Despite the decline in the overall birth rate, increasing preterm births and associated medical costs pose a national concern. We analyze hospitalization costs covered by national public insurance for preterm infants. Population-based data, obtained from the National Health Insurance Service (NHIS), which is operated by the Health Insurance Review and Assessment Service, were used for the study.

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Purpose: Although some medications trigger the worsening of myasthenia gravis (MG), their clinical influence on patients with MG has not been significantly evaluated. We aimed to investigate whether the risk of clinical worsening of MG increases after administering cautionary drugs in patients with MG.

Materials And Methods: This retrospective case-control study was based on the medical records of patients diagnosed with MG between 2007 and 2020.

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  • * Despite earlier dentist visits for preterm children (average around 2.5-2.8 years), 63.87% of them still had no dental visits, with more complex treatments needed compared to full-term peers.
  • * Early dental visits before age 1 are linked to less severe dental issues, highlighting the importance of regular dental screenings for managing oral health in preterm infants.
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Introduction: Acute myocardial infarction (AMI) is a major global health concern. However, the optimum timing of coronary artery bypass grafting (CABG) in AMI patients remains controversial. This study investigated the optimal timing of CABG and its impact on postoperative outcomes.

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  • Cholesterol homeostasis is linked to Alzheimer's disease (AD), but the specific cholesterol metabolites involved are not well understood, prompting a study to identify potential biomarkers.
  • * Researchers conducted steroid profiling in mice and humans to find "hit" metabolites, focusing on 7β-hydroxycholesterol (7β-OHC), which was examined for its role in AD pathogenesis through various experimental methods.
  • * The study found increased levels of 7β-OHC in both mice and patients with AD, suggesting it may drive AD-related inflammation, cognitive impairment, and could serve as a useful biomarker for personalized AD treatment.*
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Immune-related adverse events (irAEs) caused by immune checkpoint inhibitors (ICIs) are rare but fatal, requiring systemic steroid use. Therefore, to examine the outcomes, incidence, timing, and risk factors of ICI-associated steroid-requiring severe irAEs, we conducted a nationwide, retrospective, cohort study utilizing the Korean Health Insurance and Review Assessment database. We identified 357,010 patients with lung cancer, bladder cancer, or skin melanoma, eligible for ICI reimbursement in Korea between January 2012 to June 2020.

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  • The study analyzes the risks of subsequent primary cancers (SPCs) in cancer survivors, using data from South Korea's health database from 2009 to 2019, focusing on different types of first primary cancers (FPC) considering age and sex.
  • Results showed that out of over 266,000 cancer survivors, there was a 26% lower overall risk of developing SPCs, with variations in risk among different types of FPCs and between men and women.
  • Younger cancer survivors had a higher risk of SPCs compared to older survivors, with specific cancer types like lung and breast cancers being the most common subsequent cancers observed.
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  • - The study investigated how non-pharmaceutical interventions (NPIs) during the COVID-19 pandemic affected the incidence of autoimmune inflammatory rheumatic diseases (AIRDs) and healthcare costs in South Korea from January 2016 to February 2021.
  • - Results showed a significant decline in the monthly incidence rates of systemic lupus erythematosus (SLE) after NPI implementation, while other AIRDs remained stable; healthcare utilization decreased for most diseases.
  • - Overall, NPIs reduced SLE incidence and modified healthcare usage patterns and costs for most AIRDs, indicating a broader impact of pandemic-related measures on autoimmune diseases.
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Background: Transplant recipients are immunocompromised and vulnerable to developing tuberculosis. However, active tuberculosis incidence is rapidly declining in South Korea, but the trend of tuberculosis infection among transplant recipients has not been elucidated. This study aimed to evaluate the risk of active tuberculosis after transplantation, including risk factors for tuberculosis and standardized incidence ratios, compared with that in the general population.

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  • A retrospective study examined the impact of repeated intravenous iodinated contrast media (ICM) exposure on long-term kidney function in patients who had surgery for early gastric cancer, using data from the Korean Health Insurance and Review Assessment database.
  • The study included patients diagnosed with gastric cancer between 2010 and 2013, excluding those with pre-existing chronic kidney disease or previous chemotherapy/surgeries.
  • Findings indicated that increasing exposure to ICM during CT scans slightly raised the likelihood of developing chronic kidney disease two years post-diagnosis, suggesting that ICM may impair renal function over time.
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Background: Poor glycemic control has been linked to psychiatric symptoms. However, studies investigating the relationship between glycemic variability (GV) and depression and anxiety disorders are limited. We investigated the association of GV with depression and anxiety disorders.

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Purpose: Post-transplantation lymphoproliferative disorders (PTLDs) after hematopoietic stem transplantation (HCT) or solid organ transplantation (SOT) result in poorer outcomes, including death. There are limited large cohort data on the incidence and natural course of PTLD in Asians.

Materials And Methods: We investigated PTLD using Korean national health insurance claims data of 47,518 patients who underwent HCT or SOT in 2008-2020.

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Background: Non-pharmaceutical interventions (NPIs), such as social distancing and hand washing, have been associated with a decline in the preterm birth rate worldwide. We aimed to evaluate whether the preterm birth rate in Korea during the coronavirus disease 2019 lockdown has changed compared to that in previous years.

Method: A birth registry from the Korea Statistical Information Service, which is a nationwide official database, was used to include all births claimed to have occurred between 2011 and 2020.

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  • * The study involved 108 right-side colon cancer patients, assessing preoperative FDG PET/CT and postoperative MSI to evaluate the relationship between FDG uptake and metastasis incidence.
  • * Results indicated that while higher FDG uptake in MSI-stable tumors correlated with increased risk of distant metastasis, this correlation was not observed in MSI-high tumors, suggesting that MSI status is crucial in interpreting FDG uptake in colon cancer.
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Although numerous studies have reported that obesity in adolescents is related to shorter sleep duration, few studies have reported the effect of sleep timing, particularly early wake-up time, on obesity. To investigate the association between wake-up time and adolescent obesity. Using the Korean National Health and Nutrition Examination Survey VII data, 1301 middle school and high school students were selected and grouped according to BMI.

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  • This study compared the effectiveness of a polysaccharide hemostatic powder (PHP) to traditional endoscopic treatments for treating peptic ulcer bleeding (PUB) in a multi-center trial.
  • It involved 216 patients and found that both treatment groups achieved similar rates of initial hemostasis, but the PHP showed superior results in specific cases (Forrest IIa), with no reported adverse events related to PHP.
  • The study concluded that PHP is a viable option for initial treatment of PUB and highlighted the need for further research on its long-term effectiveness regarding re-bleeding rates.
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Background: Restless leg syndrome (RLS) is associated with poor sleep quality, depression or anxiety, poor dietary patterns, microvasculopathy, and hypoxia, all of which are known risk factors for dementia. However, the relationship between RLS and incident dementia remains unclear. This retrospective cohort study aimed to explore the possibility that RLS could be deemed as a non-cognitive prodromal feature of dementia.

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Objective: To evaluate the association of preoperative proton pump inhibitor (PPI) exposure with incident acute kidney injury (AKI) after cardiac surgery.

Patients And Methods: The Severance cardiac surgery cohort included 9860 cardiac surgery patients aged 18 years or older. The National Health Insurance Service-senior cohort included 2933 patients aged 60 years or older who underwent cardiac surgery.

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The raised prevalence of obesity has increased the incidence of obesity-related metabolic diseases such as dyslipidemia (DL) and non-alcoholic fatty liver disease (NAFLD), along with the development and progression of various types of cancer, including thyroid cancer. In this study, we investigated whether thyroid cancer in patients with DL and NAFLD could be a risk factor for other cancers. To achieve our goal, we generated two independent cohorts from our institution and from the National Health Insurance System in South Korea.

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Limited data are available on the impact of the coronavirus disease (COVID-19) pandemic on encephalitis. Therefore, we evaluated trends in encephalitis in South Korea between 2010 and 2021 using data from the National Health Insurance Service. During the pandemic (February 2020 to 2021), the monthly incidence of encephalitis declined by 0.

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Background: Solid organ transplant recipients (SOTRs) are susceptible to severe coronavirus disease 2019 (COVID-19); however, immunogenicity studies of the Omicron variants per vaccination schedules are still lacking. We examined humoral immunogenicity following third-dose mRNA vaccine administration in Korean SOTRs who received primary COVID-19 vaccine series on homologous or heterologous schedules.

Methods: We recruited SOTRs at Severance Hospital from October 27, 2021, to March 31, 2022.

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Objectives: Targeting interleukin (IL)-17 and tumour necrosis factor (TNF)-α is recommended for the management of severe/refractory ankylosing spondylitis (AS), psoriatic arthritis (PsA), and psoriasis (PsO); however, safety data comparing these agents, especially in a large Asian population are unavailable.

Methods: Patients with AS, PsA and PsO were searched using the Health Insurance Review and Assessment Service database, defined according to the International Classification of Diseases-10 and unique insurance codes for rare diseases. By including patients newly diagnosed with AS, PsA, and PsO between 2010-2020, the outcomes of cancer, tuberculosis (TB) and serious infections following IL-17 and TNF-α inhibitor usage were evaluated.

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