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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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The annual variation of BPH health utilization across age groups. (A) Hospital visits (days) per year by age groups. (B) Duration of treatment (days) per year by age groups. (C) Per capita amount of insurance payment (Korean won) per year by age group.
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Figure 3: The annual variation of BPH health utilization across age groups. (A) Hospital visits (days) per year by age groups. (B) Duration of treatment (days) per year by age groups. (C) Per capita amount of insurance payment (Korean won) per year by age group.

Mentions: The annual variation of HV count was different across age groups (Fig. 3). Patients in the 20s showed a decrease in HV from year to year, those in the 30s showed an increase until 2006 and then a decrease, those in the 40s showed an increase throughout the study period. After a Poisson regression analysis, we found that HV were different depending on the age groups, years, and type of visit (inpatient or outpatient) (P<0.001). The interaction between age groups and years was significant (P<0.001), which meant that the variation of HV by year was significantly different depending on the age groups. Estimated RR is presented in Table 2. For patients in the 20s and 30s, HV significantly decreased 0.78 and 0.96 times, respectively, compared with that of the previous year. On the other hand, in patients in the 40s and above, HV significantly increased 1.10, 1.13, 1.17, and 1.16 times compared to the previous year. There was 11.45 times more outpatient HV than inpatient HV in the same age group and year.DT markedly increased in patients in the 60s and 80s (Fig. 3). The variation of DT by years was significantly different according to the age groups.


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 annual variation of BPH health utilization across age groups. (A) Hospital visits (days) per year by age groups. (B) Duration of treatment (days) per year by age groups. (C) Per capita amount of insurance payment (Korean won) per year by age group.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 3: The annual variation of BPH health utilization across age groups. (A) Hospital visits (days) per year by age groups. (B) Duration of treatment (days) per year by age groups. (C) Per capita amount of insurance payment (Korean won) per year by age group.
Mentions: The annual variation of HV count was different across age groups (Fig. 3). Patients in the 20s showed a decrease in HV from year to year, those in the 30s showed an increase until 2006 and then a decrease, those in the 40s showed an increase throughout the study period. After a Poisson regression analysis, we found that HV were different depending on the age groups, years, and type of visit (inpatient or outpatient) (P<0.001). The interaction between age groups and years was significant (P<0.001), which meant that the variation of HV by year was significantly different depending on the age groups. Estimated RR is presented in Table 2. For patients in the 20s and 30s, HV significantly decreased 0.78 and 0.96 times, respectively, compared with that of the previous year. On the other hand, in patients in the 40s and above, HV significantly increased 1.10, 1.13, 1.17, and 1.16 times compared to the previous year. There was 11.45 times more outpatient HV than inpatient HV in the same age group and year.DT markedly increased in patients in the 60s and 80s (Fig. 3). The variation of DT by years was significantly different according to the age groups.

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