Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016
Objective This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. Methods This study wa...
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| Format: | Article |
| Language: | English |
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Korean Spinal Neurosurgery Society
2018-03-01
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| Series: | Neurospine |
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| Online Access: | http://www.e-neurospine.org/upload/pdf/ns-1836038-019.pdf |
| _version_ | 1797330218526965760 |
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| author | Chang-Hyun Lee Chun Kee Chung Chi Heon Kim Ji-Woong Kwon |
| author_facet | Chang-Hyun Lee Chun Kee Chung Chi Heon Kim Ji-Woong Kwon |
| author_sort | Chang-Hyun Lee |
| collection | DOAJ |
| description | Objective This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. Methods This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40–M54) were used for identification of these conditions. Results The overall annual incidence rates for spinal disease in the ROK was median 15,877 (men, 13,181; women, 18,588) per 100,000 population, and sex ratio was 1:1.41 (p<0.01). The incidence rate and annual costs per patient increased by 7.6% and 14.7% over 5 years continuously, respectively. The age-adjusted incidence rate increased with age; the highest rates were 42.6% in the 75–79 years group. Patients older than 65 years old accounted for median 31.0% of number of patients and 40.1% of medical expenses over 5 years. Lumbar disc herniation (M51) and spinal stenosis (M48) might accounted for both the highest incidence and medical expenses in patients under the age of 60 and over 60 years, respectively. Conclusion The incidence and medical expenditures of spinal disease increased continuously. As the population of ROK in aging, the incidence and medical expenditures due to spondylosis and stenosis (M48) for the old are also increasing. The social burden of spinal diseases in elder patients needs to be prudently considered in health policy makers. |
| first_indexed | 2024-03-08T07:15:49Z |
| format | Article |
| id | doaj.art-bfc0c576bee14e4fb635641e9fa1ae56 |
| institution | Directory Open Access Journal |
| issn | 2586-6583 2586-6591 |
| language | English |
| last_indexed | 2024-03-08T07:15:49Z |
| publishDate | 2018-03-01 |
| publisher | Korean Spinal Neurosurgery Society |
| record_format | Article |
| series | Neurospine |
| spelling | doaj.art-bfc0c576bee14e4fb635641e9fa1ae562024-02-03T01:02:26ZengKorean Spinal Neurosurgery SocietyNeurospine2586-65832586-65912018-03-01151667610.14245/ns.1836038.019784Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016Chang-Hyun Lee0Chun Kee Chung1Chi Heon Kim2Ji-Woong Kwon3 Department of Neurosurgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea Neuro-Oncology Clinic, National Cancer Center, Goyang, KoreaObjective This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients. Methods This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40–M54) were used for identification of these conditions. Results The overall annual incidence rates for spinal disease in the ROK was median 15,877 (men, 13,181; women, 18,588) per 100,000 population, and sex ratio was 1:1.41 (p<0.01). The incidence rate and annual costs per patient increased by 7.6% and 14.7% over 5 years continuously, respectively. The age-adjusted incidence rate increased with age; the highest rates were 42.6% in the 75–79 years group. Patients older than 65 years old accounted for median 31.0% of number of patients and 40.1% of medical expenses over 5 years. Lumbar disc herniation (M51) and spinal stenosis (M48) might accounted for both the highest incidence and medical expenses in patients under the age of 60 and over 60 years, respectively. Conclusion The incidence and medical expenditures of spinal disease increased continuously. As the population of ROK in aging, the incidence and medical expenditures due to spondylosis and stenosis (M48) for the old are also increasing. The social burden of spinal diseases in elder patients needs to be prudently considered in health policy makers.http://www.e-neurospine.org/upload/pdf/ns-1836038-019.pdfEpidemiologySpineCostSocioeconomic statusNationwide |
| spellingShingle | Chang-Hyun Lee Chun Kee Chung Chi Heon Kim Ji-Woong Kwon Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 Neurospine Epidemiology Spine Cost Socioeconomic status Nationwide |
| title | Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 |
| title_full | Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 |
| title_fullStr | Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 |
| title_full_unstemmed | Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 |
| title_short | Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016 |
| title_sort | health care burden of spinal diseases in the republic of korea analysis of a nationwide database from 2012 through 2016 |
| topic | Epidemiology Spine Cost Socioeconomic status Nationwide |
| url | http://www.e-neurospine.org/upload/pdf/ns-1836038-019.pdf |
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