Hsu Chia-An, Hsiao Sheng-Huang, Hsu Min-Huei, Yen Ju-Chuan
Department of Medical Education, Taipei Veterans General Hospital, Taipei, Taiwan.
Department of Neurosurgery, Ren-Ai Branch, Taipei City Hospital, Taipei, Taiwan.
J Ophthalmol. 2020 Jan 8;2020:2641683. doi: 10.1155/2020/2641683. eCollection 2020.
A study based on the Taiwanese National Health Insurance Research Database (NHIRD) to reveal the ocular diseases landscape.
This study comprised all ophthalmological outpatient patient visits ( = 6,341,266) in the Taiwanese longitudinal NHIRD 2000. Descriptive analytics based on 15 disease categories of ICD-9-CM and 10 tiers of age categories was performed with SAS for Windows 9.3 (SAS Institute, Inc., Cary, NC, U.S.A.).
The average frequency of visits was 0.7 visits per year. The mean age was 36.2 years old. Bimodal peak of visits in the first, second, and eighth decade of life was revealed. Conjunctiva is the most dominant disease category throughout life while different categories play major roles in each decade of life. The most frequent disease code of each category was listed.
The bimodal peak of visits revealed the age group of the most prominent ocular disease burden. Peak in school age population can be partially explained by the nationwide vision screening program, while aging accounts for the lens disorder and glaucoma of the senile peak. The disease category frequency variation among age categories reflects the development and aging of the eye. The most frequent disease codes of each category highlight disease of importance for primary practitioners and ophthalmologists.
Taiwanese longitudinal NHIRD was used to reveal the ophthalmological disease landscape. The epidemiological insight, while limited in clinical presentation and economic impact, enables physicians and policy makers to improve the overall vision health of the population.
一项基于台湾国民健康保险研究数据库（NHIRD）的研究，以揭示眼部疾病的情况。
本研究纳入了2000年台湾纵向NHIRD中所有眼科门诊患者就诊记录（n = 6,341,266）。使用Windows 9.3版的SAS软件（美国北卡罗来纳州卡里市SAS研究所），基于国际疾病分类第九版临床修订本（ICD - 9 - CM）的15种疾病类别和10个年龄组进行描述性分析。
平均就诊频率为每年0.7次。平均年龄为36.2岁。揭示了生命的第一个、第二个和第八个十年中就诊的双峰高峰。结膜疾病在一生中是最主要的疾病类别，而不同类别在生命的每个十年中起主要作用。列出了每个类别的最常见疾病代码。
就诊的双峰高峰揭示了眼部疾病负担最突出的年龄组。学龄期人群的高峰部分可由全国性视力筛查计划解释，而衰老则导致老年高峰的晶状体疾病和青光眼。年龄组之间疾病类别频率的变化反映了眼睛的发育和衰老。每个类别的最常见疾病代码突出了对初级医生和眼科医生重要的疾病。
台湾纵向NHIRD被用于揭示眼科疾病情况。这种流行病学见解虽然在临床表现和经济影响方面有限，但能使医生和政策制定者改善人群的整体视力健康。
