Department of Urology, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.
Department of Urology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Investig Clin Urol. 2023 Jul;64(4):412-417. doi: 10.4111/icu.20230064.
To analyze the presentation of mumps and mumps orchitis using the National Health Insurance Service Database (NHISD).
Using information from the NHISD representing all cases of mumps in Korea, data regarding mumps orchitis were analyzed. The International Classification of Diseases, Tenth Revision, and Clinical Modification codes were used for diagnosis. The incidence estimates of the number of mumps cases were analyzed using the Statistical Analysis System (SAS) software.
Based on the NHISD, 199,186 people were diagnosed with mumps, and males accounted for 62.3% cases. Teen males accounted for 69,870 cases, the largest number of patients diagnosed with mumps. The annual incidence of mumps increased every year (poisson regression, hazard ratio [HR] 1.026, 95% confidence interval [CI] 1.024-1.027; p<0.025). The risk of mumps was lower in females than that in males (poisson regression, HR 0.594, 95% CI 0.589-0.599; p<0.001). Of the 199,186 patients diagnosed with mumps, 3,872 patients (1.9%) had related complications. Among the mumps complications, the most diagnosed complication was mumps orchitis, which was seen in 41.8% of the males. Mumps orchitis cases accounted for less than 1.5% of the patients with mumps in minors under the age of 20 years and was somewhat higher in 2009 and 2013-2015.
Among the complications related to mumps, meningitis was most common in females, while orchitis was dominant in males. Mumps orchitis also shows periodic outbreaks but is particularly prevalent in adults, which suggests the potential need for additional vaccination against mumps.
利用国民健康保险服务数据库（NHISD）分析腮腺炎和腮腺炎睾丸炎的表现。
利用 NHISD 中代表韩国所有腮腺炎病例的信息，分析腮腺炎睾丸炎的数据。使用国际疾病分类、第十次修订版和临床修正版代码进行诊断。使用统计分析系统（SAS）软件分析腮腺炎病例数量的发病率估计值。
根据 NHISD，有 199186 人被诊断患有腮腺炎，男性占 62.3%。青少年男性占 69870 例，是被诊断患有腮腺炎的最大患者群体。腮腺炎的年发病率逐年增加（泊松回归，风险比[HR]1.026，95%置信区间[CI]1.024-1.027；p<0.025）。女性患腮腺炎的风险低于男性（泊松回归，HR 0.594，95%CI 0.589-0.599；p<0.001）。在被诊断患有腮腺炎的 199186 名患者中，有 3872 名（1.9%）有相关并发症。在腮腺炎并发症中，最常见的诊断并发症是腮腺炎睾丸炎，占男性的 41.8%。腮腺炎睾丸炎病例不到 20 岁以下未成年人腮腺炎患者的 1.5%，在 2009 年和 2013-2015 年略高。
在与腮腺炎相关的并发症中，脑膜炎在女性中最为常见，而睾丸炎在男性中更为常见。腮腺炎睾丸炎也呈周期性爆发，但在成年人中尤为普遍，这表明可能需要额外接种腮腺炎疫苗。
