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Rapid increase of health care utilization and cost due to benign prostatic hyperplasia in Korean men: retrospective population-based analysis using the Health Insurance Review and Assessment service data.

Son H, Park J, Song SH, Kang JY, Hong SK, Lee HM, Kim SH, Park BJ, Lee HL, Lee KS - J. Korean Med. Sci. (2015)

Bottom Line: Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004.In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year.Seasonal variation of HV demonstrated that health care utilization increased in winter.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Using the Korean public health insurance database, we analyzed patients diagnosed as benign prostatic hyperplasia (BPH) from 2004 to 2008. Age and year-specific amount and seasonal variation of hospital visits (HV), duration of treatment (DT), the total and per capita amount of insurance payment (TAIP, PCIP) were evaluated. A total of 12,088,995 HV were studied. Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004. HV, DT, and TAIP showed linearly increasing patterns year by year. In a time series analysis, HV increased in winter and demonstrated seasonality in a 12-month cycle. In a Poisson regression analysis, the annual variations of HV, DT, TAIP, and PCIP were different by age groups. In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year. DT markedly increased in their 60s and 80s patients. The rate of increase in PCIP was steeper in patients 50 yr and older than in the others.Health care utilization due to BPH was rapidly increasing in Korea and it was remarkable in the elderly population. Seasonal variation of HV demonstrated that health care utilization increased in winter.

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Related in: MedlinePlus

The linearly increasing pattern of BPH health utilizationfrom year to year. (A) Hospital visits (days) per month, (B) Duration of treatment (days) per month, and (C) Total amount of insurance payment (Korean won [KRW]) per month.
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Figure 1: The linearly increasing pattern of BPH health utilizationfrom year to year. (A) Hospital visits (days) per month, (B) Duration of treatment (days) per month, and (C) Total amount of insurance payment (Korean won [KRW]) per month.

Mentions: The total number of HV from 2004 to 2008 was 12,088,995. The number of visits increased with time and reached the almost 1.7 fold in 2008 compared to 2004 (Table 1). HV showed linearly increasing patterns from year to year (Fig. 1A). After a logarithmic transformation to remove an increasing tendency of the range of fluctuation, the linear pattern persisted. The total DT almost doubled from 3,463,520 days in 2004 to 6,598,787 days in 2008 (Table 1). DT demonstrated linearly increasing patterns from year to year (Fig. 1B). TAIP per year also showed a continuously growing pattern (Fig. 1C).


Rapid increase of health care utilization and cost due to benign prostatic hyperplasia in Korean men: retrospective population-based analysis using the Health Insurance Review and Assessment service data.

Son H, Park J, Song SH, Kang JY, Hong SK, Lee HM, Kim SH, Park BJ, Lee HL, Lee KS - J. Korean Med. Sci. (2015)

The linearly increasing pattern of BPH health utilizationfrom year to year. (A) Hospital visits (days) per month, (B) Duration of treatment (days) per month, and (C) Total amount of insurance payment (Korean won [KRW]) per month.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4310945&req=5

Figure 1: The linearly increasing pattern of BPH health utilizationfrom year to year. (A) Hospital visits (days) per month, (B) Duration of treatment (days) per month, and (C) Total amount of insurance payment (Korean won [KRW]) per month.
Mentions: The total number of HV from 2004 to 2008 was 12,088,995. The number of visits increased with time and reached the almost 1.7 fold in 2008 compared to 2004 (Table 1). HV showed linearly increasing patterns from year to year (Fig. 1A). After a logarithmic transformation to remove an increasing tendency of the range of fluctuation, the linear pattern persisted. The total DT almost doubled from 3,463,520 days in 2004 to 6,598,787 days in 2008 (Table 1). DT demonstrated linearly increasing patterns from year to year (Fig. 1B). TAIP per year also showed a continuously growing pattern (Fig. 1C).

Bottom Line: Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004.In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year.Seasonal variation of HV demonstrated that health care utilization increased in winter.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.

ABSTRACT
Using the Korean public health insurance database, we analyzed patients diagnosed as benign prostatic hyperplasia (BPH) from 2004 to 2008. Age and year-specific amount and seasonal variation of hospital visits (HV), duration of treatment (DT), the total and per capita amount of insurance payment (TAIP, PCIP) were evaluated. A total of 12,088,995 HV were studied. Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004. HV, DT, and TAIP showed linearly increasing patterns year by year. In a time series analysis, HV increased in winter and demonstrated seasonality in a 12-month cycle. In a Poisson regression analysis, the annual variations of HV, DT, TAIP, and PCIP were different by age groups. In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year. DT markedly increased in their 60s and 80s patients. The rate of increase in PCIP was steeper in patients 50 yr and older than in the others.Health care utilization due to BPH was rapidly increasing in Korea and it was remarkable in the elderly population. Seasonal variation of HV demonstrated that health care utilization increased in winter.

Show MeSH
Related in: MedlinePlus