Trend of health care utilization of cleft lip and/or palate in Korea during 2007–2016
2
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objective: This study is performed to investigate the trend of health care (HC) utilization among cleft lip and/or palate (CL/P) during 2007–2016 by using data from the Korean National Health Insurance Service (KNHIS). Methods: The KNHIS data were reorganized to count a specific patient only once for a specific year. Cleft type (cleft lip [CL], cleft palate [CP], and cleft lip and palate [CLP]), sex, and age at HC utilization were investigated. The study period was divided into the first half (2007–2011) and the last half (2012–2016). The utilization number and rate per 1,000 population were calculated for the total population and for new-born patients. Independent t-test and one-way analysis of variance were used for statistical analyses. Results: The total CL/P population (n = 48,707) comprised 19.2% CLP, 35.5% CL, and 45.3% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 0.066 in 2007 to 0.118 in 2016. The new-born patient population (n = 7,617) comprised 18.6% CLP, 30.4% CL, and 51.0% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 1.12 in 2007 to 1.74 in 2016. An examination of the utilization number and rate among new-born patients revealed CP exhibited a female-dominant pattern (all p < 0.01), while CL and CLP exhibited a male-dominant pattern (all p < 0.01). However, utilization number showed no difference by sex and cleft type between 2007–2011 and 2012–2016. Conclusions: These results might serve as a guideline for HC utilization among patients with CL/P.[Korean J Orthod 2018;48(4):216-223]
Abstract
Objective: This study is performed to investigate the trend of health care (HC) utilization among cleft lip and/or palate (CL/P) during 2007–2016 by using data from the Korean National Health Insurance Service (KNHIS). Methods: The KNHIS data were reorganized to count a specific patient only once for a specific year. Cleft type (cleft lip [CL], cleft palate [CP], and cleft lip and palate [CLP]), sex, and age at HC utilization were investigated. The study period was divided into the first half (2007–2011) and the last half (2012–2016). The utilization number and rate per 1,000 population were calculated for the total population and for new-born patients. Independent t-test and one-way analysis of variance were used for statistical analyses. Results: The total CL/P population (n = 48,707) comprised 19.2% CLP, 35.5% CL, and 45.3% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 0.066 in 2007 to 0.118 in 2016. The new-born patient population (n = 7,617) comprised 18.6% CLP, 30.4% CL, and 51.0% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 1.12 in 2007 to 1.74 in 2016. An examination of the utilization number and rate among new-born patients revealed CP exhibited a female-dominant pattern (all p < 0.01), while CL and CLP exhibited a male-dominant pattern (all p < 0.01). However, utilization number showed no difference by sex and cleft type between 2007–2011 and 2012–2016. Conclusions: These results might serve as a guideline for HC utilization among patients with CL/P.[Korean J Orthod 2018;48(4):216-223]
참고문헌 (14)
- Derijcke A, "The incidence of oral clefts: a review", Br J Oral Maxillofac Surg, 34, pp.488~494 (1996)[DOI]
- IPDTOC Working Group, "Prevalence at birth of cleft lip with or without cleft palate: data from the International Perinatal Database of Typical Oral Clefts (IPDTOC)", Cleft Palate Craniofac J, 48, pp.66~81 (2011)[DOI]
- Rintala A, "Increasing incidence of clefts in Finland: reliability of hospital records and central register of congenital malformations", Scand J Plast Reconstr Surg, 16, pp.35~40 (1982)[DOI]
- Lei RL, "Population-based study of birth prevalence and factors associated with cleft lip and", or palate in Taiwan 2002-2009, 2013, pp.8, e58690~
- Chang WJ, "Time trend of incidence rates of cleft lip", palate in Taiwan from 1994 to 2013, 2016, pp.39, 150~154
- Mai CT, "Birth defects data from populationbased birth defects surveillance programs in the United States, 2007 to 2011: highlighting orofacial clefts", Birth Defects Res A Clin Mol Teratol, 100, pp.895~904 (2014)[DOI]
- Koga H, "Epidemiologic research on malformations associated with cleft lip and cleft palate in Japan", PLoS One, 11, pp.e0149773~ (2016)[DOI]
- Rozendaal AM, "Decreasing prevalence of oral cleft live births in the Netherlands, 1997-2006", Arch Dis Child Fetal Neonatal Ed, 96, pp.F212~F216 (2011)[DOI]
- Shin KS, "Cleft lip and cleft palate in Korea--2422 cases in 20 years", Yonsei Med J, 26, pp.184~190 (1985)[DOI]
- Baik HS, "The prevalence of cleft lip and", or palate in Korean male adult, 2001, pp.31, 63~69
- Baek SH, "Cleft type and Angle's classification of malocclusion in Korean cleft patients", Eur J Orthod, 24, pp.647~653 (2002)[DOI]
- SukwhaKim, "Cleft lip and Palate Incidence Among the Live Births in the Republic of Korea", Journal of Korean Medical Science, 17(1), pp.49~52 (2002), 대한의학회
- 김민아, "Prevalence of Birth Defects in Korean Livebirths, 2005-2006", Journal of Korean Medical Science, 27(10), pp.1233~1240 (2012), 대한의학회
- Sousa GF, "Orofacial clefts in Brazil and surgical rehabilitation under the Brazilian National Health System", Braz Oral Res, 31, pp.e23~ (2017)