Department of Pediatrics, College of Medicine, Seoul Saint Mary's Hospital, The Catholic University of Korea, Seoul, Korea.
Department of Preventive Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Pediatr Int. 2022 Jan;64(1):e15211. doi: 10.1111/ped.15211.
The purpose of this study is to estimate the overall prevalence and incidence of constipation in Korean children and adolescent based on health insurance claims data.
This study is a retrospective cohort study using the Korean National Health Insurance Service - National Sample Cohort from 2002 to 2013. Patients age less than 19 years old were selected, and the prevalence and incidence of constipation were estimated.
The standardized incidence rate was 10.8 per 1,000 persons in 2004 to 14.3 per 1,000 persons in 2012. The standardized prevalence increased from 12.2 per persons in 2002 to 26.4 per persons in 2013. Females had a higher incidence rate and prevalence rate than males during the study period. The overall recurrence rates were 13.2%. The recurrence rates were 12.9% in males and 13.5% in females. The overall average constipation duration was 229 days. The duration was 222 days in males and 236 days in females.
This is the first study to conduct a population-based study of all children in Korea with constipation. These data reveal the increasing burden and impact of constipation on children and could enable effective public and clinical health strategies to be planned.
本研究旨在基于医疗保险索赔数据，估算韩国儿童和青少年便秘的总体患病率和发病率。
本研究为回顾性队列研究，使用了 2002 年至 2013 年的韩国国家健康保险服务-国家抽样队列。选择年龄小于 19 岁的患者，并估算便秘的患病率和发病率。
2004 年至 2012 年，标准化发病率为每 1000 人 10.8 例，至 2012 年增至每 1000 人 14.3 例。标准化患病率从 2002 年的每 12.2 人增至 2013 年的每 26.4 人。研究期间，女性的发病率和患病率均高于男性。总体复发率为 13.2%。男性的复发率为 12.9%，女性为 13.5%。总体平均便秘持续时间为 229 天。男性为 222 天，女性为 236 天。
这是第一项针对韩国所有儿童进行的基于人群的便秘研究。这些数据揭示了便秘给儿童带来的负担和影响日益增加，并能为规划有效的公共和临床卫生策略提供依据。
