Diabetes Metab J.  2018 Apr;42(2):93-100. 10.4093/dmj.2018.42.2.93.

Past and Current Status of Adult Type 2 Diabetes Mellitus Management in Korea: A National Health Insurance Service Database Analysis

Affiliations
  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
  • 2Department of Biostatistics, The Catholic University of Korea, Seoul, Korea.
  • 3Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
  • 4Division of Endocrinology and Metabolism, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • 5Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Endocrinology and Metabolism, Ajou University School of Medicine, Suwon, Korea.
  • 7Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Cardiovascular and Metabolic Disease Center, Inje University Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea. kskomd@paik.ac.kr

Abstract

Korea's National Healthcare Program, the National Health Insurance Service (NHIS), a government-affiliated agency under the Korean Ministry of Health and Welfare, covers the entire Korean population. The NHIS supervises all medical services in Korea and establishes a systematic National Health Information database (DB). A health information DB system including all of the claims, medications, death information, and health check-ups, both in the general population and in patients with various diseases, is not common worldwide. On June 9, 2014, the NHIS signed a memorandum of understanding with the Korean Diabetes Association (KDA) to provide limited open access to its DB. By October 31, 2017, seven papers had been published through this collaborative research project. These studies were conducted to investigate the past and current status of type 2 diabetes mellitus and its complications and management in Korea. This review is a brief summary of the collaborative projects between the KDA and the NHIS over the last 3 years. According to the analysis, the national health check-up DB or claim DB were used, and the age category or study period were differentially applied.

Keyword

Antidiabetic medication; Cardiovascular diseases; Depression; Diabetes mellitus, type 2; Diabetic retinopathy; National Health Insurance Service

MeSH Terms

Adult*
Cardiovascular Diseases
Delivery of Health Care
Depression
Diabetes Mellitus, Type 2*
Diabetic Retinopathy
Humans
Korea*
National Health Programs*

Figure

  • Fig. 1 Trends in diabetic retinopathy in patients with type 2 diabetes mellitus in Korea, 2006 to 2013.

  • Fig. 2 Age- and gender-standardized rates (per 10,000 adults) of major cardiovascular complications among the Korean adult population according to the presence or absence of type 2 diabetes mellitus (T2DM), 2006 to 2013. (A) Ischemic heart disease, (B) acute myocardial infarction, (C) ischemic stroke, and (D) hemorrhagic stroke.

  • Fig. 3 Age- and gender-standardized events (per 10,000 adults) of cardiovascular interventions in populations with and without type 2 diabetes mellitus (T2DM). (A) Percutaneous coronary intervention (PCI) and (B) coronary artery bypass graft (CABG).

  • Fig. 4 Annual prevalence rates of depression in patients with type 2 diabetes mellitus (T2DM) and the general population without T2DM in Korea, 2003 to 2013.


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Reference

1. Jeon JY, Ko SH, Kwon HS, Kim NH, Kim JH, Kim CS, Song KH, Won JC, Lim S, Choi SH, Jang MJ, Kim Y, Oh K, Kim DJ, Cha BY. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Prevalence of diabetes and prediabetes according to fasting plasma glucose and HbA1c. Diabetes Metab J. 2013; 37:349–357. PMID: 24199164.
Article
2. Jeon JY, Kim DJ, Ko SH, Kwon HS, Lim S, Choi SH, Kim CS, An JH, Kim NH, Won JC, Kim JH, Cha BY, Song KH. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Current status of glycemic control of patients with diabetes in Korea: the fifth Korea National Health and Nutrition Examination Survey. Diabetes Metab J. 2014; 38:197–203. PMID: 25003073.
Article
3. Statistics Korea. Statistical database 2016. update 2017 Oct 25. Available from: http://kostat.go.kr/portal/korea/index.action.
4. Jin DC. Major changes and improvements of dialysis therapy in Korea: review of end-stage renal disease registry. Korean J Intern Med. 2015; 30:17–22. PMID: 25589829.
Article
5. Song SO, Jung CH, Song YD, Park CY, Kwon HS, Cha BS, Park JY, Lee KU, Ko KS, Lee BW. Background and data configuration process of a nationwide population-based study using the Korean National Health Insurance System. Diabetes Metab J. 2014; 38:395–403. PMID: 25349827.
Article
6. Lee YH, Han K, Ko SH, Ko KS, Lee KU. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Data analytic process of a nationwide population-based study using national health information database established by National Health Insurance Service. Diabetes Metab J. 2016; 40:79–82. PMID: 26912157.
Article
7. Ko SH, Kim DJ, Park JH, Park CY, Jung CH, Kwon HS, Park JY, Song KH, Han K, Lee KU, Ko KS. Task Force Team for Diabetes Fact Sheet of the Korean Diabetes Association. Trends of antidiabetic drug use in adult type 2 diabetes in Korea in 2002-2013: nationwide population-based cohort study. Medicine (Baltimore). 2016; 95:e4018. PMID: 27399082.
8. Noh J, Han KD, Ko SH, Ko KS, Park CY. Trends in the pervasiveness of type 2 diabetes, impaired fasting glucose and co-morbidities during an 8-year-follow-up of nationwide Korean population. Sci Rep. 2017; 7:46656. PMID: 28425463.
Article
9. Ko SH, Hur KY, Rhee SY, Kim NH, Moon MK, Park SO, Lee BW, Kim HJ, Choi KM, Kim JH. Committee of Clinical Practice Guideline of Korean Diabetes Association. Antihyperglycemic agent therapy for adult patients with type 2 diabetes mellitus 2017: a position statement of the Korean Diabetes Association. Korean J Intern Med. 2017; 32:947–958. PMID: 29056038.
Article
10. Rhee SY, Kim HJ, Ko SH, Hur KY, Kim NH, Moon MK, Park SO, Lee BW, Choi KM, Kim JH. Committee of Clinical Practice Guideline of Korean Diabetes Association. Monotherapy in patients with type 2 diabetes mellitus. Korean J Intern Med. 2017; 32:959–966. PMID: 29057643.
Article
11. Park S, Rhee SY, Jeong SJ, Kim K, Chon S, Yu SY, Woo JT. Features of long-standing Korean type 2 diabetes mellitus patients with diabetic retinopathy: a study based on standardized clinical data. Diabetes Metab J. 2017; 41:393–404. PMID: 29086538.
Article
12. Yun JS, Lim TS, Cha SA, Ahn YB, Song KH, Choi JA, Kwon J, Jee D, Cho YK, Park YM, Ko SH. Clinical course and risk factors of diabetic retinopathy in patients with type 2 diabetes mellitus in Korea. Diabetes Metab J. 2016; 40:482–493. PMID: 27766793.
Article
13. Song SJ, Han K, Choi KS, Ko SH, Rhee EJ, Park CY, Park JY, Lee KU, Ko KS. Task Force Team for Diabetes Fact Sheet of the Korean Diabetes Association. Trends in diabetic retinopathy and related medical practices among type 2 diabetes patients: results from the National Insurance Service Survey 2006-2013. J Diabetes Investig. 2018; 9:173–178.
Article
14. Lee WS, Kim J. Diabetic cardiomyopathy: where we are and where we are going. Korean J Intern Med. 2017; 32:404–421. PMID: 28415836.
Article
15. Park HK, Kwak MK, Kim HJ, Ahima RS. Linking resistin, inflammation, and cardiometabolic diseases. Korean J Intern Med. 2017; 32:239–247. PMID: 28192887.
Article
16. Jung CH, Chung JO, Han K, Ko SH, Ko KS, Park JY. Taskforce Team of Diabetes Fact Sheet of the Korean Diabetes Association. Improved trends in cardiovascular complications among subjects with type 2 diabetes in Korea: a nationwide study (2006-2013). Cardiovasc Diabetol. 2017; 16:1. PMID: 28057001.
Article
17. Ha KH, Kim DJ. Current status of managing diabetes mellitus in Korea. Korean J Intern Med. 2016; 31:845–850. PMID: 27604796.
Article
18. Park CY, Kim SY, Gil JW, Park MH, Park JH, Kim Y. Depression among Korean adults with type 2 diabetes mellitus: Ansan-community-based epidemiological study. Osong Public Health Res Perspect. 2015; 6:224–232. PMID: 26473089.
Article
19. Sung HN, Chae HS, Kim ES, Kim JS. Diabetes and depressive symptoms in Korean women: the fifth Korean National Health and Nutrition Examination Survey (2010-2011). Korean J Fam Med. 2014; 35:127–135. PMID: 24921031.
Article
20. Jeong JH, Um YH, Ko SH, Park JH, Park JY, Han K, Ko KS. Task Force Team for Diabetes Fact Sheet of the Korean Diabetes Association. Depression and mortality in people with type 2 diabetes mellitus, 2003 to 2013: a nationwide population-based cohort study. Diabetes Metab J. 2017; 41:296–302. PMID: 28868827.
Article
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