Trends in hospital visits and healthcare costs of gout and seropositive rheumatoid arthritis in Korea from 2010 to 2017 using National Healthcare Claims
0
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Background/Aims: We examined temporal trends in the rate of gout and seropositive rheumatoid arthritis (RA) hospital visits and healthcare costs in Korea. Methods: We conducted a serial cross-sectional analysis of Korean national healthcare claims. We calculated the annual increase in hospital visits (emergency department [ED] visits, outpatient visits, and hospitalizations) and total healthcare costs per visit. Results: From 2010 to 2017, the annual rates of ED visits, outpatient visits, and hospitalizations for gout increased from 6.28 to 21, from 638.38 to 1059.55, and from 12.37 to 15.6 per 100,000 persons, respectively. Before 2013, ED visits for gout were most common in patients over 70 years old, but they were most common in those aged between 30 and 49 years after 2013. The number of patients with ED visits, outpatient visits, and hospitalizations for RA from 2010 to 2017 increased from 1.25 to 1.87, from 219.04 to 307.49 and from 8.44 to 12.32 per 100,000 persons, respectively. However, there was no increase in the prevalence of ED visits for RA in any age group except for those older than 70 years. The cost per ED visit for gout significantly decreased from 496.3 to 273.6 US dollar during the study period. There was no significant change in the cost per ED visit for RA between 2010 and 2017. Conclusions: There was a large increase in ED visits for gout during the study period. Further studies are needed to analyze the reason behind increased ED visits for gout and suggest ways on how to improve gout care.
Abstract
Background/Aims: We examined temporal trends in the rate of gout and seropositive rheumatoid arthritis (RA) hospital visits and healthcare costs in Korea. Methods: We conducted a serial cross-sectional analysis of Korean national healthcare claims. We calculated the annual increase in hospital visits (emergency department [ED] visits, outpatient visits, and hospitalizations) and total healthcare costs per visit. Results: From 2010 to 2017, the annual rates of ED visits, outpatient visits, and hospitalizations for gout increased from 6.28 to 21, from 638.38 to 1059.55, and from 12.37 to 15.6 per 100,000 persons, respectively. Before 2013, ED visits for gout were most common in patients over 70 years old, but they were most common in those aged between 30 and 49 years after 2013. The number of patients with ED visits, outpatient visits, and hospitalizations for RA from 2010 to 2017 increased from 1.25 to 1.87, from 219.04 to 307.49 and from 8.44 to 12.32 per 100,000 persons, respectively. However, there was no increase in the prevalence of ED visits for RA in any age group except for those older than 70 years. The cost per ED visit for gout significantly decreased from 496.3 to 273.6 US dollar during the study period. There was no significant change in the cost per ED visit for RA between 2010 and 2017. Conclusions: There was a large increase in ED visits for gout during the study period. Further studies are needed to analyze the reason behind increased ED visits for gout and suggest ways on how to improve gout care.
참고문헌 (20)
- Lim SY, "Trends in gout and rheumatoid arthritis hospitalizations in the United States, 1993-2011", JAMA, 315, pp.2345~2347 (2016)
- Rai SK, "Trends in gout and rheumatoid arthritis hospitalizations in Canada From 2000 to 2011", Arthritis Care Res (Hoboken), 69, pp.758~762 (2011)
- Garg R, "Gout-related health care utilization in US emergency departments, 2006 through 2008", Arthritis Care Res (Hoboken), 65, pp.571~577 (2008)
- Jinno S, "Trends in emergency department visits and charges for gout in the United States between 2006 and 2012", J Rheumatol, 43, pp.1589~1592 (2016)
- Singh JA, "Time trends, predictors, and outcome of emergency department use for gout : a nationwide US Study", J Rheumatol, 43, pp.1581~1588 (2016)
- Paul BJ, "Gout : an Asia-Pacific update", Int J Rheum Dis, 20, pp.407~416 (2017)
- Kim L, "A guide for the utilization of Health Insurance Review and Assessment Service National Patient Samples", Epidemiol Health, 36, pp.e2014008~ (2014)
- Zhu Y, "Prevalence of gout and hyperuricemia in the US general population : the National Health and Nutrition Examination Survey 2007-2008", Arthritis Rheum, 63, pp.3136~3141 (2011)
- Dehlin M, "Global epidemiology of gout : prevalence, incidence, treatment patterns and risk factors", Nat Rev Rheumatol, 16, pp.380~390 (2020)
- Mak VP, "Patterns of health care utilization of gout patients in Hawai’i-high rates of emergency department utilization as compared to rheumatoid arthritis", PLoS One, 14, pp.e0220978~ (2019)
- Kim JW, "Prevalence and incidence of gout in Korea : data from the national health claims database 2007-2015", Rheumatol Int, 37, pp.1499~1506 (2017)
- 윤성하, "Trends in energy intake among Korean adults, 1998-2015: Results from the Korea National Health and Nutrition Examination Survey", Nutrition Research and Practice, 11(2), pp.147~154 (2017), 한국영양학회
- 최승아, "Recent Trend and Associated Factors of Harmful Alcohol Use Based on Age and Gender in Korea", Journal of Korean Medical Science, 33(4), pp.1~10 (2018), 대한의학회
- Harrold LR, "Primary care providers’ knowledge, beliefs and treatment practices for gout: results of a physician questionnaire", Rheumatology(Oxford), 52, pp.1623~1629 (2013)
- Spaetgens B, "Knowledge, illness perceptions and stated clinical practice behaviour in management of gout : a mixed methods study in general practice", Clin Rheumatol, 35, pp.2053~2061 (2016)
- Towiwat P, "Quality of gout care in the emergency departments : a multicentre study", BMC Emerg Med, 20, pp.27~ (2020)
- Choi IA, "Mortality, disability, and healthcare expenditure of patients with seropositive rheumatoid arthritis in Korea : a nationwide population-based study", PLoS One, 14, pp.e0210471~ (2019)
- Kiadaliri AA, "Temporal trends and regional disparity in rheumatoid arthritis and gout hospitalizations in Sweden, 1998-2015", Clin Rheumatol, 37, pp.825~830 (2018)
- Singh JA, "Gout-related inpatient utilization : a study of predictors of outcomes and time trends", Arthritis Res Ther, 18, pp.57~ (2016)
- Zleik N, "Hospitalization increases the risk of acute arthritic flares in gout : a population-based study over 2 decades", J Rheumatol, 45, pp.1188~1191 (2018)