Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study
Abstract Background Retinal vascular occlusions, including retinal vein occlusion and retinal artery occlusion, are common causes of visual impairment. In order to evaluate the national medical burden and help improve ophthalmic health care policy planning, we investigated the incidence of retinal v...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-03-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-024-03397-7 |
| _version_ | 1797247404236341248 |
|---|---|
| author | Shin Hyeong Park Bum Jun Kim Ji Hye Kim Seung Chan Kim Rock Bum Kim Yong Seop Han |
| author_facet | Shin Hyeong Park Bum Jun Kim Ji Hye Kim Seung Chan Kim Rock Bum Kim Yong Seop Han |
| author_sort | Shin Hyeong Park |
| collection | DOAJ |
| description | Abstract Background Retinal vascular occlusions, including retinal vein occlusion and retinal artery occlusion, are common causes of visual impairment. In order to evaluate the national medical burden and help improve ophthalmic health care policy planning, we investigated the incidence of retinal vascular occlusive diseases from 2011 to 2020 in Korea. Methods This study is a nationwide population-based retrospective study using data from the Korea national health claim database of the Health Insurance Review and Assessment (HIRA) service. We identified retinal vascular occlusive diseases registered from January 1, 2009, to December 31, 2020, according to the retinal vascular occlusion code (H34) and its sub-codes from international classification of disease, tenth revision diagnosis code. We used data from the entire Korean population based on the 2015 census of the population in Korea to calculate standardized incidence rates. Results We identified 348,775 individuals (male, 161,673 [46.4%]; female, 187,102 [53.6%]) with incident retinal vascular occlusion (H34), 10,451 individuals (males, 6,329 [60.6%]; females, 4,122 [39.4%]) with incident central retinal artery occlusion (H34.1), and 252,810 individuals (males, 114,717 [45.4%]; females, 138,093 [54.6%]) with incident retinal vein occlusion (H34.8) during the 10-year study period. The weighted mean incidence rate of retinal vascular occlusion was 70.41 (95% CI, 70.18–70.65) cases/100,000 person-years. The weighted mean incidence rate of central retinal artery occlusion was 2.10 (95% CI, 2.06–2.14) cases/100,000 person-years. The weighted mean incidence rate of retinal vein occlusion was 50.99 (95% CI, 50.79–51.19) cases/100,000 person-years. Conclusion The total retinal vascular occlusion and retinal vein occlusion showed a decreasing trend until 2020. However, the central retinal artery occlusion decreased until 2014 and remained stable without a significant further decline until 2020. The incidence of total retinal vascular occlusion and retinal vein occlusion was higher in females than in males, while the incidence of central retinal artery occlusion was higher in males. All retinal vascular occlusive diseases showed an increasing incidence with older age; the peak age incidence was 75–79 years for total retinal vascular occlusion and retinal vein occlusion, and 80–85 years for central retinal artery occlusion. |
| first_indexed | 2024-04-24T19:58:09Z |
| format | Article |
| id | doaj.art-68cf94ed12984570ab9172bad9ca3611 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-04-24T19:58:09Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-68cf94ed12984570ab9172bad9ca36112024-03-24T12:13:50ZengBMCBMC Ophthalmology1471-24152024-03-0124111210.1186/s12886-024-03397-7Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort studyShin Hyeong Park0Bum Jun Kim1Ji Hye Kim2Seung Chan Kim3Rock Bum Kim4Yong Seop Han5Department of Ophthalmology, Gyeongsang National University Changwon HospitalDepartment of Ophthalmology, Gyeongsang National University Changwon HospitalDepartment of Ophthalmology, Gyeongsang National University Changwon HospitalDepartment of Biostatistics, Clinical Trial Center, Biomedical Research Institute, Pusan National University HospitalRegional Cardiocerebrovascular Disease Center, Gyeongsang National University HospitalDepartment of Ophthalmology, Gyeongsang National University Changwon HospitalAbstract Background Retinal vascular occlusions, including retinal vein occlusion and retinal artery occlusion, are common causes of visual impairment. In order to evaluate the national medical burden and help improve ophthalmic health care policy planning, we investigated the incidence of retinal vascular occlusive diseases from 2011 to 2020 in Korea. Methods This study is a nationwide population-based retrospective study using data from the Korea national health claim database of the Health Insurance Review and Assessment (HIRA) service. We identified retinal vascular occlusive diseases registered from January 1, 2009, to December 31, 2020, according to the retinal vascular occlusion code (H34) and its sub-codes from international classification of disease, tenth revision diagnosis code. We used data from the entire Korean population based on the 2015 census of the population in Korea to calculate standardized incidence rates. Results We identified 348,775 individuals (male, 161,673 [46.4%]; female, 187,102 [53.6%]) with incident retinal vascular occlusion (H34), 10,451 individuals (males, 6,329 [60.6%]; females, 4,122 [39.4%]) with incident central retinal artery occlusion (H34.1), and 252,810 individuals (males, 114,717 [45.4%]; females, 138,093 [54.6%]) with incident retinal vein occlusion (H34.8) during the 10-year study period. The weighted mean incidence rate of retinal vascular occlusion was 70.41 (95% CI, 70.18–70.65) cases/100,000 person-years. The weighted mean incidence rate of central retinal artery occlusion was 2.10 (95% CI, 2.06–2.14) cases/100,000 person-years. The weighted mean incidence rate of retinal vein occlusion was 50.99 (95% CI, 50.79–51.19) cases/100,000 person-years. Conclusion The total retinal vascular occlusion and retinal vein occlusion showed a decreasing trend until 2020. However, the central retinal artery occlusion decreased until 2014 and remained stable without a significant further decline until 2020. The incidence of total retinal vascular occlusion and retinal vein occlusion was higher in females than in males, while the incidence of central retinal artery occlusion was higher in males. All retinal vascular occlusive diseases showed an increasing incidence with older age; the peak age incidence was 75–79 years for total retinal vascular occlusion and retinal vein occlusion, and 80–85 years for central retinal artery occlusion.https://doi.org/10.1186/s12886-024-03397-7EpidemiologyIncidence rateRetinal artery occlusionRetinal vascular occlusionRetinal vein occlusion |
| spellingShingle | Shin Hyeong Park Bum Jun Kim Ji Hye Kim Seung Chan Kim Rock Bum Kim Yong Seop Han Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study BMC Ophthalmology Epidemiology Incidence rate Retinal artery occlusion Retinal vascular occlusion Retinal vein occlusion |
| title | Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study |
| title_full | Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study |
| title_fullStr | Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study |
| title_full_unstemmed | Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study |
| title_short | Incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in South Korea: a nationwide cohort study |
| title_sort | incidence rates of retinal vascular occlusive diseases from 2011 to 2020 in south korea a nationwide cohort study |
| topic | Epidemiology Incidence rate Retinal artery occlusion Retinal vascular occlusion Retinal vein occlusion |
| url | https://doi.org/10.1186/s12886-024-03397-7 |
| work_keys_str_mv | AT shinhyeongpark incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy AT bumjunkim incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy AT jihyekim incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy AT seungchankim incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy AT rockbumkim incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy AT yongseophan incidenceratesofretinalvascularocclusivediseasesfrom2011to2020insouthkoreaanationwidecohortstudy |