2010 年至 2018 年韩国脊柱侧弯相关医疗服务分析：基于健康保险审查与评估服务数据的横断面研究。

Analysis of Scoliosis-related Medical Services in South Korea Between 2010 and 2018: A Cross-sectional Study Using Health Insurance Review and Assessment Service Data.

机构信息

Jaseng Hospital of Korean Medicine, Seoul, Republic of Korea.

Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.

出版信息

Spine (Phila Pa 1976). 2022 Jun 15;47(12):E499-E506. doi: 10.1097/BRS.0000000000004349.

DOI:10.1097/BRS.0000000000004349

PMID:35752897

Abstract

STUDY DESIGN

Retrospective, cross-sectional study.

OBJECTIVES

The aim of this study was to analyze types and cost of care for scoliosis and present health care utilization by patients to provide data on the standard treatment and cost for scoliosis in South Korea.

SUMMARY OF BACKGROUND DATA

Scoliosis is defined as an abnormally laterally curved spine with a Cobb angle of ≥10°.Data are lacking on which treatments are popular for general scoliosis and which service categories incur the most cost in South Korea.

METHODS

Data from the Health Insurance Review and Assessment Service-National Patient Sample were used. In total, 108,643 final cases and 32,362 patients in South Korea who received Western medicine care or Korean medicine care at least once with scoliosis (ICD-10 code M41) as the principal diagnosis during January 2010 to December 2018 comprised the study sample. We analyzed health care utilization according to certain factors (e.g., age, sex, payer type, type of visit, and medical institution), health care utilization by service category and service code, and medication prescriptions filled by private or hospital pharmacies.

RESULTS

Patients aged 24 years or younger most frequently utilized health care services, with more female (64.84%) than male patients (35.16%). Most patients received only Western medicine care (92.18%), whereas 6.56% only received Korean medicine care. Most cases (99.37%) corresponded to outpatient. Regarding service category, treatment and surgery, examination, special equipment and radiologic diagnosis accounted for a substantial percentage. Regarding service code, cost of examination, imaging, and physiotherapy comprised a high percentage of Western medicine, whereas cost of examination, acupuncture, and cupping therapy accounted for a high percentage of Korean medicine. The most commonly prescribed medications for scoliosis in pharmacies were anti-inflammatory analgesics (nonsteroidal anti-inflammatory drugs), antacids, and skeletal muscle relaxers.

CONCLUSION

The findings can be used as foundational data for experts such as health care policymakers, clinicians, and researchers.Level of Evidence: 4.

摘要

研究设计

回顾性、横断面研究。

目的

本研究旨在分析脊柱侧凸的类型和护理费用，并介绍患者的医疗保健利用情况，为韩国脊柱侧凸的标准治疗和费用提供数据。

背景资料概要

脊柱侧凸定义为脊柱异常侧向弯曲，Cobb 角≥10°。目前缺乏关于韩国一般脊柱侧凸哪种治疗方法受欢迎以及哪些服务类别费用最高的数据。

方法

使用健康保险审查和评估服务-国家患者样本数据。总共纳入了 108643 例最终病例和 32362 例在韩国接受西药或韩医治疗的患者，这些患者在 2010 年 1 月至 2018 年 12 月期间至少有一次以脊柱侧凸（ICD-10 编码 M41）为主要诊断。我们根据某些因素（如年龄、性别、支付类型、就诊类型和医疗机构）分析医疗保健的利用情况，按服务类别和服务代码分析医疗保健的利用情况，并分析私人或医院药房的用药情况。

结果

年龄在 24 岁或以下的患者最常使用医疗服务，女性（64.84%）多于男性（35.16%）。大多数患者仅接受西药治疗（92.18%），而仅接受韩医治疗的患者占 6.56%。大多数病例（99.37%）为门诊患者。就服务类别而言，治疗和手术、检查、特殊设备和放射诊断占很大比例。就服务代码而言，西药的检查、成像和物理治疗费用占比较高，而韩医的检查、针灸和拔罐疗法费用占比较高。药店治疗脊柱侧凸最常用的药物是抗炎镇痛药（非甾体抗炎药）、抗酸剂和骨骼肌松弛剂。