Evaluation of use and cost of medical care of common lumbar disorders in Korea: cross-sectional study of Korean Health Insurance Review and Assessment Service National Patient Sample data
| Autor: | Yoon Jae Lee, Kyung-Min Shin, Yong-jun Ahn, Jinho Lee, In-Hyuk Ha, Me-riong Kim, Jun-Hwan Lee, Ki Byung Park, Joon-Shik Shin |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
National Health Programs Cross-sectional study Spinal stenosis 0302 clinical medicine Health Insurance Review & Assessment Service Claims Data National Patient Sample Medicine cost of care 030212 general & internal medicine Young adult Lumbar Vertebrae Health services research Age Factors General Medicine Health Care Costs Middle Aged Low back pain Female Spinal Diseases Health Services Research medicine.symptom Adult medicine.medical_specialty 03 medical and health sciences Young Adult Sex Factors nonspecific low back pain Republic of Korea Humans Health policy Aged Retrospective Studies spinal stenosis Health economics business.industry Research Retrospective cohort study medicine.disease Cross-Sectional Studies Physical therapy intervertebral disc disorder business Low Back Pain 030217 neurology & neurosurgery |
| Zdroj: | BMJ Open |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesTo assess medical care and costs of the 3 highest prevalence lumbar disorders—non-specific low back pain (nLBP), intervertebral disc disorder (IDD) and spinal stenosis (SS)—from national billing data to provide basic information for standards of appropriate management.DesignRetrospective analysis of National Health Insurance National Patient Sample data provided by the Korean Health Insurance Review and Assessment Service (HIRA).Setting2011 claims data from all medical institutions which filed billing statements to HIRA.ParticipantsA total of 135 561 patients with lumbar disorder who received medical services during 2011.Outcome measuresPatient characteristics, medical procedures, medication, cost, injection and surgery.ResultsIn the nLBP and IDD groups, the 50–59 age range had the highest prevalence, whereas prevalence increased with age in SS. All 3 groups showed a higher percentage in women. The average treatment cost was 196 552 KRW in the nLBP and 362 050 KRW in the IDD group, and highest in the SS group at 439 025 KRW. While in the nLBP group women spent more on medical expenses, in the other 2 groups men showed higher expenditure. Expenditure grew with age in the nLBP and SS groups, whereas that of the IDD group peaked in their 40s. Analgesics were used in 73.43% of patients with nLBP, 82.64% of patients with IDD and 86.46% of patients with SS, and opioids in 4.12% of patients with IDD and 5.36% of patients with SS. Surgery rates were highest in the SS group at 4.85%, with 0.9% for nLBP and 4.59% for IDD. The most frequent injection code was lumbar/caudal epidural nerve block. Expenditure and surgery rates were higher in the injection than in the non-injection subgroup in all 3 groups.ConclusionsPatterns of medical care of most frequent lumbar disorders from HIRA data showed significant difference between groups and provide a basic standard for future usual care guidelines linked with health policy and budget appropriation. |
| Databáze: | OpenAIRE |
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