Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data
<i>Background and Objectives</i>: This retrospective, cross-sectional, and descriptive study used claims data from the Korean Health Insurance Review and Assessment Service (HIRA) between 2010 and 2019 to analyze the trend of surgical service utilization in patients with lumbar spinal st...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1582 |
| _version_ | 1797578952840052736 |
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| author | HyungWook Ji Seungwon Shin Yongjoo Kim In-Hyuk Ha Doori Kim Yoon Jae Lee |
| author_facet | HyungWook Ji Seungwon Shin Yongjoo Kim In-Hyuk Ha Doori Kim Yoon Jae Lee |
| author_sort | HyungWook Ji |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: This retrospective, cross-sectional, and descriptive study used claims data from the Korean Health Insurance Review and Assessment Service (HIRA) between 2010 and 2019 to analyze the trend of surgical service utilization in patients with lumbar spinal stenosis (LSS). <i>Materials and Methods</i>: The national patient sample data provided by the HIRA, which consisted of a 2% sample of the entire Korean population, was used to assess all patients who underwent decompression or fusion surgery at least once in Korea, with LSS as the main diagnosis from January 2010 to December 2019. An in-depth analysis was conducted to examine the utilization of surgical services, taking into account various demographic characteristics of patients, the frequency of claims for different types of surgeries, reoperation rates, the specific types of inpatient care associated with each surgery type, prescribed medications, and the overall expense of healthcare services. <i>Results</i>: A total of 6194 claims and 6074 patients were analyzed. The number of HIRA claims for patients increased from 393 (2010) to 417 (2019) for decompression, and from 230 (2010) to 244 (2019) for fusion. As for the medical expenses of surgery, there was an increase from United States dollar (USD) 867,549.31 (2010) to USD 1,153,078.94 (2019) for decompression and from USD 1,330,440.37 (2010) to USD 1,780,026.48 (2019) for fusion. Decompression accounted for the highest proportion (65.8%) of the first surgeries, but more patients underwent fusion (50.6%) than decompression (49.4%) in the second surgery. Across all sex and age groups, patients who underwent fusion procedures experienced longer hospital stays and incurred higher medical expenses for their inpatient care. <i>Conclusion</i>: The surgical service utilization of patients with LSS and the prescribing rate of opioids and non-opioid analgesics for surgical patients increased in 2019 compared to 2010. From mid-2010 onward, claims for fusion showed a gradual decrease, whereas those for decompression showed a continuously increasing trend. The findings of this study are expected to provide basic research data for clinicians, researchers, and policymakers. |
| first_indexed | 2024-03-10T22:28:59Z |
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| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:28:59Z |
| publishDate | 2023-08-01 |
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| spelling | doaj.art-5ffea05ade14492d89a426cbb72a4d4f2023-11-19T11:51:59ZengMDPI AGMedicina1010-660X1648-91442023-08-01599158210.3390/medicina59091582Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample DataHyungWook Ji0Seungwon Shin1Yongjoo Kim2In-Hyuk Ha3Doori Kim4Yoon Jae Lee5Jaseng Hospital of Korean Medicine, 536 Gangnam-daero, Gangnam-gu, Seoul 06110, Republic of KoreaCollege of Korean Medicine, Sangji University, Wonju 26339, Republic of KoreaCollege of Korean Medicine, Sangji University, Wonju 26339, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 540 Gangnam-daero, Hangnam-gu, Seoul 06110, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 540 Gangnam-daero, Hangnam-gu, Seoul 06110, Republic of KoreaJaseng Spine and Joint Research Institute, Jaseng Medical Foundation, 540 Gangnam-daero, Hangnam-gu, Seoul 06110, Republic of Korea<i>Background and Objectives</i>: This retrospective, cross-sectional, and descriptive study used claims data from the Korean Health Insurance Review and Assessment Service (HIRA) between 2010 and 2019 to analyze the trend of surgical service utilization in patients with lumbar spinal stenosis (LSS). <i>Materials and Methods</i>: The national patient sample data provided by the HIRA, which consisted of a 2% sample of the entire Korean population, was used to assess all patients who underwent decompression or fusion surgery at least once in Korea, with LSS as the main diagnosis from January 2010 to December 2019. An in-depth analysis was conducted to examine the utilization of surgical services, taking into account various demographic characteristics of patients, the frequency of claims for different types of surgeries, reoperation rates, the specific types of inpatient care associated with each surgery type, prescribed medications, and the overall expense of healthcare services. <i>Results</i>: A total of 6194 claims and 6074 patients were analyzed. The number of HIRA claims for patients increased from 393 (2010) to 417 (2019) for decompression, and from 230 (2010) to 244 (2019) for fusion. As for the medical expenses of surgery, there was an increase from United States dollar (USD) 867,549.31 (2010) to USD 1,153,078.94 (2019) for decompression and from USD 1,330,440.37 (2010) to USD 1,780,026.48 (2019) for fusion. Decompression accounted for the highest proportion (65.8%) of the first surgeries, but more patients underwent fusion (50.6%) than decompression (49.4%) in the second surgery. Across all sex and age groups, patients who underwent fusion procedures experienced longer hospital stays and incurred higher medical expenses for their inpatient care. <i>Conclusion</i>: The surgical service utilization of patients with LSS and the prescribing rate of opioids and non-opioid analgesics for surgical patients increased in 2019 compared to 2010. From mid-2010 onward, claims for fusion showed a gradual decrease, whereas those for decompression showed a continuously increasing trend. The findings of this study are expected to provide basic research data for clinicians, researchers, and policymakers.https://www.mdpi.com/1648-9144/59/9/1582lumbar spinal stenosisHIRA claims datanational patient sampledecompressionfusionsurgical service utilization |
| spellingShingle | HyungWook Ji Seungwon Shin Yongjoo Kim In-Hyuk Ha Doori Kim Yoon Jae Lee Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data Medicina lumbar spinal stenosis HIRA claims data national patient sample decompression fusion surgical service utilization |
| title | Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data |
| title_full | Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data |
| title_fullStr | Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data |
| title_full_unstemmed | Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data |
| title_short | Trends of Surgical Service Utilization for Lumbar Spinal Stenosis in South Korea: A 10-Year (2010–2019) Cross-Sectional Analysis of the Health Insurance Review and Assessment Service—National Patient Sample Data |
| title_sort | trends of surgical service utilization for lumbar spinal stenosis in south korea a 10 year 2010 2019 cross sectional analysis of the health insurance review and assessment service national patient sample data |
| topic | lumbar spinal stenosis HIRA claims data national patient sample decompression fusion surgical service utilization |
| url | https://www.mdpi.com/1648-9144/59/9/1582 |
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