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Brief Communication

Intravenous Iron Therapy: Re-administration after Prior Adverse Reaction
Tim Aung, Hla Thein, Sandy Tin Aung, Benjamin Tin Aung Soe, Ei Ohnmar
Korean J Fam Med 2023;44(6):350-354.   Published online August 18, 2023
DOI: https://doi.org/10.4082/kjfm.23.0039
Background
Intravenous (IV) iron therapy is performed in community practices and hospitals with modern formulations when oral administration becomes impractical. Effective replacement of iron is important for the treatment of iron deficiency and anemia. Can IV iron be rechallenged in individuals with a history of adverse reactions? This review is to explore the challenge of this, when clinically indicated.
Methods
After performing a literature search, five studies (combined total sample number=1,006) for re-exposure of IV iron to individuals with a history of past reactions were identified, observed, and analyzed. Re-exposure included reactions ranging from mild to moderate and few cases of severe type.
Results
The majority (>80%) of IV iron rechallenges were tolerable, safe, and successful without major serious incidents. There were no reports of major reactions (severe hypersensitivity reactions or anaphylaxis) in these re-exposures.
Conclusion
Re-administration of IV iron therapy in patients with a previous adverse reaction is plausible, with benefit and risk stratification. A rechallenge would depend on the nature and degree of the adverse reaction and use of alternative formulations. Rechallenge to a previous severe hypersensitivity reaction or anaphylaxis with the same product has not been reported in these studies. Evidence on the benefit of premedication use is conflicting and requires further studies.

Citations

Citations to this article as recorded by  
  • The experiences of ferric carboxymaltose desensitization and provocation
    Fatma Dindar Çelik, Kurtuluş Aksu, Özgür Akkale, Hatice Çelik Tuğlu, Melis Yağdıran, Onur Telli, Gürgün Tuğçe Vural Solak, Enes Çelik
    World Allergy Organization Journal.2025; 18(2): 101025.     CrossRef
  • Intravenous Iron Versus Oral Iron Administration for the Treatment of Iron Deficiency Anemia: A Patient-Preference Study
    Ranya Ghamri, Hadeel Alsulami
    Cureus.2024;[Epub]     CrossRef
  • 8,773 View
  • 140 Download
  • 2 Web of Science
  • 2 Crossref

Review Article

Conducting and Reporting a Clinical Research Using Korean Healthcare Claims Database
Seonji Kim, Myo-Song Kim, Seung-Hun You, Sun-Young Jung
Korean J Fam Med 2020;41(3):146-152.   Published online May 20, 2020
DOI: https://doi.org/10.4082/kjfm.20.0062
An increasing number of studies are using healthcare claims databases to assess healthcare intervention utilization patterns or outcomes in real-world clinical settings. However, methodological issues affecting study design or data analysis can make conducting and reporting these types of studies difficult. This review presents an overview of the types of information contained in claims data, describes some advantages and limitations of using claims data for research purposes, and outlines steps for utilizing the Korea Health Insurance Review and Assessment and National Health Insurance Service databases. The study also reviews epidemiological approaches utilizing healthcare claims databases (including cross-sectional, case-control, case-crossover, and cohort designs) with respect to protocol development, analysis, and reporting of results, and introduces relevant guidelines and checklists, including the Guidelines for Good Pharmacoepidemiology Practices, the Strengthening the Reporting of Observational Studies in Epidemiology checklist, and the Risk of Bias in Nonrandomized Studies of Interventions tool.

Citations

Citations to this article as recorded by  
  • Age‐ and Sex‐Specific Incidence Trends of Eating Disorders in South Korea: Insights From a Decade of National Health Insurance Data (2012–2021)
    Hye Soo Kim, Kyeong‐A Yang, Hyemin Cho, Su Hwan Kim, Soon‐Beom Hong
    International Journal of Eating Disorders.2026; 59(5): 996.     CrossRef
  • Effectiveness and Safety of Direct Oral Anticoagulants versus Aspirin in Patients with Non-Valvular Atrial Fibrillation and Intermediate Stroke Risk
    Susin Park, Nam Kyung Je
    Clinical and Applied Thrombosis/Hemostasis.2026;[Epub]     CrossRef
  • Herbal medicine evaluation for reimbursement-based post-stroke sequelae (HERB-PSS): a retrospective analysis using Korean health insurance claim data, 2020–2024
    Soo-Dam Kim, Man Young Park, Jiyun Cha, Changsop Yang, Eunbyul Cho, Sungha Kim
    Frontiers in Neurology.2026;[Epub]     CrossRef
  • Risk of post-traumatic stress disorder and other mental disorders among professional military personnel in the Republic of Korea: a nationwide cohort study
    Yangwoo Kim, Kyungho Ju, Inah Kim, Jeehee Min, Jaechul Song, Tae-Won Jang
    BMJ Military Health.2026; : military-2026-003254.     CrossRef
  • Risk of avascular necrosis in patients with inflammatory bowel disease: Insights from a nationwide cohort study and the impact of corticosteroid use
    Jung Min Moon, Kyoung-Eun Kwon, Ju Won Lee, Kyung Rok Minn, Kyuwon Kim, Jeongkuk Seo, Seung Yong Shin, Sun-Young Jung, Chang Hwan Choi
    Digestive and Liver Disease.2025; 57(1): 176.     CrossRef
  • Utilization of Acid Suppressants After Withdrawal of Ranitidine in Korea: An Interrupted Time Series Analysis
    Jeong Pil Choi, Sangwan Kim, Jung Su Park, Mi-Sook Kim, Nam-Kyong Choi, Cheol Min Shin, Joongyub Lee
    Journal of Preventive Medicine and Public Health.2025; 58(1): 21.     CrossRef
  • Leveraging National Health Insurance Service Data for Public Health Research in Korea: Structure, Applications, and Future Directions
    Seung-Ji Lim, Sung-In Jang
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Elevated Fracture Risks in Patients Using Inhaled Corticosteroids: A Korean Nationwide Study
    Sung Hye Kong, Ae Jeong Jo, Chan Mi Park, Kyun Ik Park, Ji Eun Yun, Jung Hee Kim
    Endocrinology and Metabolism.2025; 40(1): 82.     CrossRef
  • Risk of major adverse cardiovascular events following targeted therapy in patients with rheumatoid arthritis: a real-world analysis stratified by cardiovascular risk
    Seung-Hun You, Soo-Kyung Cho, Jeong-Yeon Kim, Yeo-Jin Song, Sun-Young Jung, Yoon-Kyoung Sung
    Seminars in Arthritis and Rheumatism.2025; 73: 152721.     CrossRef
  • Association of Korean Medicine and polypharmacy with fall risk and mortality in older adults with stroke
    Ye-Seul Lee, Bo-Hyoung Jang, Jin Pyeong Jeon, Han-Gyul Lee, Seungwon Kwon, Woo-Sang Jung
    Frontiers in Pharmacology.2025;[Epub]     CrossRef
  • Association between corticosteroid use and fracture risk in children with asthma: A nationwide cohort study
    Hyunmin Ji, Hye‐Ji Han, In‐Young Choi, Eun Lee, Hwan Soo Kim, Hyeon‐Jong Yang, Gahgene Gweon, Kyunghoon Kim
    Pediatric Allergy and Immunology.2025;[Epub]     CrossRef
  • First-year oral antidiabetic adherence and long-term complications in newly diagnosed type 2 diabetes
    Nam Hoon Kim, Jun Sung Moon, Kyoung Hwa Ha, Jihyun Kim, Kyoung-Eun Kwon, Sin Gon Kim, Dae Jung Kim
    Diabetes Research and Clinical Practice.2025; 227: 112405.     CrossRef
  • Increased Risk of Hematologic Malignancy in Moderate to Severe Psoriasis in Relation to the Use of Systemic Immunosuppressants: A Nationwide Population-Based Matched Cohort Study
    Yu Ri Woo, Kyunghee Chae, Seowon Song, Subin Lee, Yu Jin Lee, Hoon Kang, Sukil Kim, Jung Eun Kim
    Journal of Korean Medical Science.2025;[Epub]     CrossRef
  • Acupuncture Needles and the Risk of Lymphedema After Breast Cancer Surgery: A Retrospective National Cohort Study
    Ye-Seul Lee, Yucheol Lim, Jiyoon Yeo
    Perspectives on Integrative Medicine.2024; 3(1): 29.     CrossRef
  • Risk of clinically significant cardiovascular disease associated with postoperative radiotherapy in non-small cell lung cancer patients receiving surgical resection followed by adjuvant chemotherapy: A Korean nationwide cohort study
    Jeanny Kwon, Byoung Hyuck Kim
    Radiotherapy and Oncology.2024; 195: 110241.     CrossRef
  • Long-term toxicities after allogeneic hematopoietic stem cell transplantation with or without total body irradiation: a population-based study in Korea
    Jeanny Kwon, Byoung Hyuck Kim
    Radiation Oncology Journal.2024; 42(1): 50.     CrossRef
  • COVID-19 Vaccine–Associated Uveitis in Patients With a History of Uveitis
    Jiyeong Kim, Hyeon Yoon Kwon, Seong Joon Ahn
    JAMA Ophthalmology.2024; 142(6): 522.     CrossRef
  • The incidence and risk factors of retinopathy of prematurity in South Korea: A nationwide cohort study
    Eun Hye Jung, Geun Young Moon
    Medicine.2024; 103(19): e38080.     CrossRef
  • Target trial emulation of carfilzomib safety among patients with relapsed/refractory multiple myeloma using a nationwide observational data in Korea
    Hyun Kyung Lee, Ha Young Jang, In-Wha Kim, Jung Mi Oh
    Journal of Cancer Research and Clinical Oncology.2024;[Epub]     CrossRef
  • Integrated Real-World Data Warehouses Across 7 Evolving Asian Health Care Systems: Scoping Review
    Wen-Yi Shau, Handoko Santoso, Vincent Jip, Sajita Setia
    Journal of Medical Internet Research.2024; 26: e56686.     CrossRef
  • Evaluation of Empirical Antibiotic Therapy in Women With Acute Cystitis Visiting Outpatient Clinic in South Korea
    Song Hyeon Jeon, Taeyeon Kim, Nam Kyung Jeon
    Infectious Diseases in Clinical Practice.2024;[Epub]     CrossRef
  • Nationwide Analysis of Antimicrobial Prescription in Korean Hospitals between 2018 and 2021: The 2023 KONAS Report
    I Ji Yun, Hyo Jung Park, Jungmi Chae, Seok-Jae Heo, Yong Chan Kim, Bongyoung Kim, Jun Yong Choi
    Infection & Chemotherapy.2024; 56(2): 256.     CrossRef
  • Trajectories of disease severity and their clinical outcome in real-world patients with systemic lupus erythematosus
    Seung-Hun You, Eun Jin Jang, Soo-Kyung Cho, Yoon-Kyoung Sung, Sun-Young Jung
    Heliyon.2024; 10(20): e38705.     CrossRef
  • Association between long COVID and nonsteroidal anti-inflammatory drug use by patients with acute-phase COVID-19: A nationwide Korea National Health Insurance Service cohort study
    Ye-Seul Lee, Heejun Kim, Sunoh Kwon, Tae-Hun Kim, Seth Kwabena Amponsah
    PLOS ONE.2024; 19(11): e0312530.     CrossRef
  • Effect of choline alfoscerate in older adult patients with dementia: an observational study from the claims data of national health insurance
    Khanh Linh Duong, Heeyoon Jung, Hyun-kyoung Lee, Young Jin Moon, Sang Ki Lee, Bo Ram Yang, Hwi-yeol Yun, Jung-woo Chae
    BMC Geriatrics.2024;[Epub]     CrossRef
  • Review of the research databases on population-based Registries of Unified electronic Healthcare system of Kazakhstan (UNEHS): Possibilities and limitations for epidemiological research and Real-World Evidence
    Arnur Gusmanov, Gulnur Zhakhina, Sauran Yerdessov, Yesbolat Sakko, Kamilla Mussina, Aidar Alimbayev, Dmitriy Syssoyev, Antonio Sarria-Santamera, Abduzhappar Gaipov
    International Journal of Medical Informatics.2023; 170: 104950.     CrossRef
  • Ambient air pollution and the risk of neurological diseases in residential areas near multi-purposed industrial complexes of korea: A population-based cohort study
    Ji Yoon Choi, Sung Yeon Kim, Taekyu Kim, Chulwoo Lee, Suejin Kim, Hyen-mi Chung
    Environmental Research.2023; 219: 115058.     CrossRef
  • A population-based study on the risk of prescription opioid abuse in patients with chronic opioid use and cost-effectiveness of prescription drug monitoring program using a patient simulation model in South Korea
    Siin Kim, Hae Sun Suh
    International Journal of Drug Policy.2023; 112: 103953.     CrossRef
  • Epidemiology and comorbidity of hidradenitis suppurativa in Korea for 17 years: A nationwide population‐based cohort study
    Jong Won Lee, Yeon‐Woo Heo, Ji Hae Lee, Solam Lee
    The Journal of Dermatology.2023; 50(6): 778.     CrossRef
  • Utilization of triple antithrombotic therapy in patients with atrial fibrillation undergoing percutaneous coronary intervention
    Hye-Jeong Choi, Yonghyuk Lee, Susin Park, Nam Kyung Je
    European Journal of Clinical Pharmacology.2023; 79(4): 541.     CrossRef
  • Dipeptidyl peptidase‐4 inhibitors increase the risk of bullous pemphigoid in older patients with diabetes: A retrospective analysis using the Korean National Health Insurance Database
    H. Kang, E. B. Lee, S. Lee, T. ‐H. Go, J. Y. Lee, S. ‐H. Lee, S. A. Song, H. K. Lim, S. ‐P. Hong
    Journal of the European Academy of Dermatology and Venereology.2023;[Epub]     CrossRef
  • Prevalence and incidence of vitiligo and associated comorbidities: a nationwide population-based study in Korea
    Hyun Kang, Solam Lee
    Clinical and Experimental Dermatology.2023; 48(5): 484.     CrossRef
  • Epidemiology of Second Non-breast Primary Cancers among Survivors of Breast Cancer: A Korean Population–Based Study by the SMARTSHIP Group
    Haeyoung Kim, Su SSan Kim, Ji Sung Lee, Jae Sun Yoon, Hyun Jo Youn, Hyukjai Shin, Jeong Eon Lee, Se Kyung Lee, Il Yong Chung, So-Youn Jung, Young Jin Choi, Jihyoung Cho, Sang Uk Woo
    Cancer Research and Treatment.2023; 55(2): 580.     CrossRef
  • Survival differences between patients with de novo and relapsed/progressed advanced non-small cell lung cancer without epidermal growth factor receptor mutations or anaplastic lymphoma kinase rearrangements
    Byeong-Chan Oh, Ae-Ryeo Cho, Jin Hyun Nam, So-Young Yang, Min Ji Kim, Sun-Hong Kwon, Eui-Kyung Lee
    BMC Cancer.2023;[Epub]     CrossRef
  • Nutrition Therapy by Nutrition Support Team: A Comparison of Multi-Chamber Bag and Customized Parenteral Nutrition in Hospitalized Patients
    Seunghyun Cheon, Sang-Hyeon Oh, Jung-Tae Kim, Han-Gon Choi, Hyojung Park, Jee-Eun Chung
    Nutrients.2023; 15(11): 2531.     CrossRef
  • Risk of Lymphedema and Death after Lymph Node Dissection with Neoadjuvant and Adjuvant Treatments in Patients with Breast Cancer: An Eight-Year Nationwide Cohort Study
    Ye-Seul Lee, Yu-Cheol Lim, Jiyoon Yeo, Song-Yi Kim, Yoon Jae Lee, In-Hyuk Ha
    Healthcare.2023; 11(13): 1833.     CrossRef
  • Association of Socioeconomic Status With Long-Term Outcome in Survivors After Out-of-Hospital Cardiac Arrest: Nationwide Population-Based Longitudinal Study
    Kyung Hun Yoo, Yongil Cho, Jaehoon Oh, Juncheol Lee, Byuk Sung Ko, Hyunggoo Kang, Tae Ho Lim, Sang Hwan Lee
    JMIR Public Health and Surveillance.2023; 9: e47156.     CrossRef
  • Occupational characteristics and risk factors associated with endometriosis among Korean female workers
    Seunghyun Lee, Seung-Yeon Lee, Wanhyung Lee, Federico Romano
    PLOS ONE.2023; 18(10): e0292362.     CrossRef
  • Is Thyroid Dysfunction Associated with Unruptured Intracranial Aneurysms? A Population-Based, Nested Case–Control Study from Korea
    Hyeree Park, Sun Wook Cho, Sung Ho Lee, Kangmin Kim, Hyun-Seung Kang, Jeong Eun Kim, Aesun Shin, Won-Sang Cho
    Thyroid®.2023; 33(12): 1483.     CrossRef
  • Risk of myocardial infarction, heart failure, and cerebrovascular disease with the use of valsartan, losartan, irbesartan, and telmisartan in patients
    Yung-Geun Yoo, Min-Jung Lim, Jin-Seob Kim, Han-Eol Jeong, HeeJoo Ko, Ju-Young Shin
    Medicine.2023; 102(46): e36098.     CrossRef
  • Association between subconjunctival hemorrhage and hemorrhagic disorders: a nationwide population-based study
    In Hwan Hong, Bum-Joo Cho, Se Hyun Choi
    Scientific Reports.2023;[Epub]     CrossRef
  • Potentially Inappropriate Gastrointestinal Medication for Patients with the Common Cold
    Minjeong Kim, Nam Kyung Je
    Research in Clinical Pharmacy.2023; 1(2): 100.     CrossRef
  • Underutilization of anticoagulants in patients with nonvalvular atrial fibrillation in the era of non-vitamin K antagonist oral anticoagulants
    Susin Park, Nam Kyung Je
    International Journal of Arrhythmia.2022;[Epub]     CrossRef
  • Risk Factors for Obesity in Five-Year-Old Children: Based on Korean National Health Insurance Service (NHIS) Data
    Mi Jin Choi, Hyunju Kang, Jimi Choi
    Children.2022; 9(3): 314.     CrossRef
  • Risk and Risk Factors for Postpartum Type 2 Diabetes Mellitus in Women with Gestational Diabetes: A Korean Nationwide Cohort Study
    Mi Jin Choi, Jimi Choi, Chae Weon Chung
    Endocrinology and Metabolism.2022; 37(1): 112.     CrossRef
  • Incident and recurrent herpes zoster for first-line bDMARD and tsDMARD users in seropositive rheumatoid arthritis patients: a nationwide cohort study
    Seogsong Jeong, Seulggie Choi, Sang Min Park, Jinseok Kim, Byeongzu Ghang, Eun Young Lee
    Arthritis Research & Therapy.2022;[Epub]     CrossRef
  • Elevated gamma-glutamyl transpeptidase level is associated with an increased risk of hip fracture in postmenopausal women
    Kyoung Jin Kim, Namki Hong, Min Heui Yu, Seunghyun Lee, Sungjae Shin, Sin Gon Kim, Yumie Rhee
    Scientific Reports.2022;[Epub]     CrossRef
  • Association between antibiotics and dementia risk: A retrospective cohort study
    Minseo Kim, Sun Jae Park, Seulggie Choi, Jooyoung Chang, Sung Min Kim, Seogsong Jeong, Young Jun Park, Gyeongsil Lee, Joung Sik Son, Joseph C. Ahn, Sang Min Park
    Frontiers in Pharmacology.2022;[Epub]     CrossRef
  • Age at menopause and risk of heart failure and atrial fibrillation: a nationwide cohort study
    Jean Shin, Kyungdo Han, Jin-Hyung Jung, Hyo Jin Park, Wonsock Kim, Youn Huh, Yang-Hyun Kim, Do-Hoon Kim, Seon Mee Kim, Youn Seon Choi, Kyung Hwan Cho, Ga Eun Nam
    European Heart Journal.2022; 43(40): 4148.     CrossRef
  • Associations between Cardiovascular Outcomes and Rheumatoid Arthritis: A Nationwide Population-Based Cohort Study
    Seonyoung Kang, Kyungdo Han, Jin-Hyung Jung, Yeonghee Eun, In Young Kim, Jiwon Hwang, Eun-Mi Koh, Seulkee Lee, Hoon-Suk Cha, Hyungjin Kim, Jaejoon Lee
    Journal of Clinical Medicine.2022; 11(22): 6812.     CrossRef
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    Bo Ram Yang, Hye-Yeon Um, Min Taek Lee, Myo Song Kim, Sun-Young Jung, Satya Surbhi
    PLOS ONE.2021; 16(2): e0246426.     CrossRef
  • Uptake of Biosimilars and Its Economic Implication for the Treatment of Patients with Rheumatoid Arthritis in Korea
    Soo-Kyung Cho, Sun-Young Jung, Hyoungyoung Kim, Yeo-Jin Song, Kyungeun Lee, Yoon-Kyoung Sung
    Journal of Korean Medical Science.2021;[Epub]     CrossRef
  • Association of first, second, and third-line bDMARDs and tsDMARD with drug survival among seropositive rheumatoid arthritis patients: Cohort study in A real world setting
    Seulggie Choi, Byeongzu Ghang, Seogsong Jeong, Daein Choi, Jeong Seok Lee, Sang Min Park, Eun Young Lee
    Seminars in Arthritis and Rheumatism.2021; 51(4): 685.     CrossRef
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    Minkyong Kang, Kyu-Nam Heo, Young-Mi Ah, Bo Ram Yang, Ju-Yeun Lee
    Maturitas.2021; 150: 30.     CrossRef
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    Chansik An, Jong Won Choi, Hyung Soon Lee, Hyunsun Lim, Seok Jong Ryu, Jung Hyun Chang, Hyun Cheol Oh
    BMC Cancer.2021;[Epub]     CrossRef
  • Trends and risk factors in severe hypoglycemia among individuals with type 2 diabetes in Korea
    Seung Eun Lee, Kyoung-Ah Kim, Kang Ju Son, Sun Ok Song, Kyeong Hye Park, Se Hee Park, Joo Young Nam
    Diabetes Research and Clinical Practice.2021; 178: 108946.     CrossRef
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    Ji-Su Shim, Min-Hye Kim, Min-Ho Kim, Young-Joo Cho, Eun Mi Chun
    The Journal of Allergy and Clinical Immunology: In Practice.2021; 9(12): 4290.     CrossRef
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    Byoung Hyuck Kim, Moon-June Cho, Jeanny Kwon
    International Journal of Clinical Oncology.2021; 26(11): 2004.     CrossRef
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    Chae-Bong Kim, Minsu Ock, Yoon-Sun Jung, Ki-Beom Kim, Young-Eun Kim, Keun-A Kim, Seok-Jun Yoon
    International Journal of Environmental Research and Public Health.2021; 18(17): 9056.     CrossRef
  • Factors Influencing the Selection of Non-Vitamin K Antagonist Oral Anticoagulants for Stroke Prevention in Patients With Non-Valvular Atrial Fibrillation
    Susin Park, Nam Kyung Je
    Journal of Cardiovascular Pharmacology and Therapeutics.2021; 26(6): 656.     CrossRef
  • Association between antibiotics use and diabetes incidence in a nationally representative retrospective cohort among Koreans
    Sun Jae Park, Young Jun Park, Jooyoung Chang, Seulggie Choi, Gyeongsil Lee, Joung Sik Son, Kyae Hyung Kim, Yun Hwan Oh, Sang Min Park
    Scientific Reports.2021;[Epub]     CrossRef
  • Effects of Acupuncture on Cardiac Remodeling in Patients with Persistent Atrial Fibrillation: Results of a Randomized, Placebo-Controlled, Patient- and Assessor-Blinded Pilot Trial and Its Implications for Future Research
    Jung Myung Lee, Seung Min Kathy Lee, Jungtae Leem, Jin-Bae Kim, Jimin Park, Jun Hyeong Park, Suji Lee, Hyung Oh Kim, Hyemoon Chung, Jong Shin Woo, Woo-Shik Kim, Sanghoon Lee, Weon Kim
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  • Data Configuration and Publication Trends for the Korean National Health Insurance and Health Insurance Review & Assessment Database
    Hae Kyung Kim, Sun Ok Song, Junghyun Noh, In-Kyung Jeong, Byung-Wan Lee
    Diabetes & Metabolism Journal.2020; 44(5): 671.     CrossRef
  • 14,641 View
  • 246 Download
  • 63 Web of Science
  • 63 Crossref

Brief Communication

Serum Cadmium Level Is Positively Associated with Unruptured Intracranial Aneurysm Incidence
Bich Nae Ri Yoon, Jun Beom Lee, Ga Heon Jin, Won Yong Kim
Korean J Fam Med 2019;40(4):273-277.   Published online February 7, 2019
DOI: https://doi.org/10.4082/kjfm.17.0140
Background
Cadmium is a toxic element in cigarette smoke associated with ischemic vascular disease. Its association with cerebral aneurysm is unknown.
Methods
We retrospectively analyzed the medical records of patients with headache who underwent imaging studies between March 2014 and August 2016. An unruptured intracranial aneurysm (UIA) was confirmed by brain magnetic resonance angiography or computed tomography angiography. A control group included age- and sexmatched patients without an UIA. Whole blood and random urine tests were used for detection of cadmium and arsenic levels, respectively. Student t-test was used to compare subject characteristics, mean cadmium and arsenic levels between groups, and differences between groups with small (<4-mm) and large (≥4-mm) UIAs. Multivariate regression analysis was used to identify risk factors for aneurysm incidence.
Results
Of 238 patients, 25 had an UIA. Those with an UIA had more pack-years of smoking (19.5±3.8 vs. 12.5±6.8, P=0.044) and higher mean serum cadmium levels (1.77±0.19 vs. 0.87±0.21 µg/L, P=0.027). Arsenic levels showed no difference between groups. (67.4±23.5 vs. 62.2±18.3 µg/L, P=0.458). There were no significantly different demographic, clinical, or laboratory characteristics between small and large aneurysm groups. According to multivariate analysis, smoking (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.06–2.33; P=0.047) and serum cadmium >2.0 mcg/L (OR, 1.39; 95% CI, 1.15–1.84; P=0.043) were associated with aneurysm incidence.
Conclusion
UIA incidence was associated with pack-years of smoking and serum cadmium level, but aneurysm size was not associated with serum cadmium level.

Citations

Citations to this article as recorded by  
  • Risk factors for saccular unruptured intracranial aneurysms: a systematic review and meta-analysis
    Maaike J A van Eldik, Mariam Ali, Stijn Rietkerken, Jan W Schoones, Sanne A E Peters, Hester M den Ruijter, Ynte M Ruigrok
    European Stroke Journal.2026;[Epub]     CrossRef
  • Impact of lifetime and current smoking exposure on the rupture status, number, and size of intracranial aneurysms
    Ramazan Jabbarli, Marvin Darkwah Oppong, Meltem Gümüs, Mehdi Chihi, Thiemo Florin Dinger, Laurèl Rauschenbach, Yahya Ahmadipour, Philipp Dammann, Yan Li, Nika Guberina, Karsten H. Wrede, Ulrich Sure
    Clinical Neurology and Neurosurgery.2025; 254: 108924.     CrossRef
  • Underreporting of Sex-Specific Findings in Risk Factors for Unruptured Intracranial Aneurysms
    Maaike J.A. van Eldik, Mariam Ali, Stijn Rietkerken, Sanne A.E. Peters, Hester M. den Ruijter, Ynte M. Ruigrok
    Cerebrovascular Diseases.2025; 55(2): 302.     CrossRef
  • Cigarette Smoking and Observed Growth of Unruptured Intracranial Aneurysms: A Systematic Literature Review and Meta-Analysis
    Maria José Pachón-Londoño, Maged T. Ghoche, Brandon A. Nguyen, Seyed Farzad Maroufi, Vita Olson, Devi P. Patra, Evelyn L. Turcotte, Zhen Wang, Brooke S. Halpin, Chandan Krishna, Ali Turkmani, Fredric B. Meyer, Bernard R. Bendok
    Stroke.2024; 55(10): 2420.     CrossRef
  • Hemodynamic Analysis of Pipeline Embolization Device Stent for Treatment of Giant Intracranial Aneurysm under Unsupervised Learning Algorithm
    Haibin Gao, Wei You, Jian Lv, Youxiang Li, Le Sun
    Journal of Healthcare Engineering.2022; 2022: 1.     CrossRef
  • Urinary cadmium and stroke - a case-cohort study in Danish never-smokers
    Aslak Harbo Poulsen, Clara G. Sears, James Harrington, Chanelle J. Howe, Katherine A. James, Nina Roswall, Kim Overvad, Anne Tjønneland, Gregory A. Wellenius, Jaymie Meliker, Ole Raaschou-Nielsen
    Environmental Research.2021; 200: 111394.     CrossRef
  • Blood cadmium concentration and risk of subarachnoid haemorrhage
    Martin Söderholm, Yan Borné, Bo Hedblad, Margaretha Persson, Lars Barregard, Gunnar Engström
    Environmental Research.2020; 180: 108826.     CrossRef
  • Chemical Composition and Microbial Contaminants of Poha Beer: A Local Nonalcoholic Beverage in the Bolgatanga Municipality, Ghana
    Julius T. Dongdem, James Abugri, Clement A. Asakedola, Todd R. Callaway
    International Journal of Microbiology.2020; 2020: 1.     CrossRef
  • 7,339 View
  • 69 Download
  • 8 Web of Science
  • 8 Crossref

Original Articles

Background

Abnormal serum gamma-glutamyltransferase (γ-GT) may be an early and sensitive marker for oxidative stress. This study was performed to evaluate the association between serum heavy metals and γ-GT concentration.

Methods

This study is a cross-sectional analysis based on data from Korean National Health and Nutrition Examination Survey (V-1, 2, 2010, 2011) regarding serum heavy metal concentrations (lead, mercury, and cadmium) as well as serum γ-GT. Serum heavy metals were categorized into tertiles, and serum γ-GT concentration was compared using an analysis of covariance test after relevant variable adjustments. In addition, we evaluated the odds ratio (OR) of having the highest tertile of serum γ-GT in each heavy metal tertile using logistic regression.

Results

The mean serum lead, mercury, and cadmium concentrations were 2.67, 5.08, and 1.02 µg/dL in men and 1.95, 3.60, and 1.21 µg/dL in women, respectively. Partial correlation showed a significant positive relation between each heavy metal and serum γ-GT concentration. Comparing serum γ-GT concentration by the tertile of each heavy metal, serum γ-GT concentration showed a significant increase as the tertiles of serum mercury and cadmium in men and that of serum mercury in women increased, but not with lead. The OR of having the highest tertile of serum γ-GT was significant for cadmium in men (OR, 4.02; 95% confidence interval [CI], 2.54 to 6.35) and mercury in women (OR, 2.00; 95% CI, 1.29 to 3.10) in the top tertile of each heavy metal.

Conclusion

Higher serum heavy metal concentration may be related with higher serum γ-GT concentration. In particular, serum cadmium in men and mercury in women showed significant correlation with serum γ-GT concentration.

Citations

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The Difference of Smoking Rates before and after Hospital Admission.
Ho Lee, Byoung Kwan Lee, Se Jun Bak, Eun Jung Cho, Mee Young Kim, Jong Lull Yoon
J Korean Acad Fam Med 2006;27(7):556-560.   Published online July 10, 2006
Background
: The harmfulness of smoking is well known, but the smoking rate of adult males in Korea is still high. Therefore, we wanted to find out the factors related to smoking cessation among patients who had been admitted to hospital and to make an effective smoking cessation program.

Methods : We reviewed the medical records of patients who had been admitted to the department of internal medicine or orthopedic surgery of an hospital from January 25, 2005 to June 15, 2005. We enrolled 104 male patients who were smokers and gave them telephone interviews. Among them, 74 patients answered (71.2%).

Results : Among the subjects, 10 patients quit smoking and 64 smoked continuously. Age, duration and amount of smoking, past experiences of smoking cessation were not significantly different between the two groups. The patients who were admitted to the department of internal medicine (P=0.047) and advised from doctors to quit smoking (P=0.010) showed a high smoking cessation rate. The patients who were advised by doctors showed a higher rate of planning for smoking cessation, even though they were still smoking (P=0.001).

Conclusion : For smoking cessation in admission patient's, doctor's advice to quit smoking was important.
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A Brief Discussion on Family Medicine in Edmonton, Alberta, Canada.
Lina Bohee Kim, Chang Won Won, Yun Jin Kim
J Korean Acad Fam Med 2003;24(7):605-611.   Published online July 10, 2003
In early May 2003, a small group of four, including three family physicians and a media person, visited various family medicine education and training facilities in Edmonton, Alberta, Canada. This paper is a brief discussion of what knowledge and insight was gained during this trip.
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Original Articles
A Study on Hair Mineral Concentrations in Diabetic Patients.
Soo Ick Jang, Kyoung Kon Kim, Bok Gi Lee, Hyung Joon Kim, Soo Hyun Lew, Hee Cheol Kang, Bang Bu Youn
J Korean Acad Fam Med 2002;23(9):1133-1140.   Published online September 10, 2002
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An approach to the treatment of the hypoglycemia dropped after meal.
Seng Wan Oh, Jae Tack Rhee, Song Byung Kim, Kwang Tai Ahn
J Korean Acad Fam Med 2001;22(11):1622-1629.   Published online November 1, 2001
Background
: Many patients with Type I Diabetes Mellitus treated by insulin therapy were observed their blood sugar dropped even after meal. The ecology and treatment for this phenomenon was unknown. A clinical research making an approach to treat this phenomenon is inevitable.

Methods : 9 patients whose blood sugar dropped right after meal (from 15 minutes to 1 hour) were selected among 58 IDDM(Insulin Dependant Diabetes Mellitus) patients admitted in Daejon Sungsim hospital from March 1999 to Feb. 2000. The subjects were consist of 6 female and 3 male, average age was 57.2. Blood samples were taken from their capillaries and measured by Super Glucocard Ⅱ glucometer. Insulin was injected 30 minutes before breakfast and 50% glucose 30 ml was taken orally 15 minutes after the insulin injection. Breakfast was taken 15 minutes after the glucose taken. Blood sugar was measured 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 120 minutes and 2 hours after a breakfast.

Results : Though average blood sugar dropped after breakfast was 44.5 ㎎/㎗, average blood sugar after taken 50% glucose 30 ml was 114.1 ㎎/㎗. 2 patients had good effect among 3 male patients and every 6 female patients had good effect.

Conclusion : Taking 50% glucose 30 ml in oral 15 minutes after insulin injection improved the IDDM patient's blood sugar drop right after meal.
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Relationship between BMI and prevalence of hypertension & diabetes mellitus based on national health interview survey.
Ok Ryun Moon, Nam Soon Kim, Sun Mee Jang, Tae Ho Yoon, Seong Ok Kim
J Korean Acad Fam Med 1999;20(6):771-786.   Published online June 1, 1999
Background
: Recently the Korean society has been challenged with the rapid growth of obese popuation due to the improved socioeconomic status and lifestyle changes over the past decades. Not only has obesity been known as one of major risk factors for various diseases including cardiovascular diseases(e.g. hypertension, coronary heart disease and stroke) and diabetes mellitus, but it has also increased the death from obesity-related diseases. it has been required, however, to establish our own obesity criteria adjusted for Korean since much difference is expected to exist in the degree of obesity between white and Asian people. Therefore, this study was designed to provide with primary data to help establish new criteria through identifying the distribution of Body Mass Index(BMI), and then analyzing its relation with some obesity-related diseases.

Methods : This study calculated BMI and related it to some obesity-related diseases by analysing data from 1995 National Health Interview Surveys, in which a random sample of 5,750 Korean at the age of 15-69 had self-reported their heights, body weights and diagnoses with obesity-related diseases by physicians. Variables under consideration include potential risk factors (e.g. alcohol intakes, smoking, exercise, etc.) as well as demographics of the sample population.

Results : Average BMI(kg/M²) were 22.6±2.6 for male and 21.7±4.8 for female(mean±SD), which increased in direct proportion to the increase of age until the age reached the group of 40-59, and then followed by the inverse in its relation with the age at 60 and over. It was revealed, however, that prevalences of obesity-related diseases such as hypertension, diabetes mellitus etc. were the highest among the population group with their BMI of 23.8~35.6. In short, this study identified the proportional relation of BMI with the prevalence of obesity-related diseases.

Conclusion : In this study, the prevalence for hypertension and diabetes mellitus was shown to be higher than the average among population with their BMI of 21.9~23.8, whose figure is much lower than both 26.4, the value of the 90th percentile proposed in MONICA project and 25, the current WHO criteria of obesity. However, a Japanese study reported that the health risk began to increase at the BMI of 23 with risks for obesity-related diseases dramatically increased at the BMI of 26-27 and over, and concluded that because Asian has more body fats accumulated within the upper body part compared with the white, the Asian persons are more obese, though less in terms of BMI, than the white. Therefore, future works should be focused on establishing our own criteria for obesity with health risks through determining the association of BMI with prevalence of various diseases in Korea.
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