Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study
<i>Background and objectives</i>: Severe chronic neutropenia (SCN) is a condition in which absolute neutrophil counts remain at a low level (under 500/µL) over months or years. Because of the rare onset of SCN, its epidemiology, prognosis, and clinical manifestations have not yet been fu...
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MDPI AG
2020-05-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/56/6/262 |
| _version_ | 1797710051967762432 |
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| author | Nuri Lee Boung Chul Lee |
| author_facet | Nuri Lee Boung Chul Lee |
| author_sort | Nuri Lee |
| collection | DOAJ |
| description | <i>Background and objectives</i>: Severe chronic neutropenia (SCN) is a condition in which absolute neutrophil counts remain at a low level (under 500/µL) over months or years. Because of the rare onset of SCN, its epidemiology, prognosis, and clinical manifestations have not yet been fully understood. In particular, large-cohort studies in Asian countries are still insufficient. Therefore, in this study, national health insurance data was used to investigate the epidemiologic features and prognosis of SCN in South Korea. Materials and Methods: The data from the Health Insurance Review and Assessment database recorded between 1 January 2011 and 31 December 2015 were explored. SCN was defined based on the ICD-10 code, registry of benefit extension policy, and inclusion criteria of the study. After identifying patients with SCN, annual incidence and their co-morbidities were analyzed. Results: Among the initially identified patients with severe neutropenia (N = 2145), a total of 367 patients had SCN and were enrolled. The annual incidence rate of SCN ranged from 0.12 to 0.17 per 100,000 person-year (PY) during the study period. The highest incidence was observed in pediatric patients aged between 0 to 9 years (N = 156), followed by women in their fifties (N = 43). The total incidence rate was 0.17 in females and 0.12 in males (Relative risk (RR): 1.43, 95%, CI: 1.16–1.76). The most common accompanying condition was mild respiratory infection, but about 3.2% of patients progressed to hematologic malignancy after an average of 2.4 years. Conclusions: This nationwide population-based epidemiological study showed that incidence of SCN is higher in pediatrics and middle-aged women. As progression to hematologic malignancy was significantly higher in the age of in 45–49 year olds, careful follow-up is necessary in this group. However, since this study lacks the molecular information, these finding need to be interpreted with great caution. |
| first_indexed | 2024-03-12T06:45:34Z |
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| language | English |
| last_indexed | 2024-03-12T06:45:34Z |
| publishDate | 2020-05-01 |
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| series | Medicina |
| spelling | doaj.art-d012058536c94f4fbce09285b2ef9a9c2023-09-03T00:35:30ZengMDPI AGMedicina1010-660X2020-05-015626226210.3390/medicina56060262Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database StudyNuri Lee0Boung Chul Lee1Department of Laboratory of Medicine, Kangnam Sacred Heart Hospital, Hallym University, College of Medicine, Seoul 07441, KoreaDepartment of Psychiatry, Hangang Sacred Heart Hospital, Hallym University College of Medicine, Seoul 07247, Korea<i>Background and objectives</i>: Severe chronic neutropenia (SCN) is a condition in which absolute neutrophil counts remain at a low level (under 500/µL) over months or years. Because of the rare onset of SCN, its epidemiology, prognosis, and clinical manifestations have not yet been fully understood. In particular, large-cohort studies in Asian countries are still insufficient. Therefore, in this study, national health insurance data was used to investigate the epidemiologic features and prognosis of SCN in South Korea. Materials and Methods: The data from the Health Insurance Review and Assessment database recorded between 1 January 2011 and 31 December 2015 were explored. SCN was defined based on the ICD-10 code, registry of benefit extension policy, and inclusion criteria of the study. After identifying patients with SCN, annual incidence and their co-morbidities were analyzed. Results: Among the initially identified patients with severe neutropenia (N = 2145), a total of 367 patients had SCN and were enrolled. The annual incidence rate of SCN ranged from 0.12 to 0.17 per 100,000 person-year (PY) during the study period. The highest incidence was observed in pediatric patients aged between 0 to 9 years (N = 156), followed by women in their fifties (N = 43). The total incidence rate was 0.17 in females and 0.12 in males (Relative risk (RR): 1.43, 95%, CI: 1.16–1.76). The most common accompanying condition was mild respiratory infection, but about 3.2% of patients progressed to hematologic malignancy after an average of 2.4 years. Conclusions: This nationwide population-based epidemiological study showed that incidence of SCN is higher in pediatrics and middle-aged women. As progression to hematologic malignancy was significantly higher in the age of in 45–49 year olds, careful follow-up is necessary in this group. However, since this study lacks the molecular information, these finding need to be interpreted with great caution.https://www.mdpi.com/1010-660X/56/6/262neutropeniasevere chronicepidemiologyincidencemyelodysplastic syndromesleukemia |
| spellingShingle | Nuri Lee Boung Chul Lee Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study Medicina neutropenia severe chronic epidemiology incidence myelodysplastic syndromes leukemia |
| title | Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study |
| title_full | Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study |
| title_fullStr | Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study |
| title_full_unstemmed | Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study |
| title_short | Incidence of Severe Chronic Neutropenia in South Korea and Related Clinical Manifestations: A National Health Insurance Database Study |
| title_sort | incidence of severe chronic neutropenia in south korea and related clinical manifestations a national health insurance database study |
| topic | neutropenia severe chronic epidemiology incidence myelodysplastic syndromes leukemia |
| url | https://www.mdpi.com/1010-660X/56/6/262 |
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