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韩国肾脏疾病的经济负担。

The economic burden of kidney disorders in Korea.

作者信息

Kim Ju Hee, Ho Seung Hee, Kim Hyun-Jin, Lee Sol

机构信息

a Department of Rehabilitation Standard & Policy , Korea National Rehabilitation Research Institute , Seoul , Korea.

出版信息

J Med Econ. 2018 Mar;21(3):262-270. doi: 10.1080/13696998.2017.1397523. Epub 2017 Nov 14.

Abstract

AIMS

To estimate the economic burden of kidney disorders in Korea.

MATERIALS AND METHODS

The economic burden of kidney disorders was estimated using a prevalence-based approach. Related kidney diseases in patients with kidney disorders (RPWKD) were defined using codes from the tenth International Classification of Disease (E70-E90, F30-F48, F60-F69, F90-F99, K65-K67, N00-N08, N17-N19, and N30-N39). All diseases in patients with kidney disorders (APWKD) were defined as kidney disorders that involved all disease codes. Economic costs were divided into direct costs (medical costs and non-medical costs) and indirect costs (productivity loss because of morbidity and premature mortality).

RESULTS

The prevalence of kidney disorders increased from 0.08% (2008) to 0.11% (2011). The total economic burden of RPWKD also substantially increased from $898.9 million (2008) to $1.43 billion (2011). This ∼59.4% increase in the economic burden was equal to 0.12% of the Korean gross domestic product. The economic burden of APWKD also increased during the study period: $1.06 billion (2008), $1.23 billion (2009), $1.44 billion (2010), and $1.46 billion (2011).

CONCLUSIONS

The present study provides the first data regarding the economic burden of kidney disorders in Korea. The findings support the need for early intervention services and prevention programs to prevent, identify, and manage kidney disorders.

摘要

目的

评估韩国肾脏疾病的经济负担。

材料与方法

采用基于患病率的方法评估肾脏疾病的经济负担。使用第十版国际疾病分类编码(E70-E90、F30-F48、F60-F69、F90-F99、K65-K67、N00-N08、N17-N19和N30-N39)定义肾脏疾病患者的相关肾脏疾病(RPWKD)。肾脏疾病患者的所有疾病(APWKD)被定义为涉及所有疾病编码的肾脏疾病。经济成本分为直接成本(医疗成本和非医疗成本)和间接成本(因病发病和过早死亡导致的生产力损失)。

结果

肾脏疾病的患病率从2008年的0.08%增至2011年的0.11%。RPWKD的总经济负担也大幅增加,从2008年的8.989亿美元增至2011年的14.3亿美元。经济负担约59.4%的增长相当于韩国国内生产总值的0.12%。在研究期间,APWKD的经济负担也有所增加:2008年为10.6亿美元,2009年为12.3亿美元,2010年为14.4亿美元,2011年为14.6亿美元。

结论

本研究提供了韩国肾脏疾病经济负担的首批数据。研究结果支持需要早期干预服务和预防项目来预防、识别和管理肾脏疾病。

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