Metabolic comorbidities and medical institution utilization among breast cancer survivors: a national population-based study
| Autor: | Mison Chun, Logyoung Kim, Young-Taek Oh, Jaesung Heo, O Kyu Noh |
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| Rok vydání: | 2020 |
| Předmět: |
Medical institution
medicine.medical_specialty Breast Neoplasms Comorbidity 03 medical and health sciences 0302 clinical medicine Breast cancer Cancer Survivors Claims data Diabetes mellitus Internal medicine medicine Health insurance Humans Survivors Descriptive statistics business.industry Referral and consultation Middle Aged medicine.disease Population based study Hypertension Medicine Female Original Article 030211 gastroenterology & hepatology business |
| Zdroj: | The Korean Journal of Internal Medicine The Korean Journal of Internal Medicine, Vol 35, Iss 2, Pp 421-428 (2020) |
| ISSN: | 2005-6648 1226-3303 |
| DOI: | 10.3904/kjim.2018.172 |
| Popis: | Background/Aims We investigated metabolic comorbidity status and patterns of medical institution utilization among breast cancer survivors using medical claims data from the Health Insurance Review and Assessment Service (HIRA). Methods Using claims data obtained from the HIRA, we selected breast cancer survivors between 2010 and 2015. Descriptive statistics were calculated to determine the frequency of metabolic comorbidities, as well as to analyze patterns of medical institution utilization in accordance with disease status. Results A total of 89,953 breast cancer survivors were identified. Among these, 12,364 (13.7%) had hypercholesterolemia, 20,754 (23.1%) had hypertension (HTN), and 11,102 (12.3%) had diabetes mellitus (DM). In particular, more than half of breast cancer survivors older than 60 years had HTN, and other diseases sharply increased beginning at age 50 years. For HTN, a total of 531,292 claims were submitted; more than 80% (n = 473,737) were from primary medical institutions, whereas only 2.4% (n = 12,551) were from tertiary medical institutions. The number of claims submitted for DM was 231,526; those from primary medical institutions accounted for 68.5% (n = 158,566), whereas claims from tertiary medical institutions accounted for 12.0% (n = 27,693). In subgroup analyses, the utilization of secondary and tertiary medical institutions was higher among patients with severe diseases and those diagnosed following their breast cancer diagnosis. Conclusions More than 10% of breast cancer survivors were diagnosed with a metabolic comorbidity. Through analysis of medical institution utilization patterns, we ascertained that a communication system linking secondary and tertiary medical institutions with primary medical institutions is needed. |
| Databáze: | OpenAIRE |
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