Neurospine.
2018 Mar;15(1):66-76. 10.14245/ns.1836038.019.
Health Care Burden of Spinal Diseases in the Republic of Korea: Analysis of a Nationwide Database From 2012 Through 2016
- Affiliations
-
- 1Department of Neurosurgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
- 2Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. chungc@snu.ac.kr
- 3Neuroscience Research Institute, Seoul National University Medical Research Center, Seoul, Korea.
- 4Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
- 5Department of Brain and Cognitive Sciences, Seoul National University College of Natural Sciences, Seoul, Korea.
- 6Neuro-Oncology Clinic, National Cancer Center, Goyang, Korea.
- KMID: 2413273
- DOI: http://doi.org/10.14245/ns.1836038.019
Abstract
OBJECTIVE
This study aimed to determine the incidence and analyze trends related to spinal diseases based on a national database in the Republic of Korea (ROK) and to elucidate the healthcare burden that will serve as a useful resource for researchers, clinicians, and patients.
METHODS
This study was a retrospective analysis of data obtained from Healthcare Bigdata Hub, the Korean Statistical Information Service, and Open Data Portal from 2012 through 2016. The main disease codes for spinal diseases (M40-M54) were used for identification of these conditions.
RESULTS
The overall annual incidence rates for spinal disease in the ROK was median 15,877 (men, 13,181; women, 18,588) per 100,000 population, and sex ratio was 1:1.41 (p < 0.01). The incidence rate and annual costs per patient increased by 7.6% and 14.7% over 5 years continuously, respectively. The age-adjusted incidence rate increased with age; the highest rates were 42.6% in the 75-79 years group. Patients older than 65 years old accounted for median 31.0% of number of patients and 40.1% of medical expenses over 5 years. Lumbar disc herniation (M51) and spinal stenosis (M48) might accounted for both the highest incidence and medical expenses in patients under the age of 60 and over 60 years, respectively.
CONCLUSION
The incidence and medical expenditures of spinal disease increased continuously. As the population of ROK in aging, the incidence and medical expenditures due to spondylosis and stenosis (M48) for the old are also increasing. The social burden of spinal diseases in elder patients needs to be prudently considered in health policy makers.
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