A Korean nationwide investigation of the national trend of complex regional pain syndrome vis-à-vis age-structural transformations
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Background: The present study employed National Health Insurance Data to explore complex regional pain syndrome (CRPS) updated epidemiology in a Korean context. Methods: A CRPS cohort for the period 2009-2016 was created based on Korean Standard Classification of Diseases codes alongside the national registry. The general CRPS incidence rate and the yearly incidence rate trend for every CRPS type were respectively the primary and secondary outcomes. Among the analyzed risk factors were age, sex, region, and hospital level for the yearly trend of the incidence rate for every CRPS. Statistical analysis was performed via the chi-square test and the linear and logistic linear regression tests. Results: Over the research period, the number of registered patients was 122,210. The general CRPS incidence rate was 15.83 per 100,000, with 19.5 for type 1 and 12.1 for type 2. The condition exhibited a declining trend according to its overall occurrence, particularly in the case of type 2 (P < 0.001). On the other hand, registration was more pervasive among type 1 compared to type 2 patients (61.7% vs. 38.3%), while both types affected female individuals to a greater extent. Regarding age, individuals older than 60 years of age were associated with the highest prevalence in both types, regardless of sex (P < 0.001). Conclusions: CRPS displayed an overall incidence of 15.83 per 100,000 in Korea and a declining trend for every age group which showed a negative association with the aging shift phenomenon.
Abstract
Background: The present study employed National Health Insurance Data to explore complex regional pain syndrome (CRPS) updated epidemiology in a Korean context. Methods: A CRPS cohort for the period 2009-2016 was created based on Korean Standard Classification of Diseases codes alongside the national registry. The general CRPS incidence rate and the yearly incidence rate trend for every CRPS type were respectively the primary and secondary outcomes. Among the analyzed risk factors were age, sex, region, and hospital level for the yearly trend of the incidence rate for every CRPS. Statistical analysis was performed via the chi-square test and the linear and logistic linear regression tests. Results: Over the research period, the number of registered patients was 122,210. The general CRPS incidence rate was 15.83 per 100,000, with 19.5 for type 1 and 12.1 for type 2. The condition exhibited a declining trend according to its overall occurrence, particularly in the case of type 2 (P < 0.001). On the other hand, registration was more pervasive among type 1 compared to type 2 patients (61.7% vs. 38.3%), while both types affected female individuals to a greater extent. Regarding age, individuals older than 60 years of age were associated with the highest prevalence in both types, regardless of sex (P < 0.001). Conclusions: CRPS displayed an overall incidence of 15.83 per 100,000 in Korea and a declining trend for every age group which showed a negative association with the aging shift phenomenon.
참고문헌 (20)
- Stanton-Hicks M, "Reflex sympathetic dystrophy : changing concepts and taxonomy", Pain, 63, pp.127~133 (1995)
- Dotson RM, "Causalgia--ref lex sympathetic dystrophy--sympathetically maintained pain : myth and reality", Muscle Nerve, 16, pp.1049~1055 (1993)
- Rowbotham MC, "Complex regional pain syndrome type I(reflex sympathetic dystrophy) : more than a myth", Neurology, 51, pp.4~5 (1998)
- Wasner G, "Traumatic neuralgias : complex regional pain syndromes(reflex sympathetic dystrophy and causalgia) : clinical characteristics, pathophysiological mechanisms and therapy", Neurol Clin, 16, pp.851~868 (1998)
- Sandroni P, "Complex regional pain syndrome type I : incidence and prevalence in Olmsted county, a population-based study", Pain, 103, pp.199~207 (2003)
- Ochoa JL, "Reflex sympathetic dystrophy : a disease of medical understanding", Clin J Pain, 8, pp.363~366 (1992)
- Kim YC, "Complex regional pain syndrome", Korean J Pain, 17(Suppl), pp.104~108 (2004)
- Rho RH, "Complex regional pain syndrome", Mayo Clin Proc, 77, pp.174~180 (2002)
- Ratti C, "Post-traumatic complex regional pain syndrome : clinical features and epidemiology", Clin Cases Miner Bone Metab, 12(Suppl 1), pp.11~16 (2015)
- Harden NR, "Validation of proposed diagnostic criteria(the"Budapest Criteria")for Complex Regional Pain Syndrome", Pain, 150, pp.268~274 (2010)
- Birklein F, "Complex regional pain syndromesignificant progress in understanding", Pain, 156(Suppl 1), pp.S94~S103 (2015)
- Verdugo RJ, "Spectrum of cutaneous hyperalgesias", allodynias in neuropathic pain patients, 2004, pp.110, 368~376
- Shim H, "Complex regional pain syndrome : a narrative review for the practising clinician", Br J Anaesth, 123, pp.e424~e433 (2019)
- Saetbyeol Jeong, "Role of affective instability on suicidal risk in complex regional pain syndrome: a diary approach (preliminary report)", The Korean Journal of Pain, 34(1), pp.94~105 (2021), 대한통증학회[DOI]
- de Mos M, "The incidence of complex regional pain syndrome : a population-based study", Pain, 129, pp.12~20 (2007)
- Allen G, "Epidemiology of complex regional pain syndrome : a retrospective chart review of 134patients", Pain, 80, pp.539~544 (1999)
- Kim H, "Epidemiology of complex regional pain syndrome in Korea : an electronic population health data study", PLoS One, 13, pp.e0198147~ (2018)
- 최윤숙, "Epidemiology of Complex Regional Pain Syndrome: A Retrospective Chart Review of 150 Korean Patients", Journal of Korean Medical Science, 23(5), pp.772~775 (2008), 대한의학회
- 백민정, "National Trend of Uroflowmetry, Urodynamic Study and Cystoscopy Considering the Change in the Population Structure in Korea from 2010 to 2015", Journal of Korean Medical Science, 33(20), pp.1~10 (2018), 대한의학회
- 이호진, "Complex regional pain syndrome in the young male population: a retrospective study of 200 Korean young male patients", The Korean Journal of Pain, 32(4), pp.292~300 (2019), 대한통증학회[DOI]