Cardiac Rehabilitation Therapy Trends in South Korea: an Epidemiologic Analysis Using Korean National Health Insurance System Database
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Background: Interest in cardiac rehabilitation therapy has been increasing in Korea after the addition of cardiac rehabilitation as a benefit item in the National Health Insurance Service in 2017. However, few epidemiological studies have characterized cardiac rehabilitation in Korea. Objects: To assess the national epidemiological data on cardiac rehabilitation therapy in Korea from 2017 to 2023. Methods: This study analyzed MM453, a prescription code for cardiac rehabilitation therapy in the Health Insurance Review and Assessment database. The data reviewed included the total number of cases per year and the number of cardiac rehabilitation therapy prescriptions per 100,000 people, along with sex and age distribution of patients undergoing cardiac rehabilitation therapy. Results: The number of cardiac rehabilitation therapy prescriptions in Korea increased from 4,443 in 2017 to 15,646 in 2023 (252.1% increase in 7 years). The incidence per 100,000 person-years rose from 8.64 in 2017 to 30.22 in 2023. The number of males undergoing therapy increased from 3,183 (incidence: 12.35) in 2017 to 11,276 (incidence: 43.53) in 2023. The number of females undergoing therapy increased from 1,260 (incidence: 4.91) in 2017 to 4,370 (incidence: 16.89) in 2023. The highest number of patients undergoing therapy from 2017 to 2023 was observed in the 60s age group (patients: 4,747, incidence: 9.17), followed by the 70s, 50s, and > 80s age groups. Conclusion: From 2017 to 2023, the number of patients undergoing cardiac rehabilitation therapy in Korea increased consistently. The therapy is approximately 2.6 times more common in males than that in females and is predominantly administered to individuals in their 60s, followed by those in their 70s, 50s, and 80s and above.
Abstract
Background: Interest in cardiac rehabilitation therapy has been increasing in Korea after the addition of cardiac rehabilitation as a benefit item in the National Health Insurance Service in 2017. However, few epidemiological studies have characterized cardiac rehabilitation in Korea. Objects: To assess the national epidemiological data on cardiac rehabilitation therapy in Korea from 2017 to 2023. Methods: This study analyzed MM453, a prescription code for cardiac rehabilitation therapy in the Health Insurance Review and Assessment database. The data reviewed included the total number of cases per year and the number of cardiac rehabilitation therapy prescriptions per 100,000 people, along with sex and age distribution of patients undergoing cardiac rehabilitation therapy. Results: The number of cardiac rehabilitation therapy prescriptions in Korea increased from 4,443 in 2017 to 15,646 in 2023 (252.1% increase in 7 years). The incidence per 100,000 person-years rose from 8.64 in 2017 to 30.22 in 2023. The number of males undergoing therapy increased from 3,183 (incidence: 12.35) in 2017 to 11,276 (incidence: 43.53) in 2023. The number of females undergoing therapy increased from 1,260 (incidence: 4.91) in 2017 to 4,370 (incidence: 16.89) in 2023. The highest number of patients undergoing therapy from 2017 to 2023 was observed in the 60s age group (patients: 4,747, incidence: 9.17), followed by the 70s, 50s, and > 80s age groups. Conclusion: From 2017 to 2023, the number of patients undergoing cardiac rehabilitation therapy in Korea increased consistently. The therapy is approximately 2.6 times more common in males than that in females and is predominantly administered to individuals in their 60s, followed by those in their 70s, 50s, and 80s and above.
참고문헌 (19)
- Gaziano TA, "Disease control priorities in developing countries", pp.645~662 (2006), Oxford University Press
- "Cardio-cerebrovascular disease mortality trends, 2011-2021", Public Health Wkly Rep, 16(35), pp.1255~1256 (2023)
- Lucini D, "Effects of cardiac rehabilitation and exercise training on autonomic regulation in patients with coronary artery disease", Am Heart J, 143(6), pp.977~983 (2002)
- Shepherd CW, "Cardiac rehabilitation and quality of life : a systematic review", Int J Nurs Stud, 49(6), pp.755~771 (2012)
- JCS Joint Working Group, "Guidelines for rehabilitation in patients with cardiovascular disease(JCS 2012)", Circ J, 78(8), pp.2022~2093 (2014)
- Cowie A, "Standards and core components for cardiovascular disease prevention and rehabilitation", Heart, 105(7), pp.510~515
- Frérot M, "What is epidemiology? Changing definitions of epidemiology 1978-2017", PLoS One, 13(12), pp.e0208442~ (2018)
- Song S, "Demographics, treatment trends, and survival rate in incident pulmonary artery hypertension in Korea : a nationwide study based on the health insurance review and assessment service database", PLoS One, 13(12), pp.e0209148~ (2018)
- Chung KS, "National trends of meniscectomy and meniscus repair in Korea", J Korean Med Sci, 34(32), pp.e206~ (2019)
- Zwisler AD, "The Danish cardiac rehabilitation database", Clin Epidemiol, 8, pp.451~456 (2016)
- Turk-Adawi K, "Global availability of cardiac rehabilitation", Nat Rev Cardiol, 11(10), pp.586~596 (2014)
- Sadeghi M, "Availability and nature of cardiac rehabilitation by province in Iran : a 2018 update of ICCPR's global audit", J Res Med Sci, 28, pp.1~ (2023)
- Ades PA, "Increasing cardiac rehabilitation participation from 20% to 70% : a road map from the million hearts cardiac rehabilitation collaborative", Mayo Clin Proc, 92(2), pp.234~242 (2017)
- Kanazawa N, "Trends in the use of cardiac rehabilitation in Japan between 2010 and 2017-an epidemiological survey", Circ Rep, 3(10), pp.569~577 (2021)
- Bestehorn K, "Contemporary trends in cardiac rehabilitation in Germany : patient characteristics, drug treatment, and risk-factor management from 2000 to 2005", Eur J Cardiovasc Prev Rehabil, 15(3), pp.312~318 (2008)
- Zhang S, "Availability and trend of dissemination of cardiac rehabilitation in China : report from the multicenter national registration platform between 2012 and 2021", Front Cardiovasc Med, 10, pp.1210068~ (2023)
- Kim C, "Overview of cardiac rehabilitation and current situations in Korea", Ann Cardiopulm Rehabil, 1(1), pp.6~16 (2021)
- Samayoa L, "Sex differences in cardiac rehabilitation enrollment : a meta-analysis", Can J Cardiol, 30(7), pp.793~800 (2014)
- Lakatta EG, "Age-associated cardiovascular changes in health : impact on cardiovascular disease in older persons", Heart Fail Rev, 7(1), pp.29~49 (2002)