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痛风患者医疗保健利用趋势:基于健康保险审查与评估服务数据的横断面研究。

Trends in healthcare utilization by patients with gout: 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

Medicine (Baltimore). 2024 Feb 16;103(7):e36436. doi: 10.1097/MD.0000000000036436.

Abstract

This study aimed to analyze the distribution of gout patients and the utilization of healthcare services in South Korea to provide valuable recommendations to clinicians and policymakers. A cross-sectional study was conducted. Claims data from the Health Insurance Review and Assessment Service spanning 2010 to 2019 were utilized, and a sample of 69,680 patients was included in the study. The incidence of gout was observed to be high in male patients over the age of 40, with most patients receiving outpatient care for gout management. Nonsteroidal anti-inflammatory drugs and urate-lowering agents were the most frequently prescribed medications, with prescriptions for colchicine and febuxostat increasing among urate-lowering agents. Musculoskeletal disorders were found to be the most common comorbidities among gout patients. Although the total costs of gout management increased, there was no significant increase in cost per patient. This study provides insights into the current state of healthcare utilization for gout patients in South Korea and trends in the disease burden and use of medications. The findings have crucial implications for clinicians and policymakers involved in decision-making regarding the management and treatment of gout.

摘要

本研究旨在分析韩国痛风患者的分布和医疗服务利用情况,为临床医生和政策制定者提供有价值的建议。采用了一项横断面研究。利用了 2010 年至 2019 年健康保险审查和评估服务的索赔数据,研究纳入了 69680 名患者。痛风的发病率在 40 岁以上的男性患者中较高,大多数患者接受门诊治疗以管理痛风。非甾体抗炎药和尿酸降低剂是最常开的药物,降尿酸药物中开秋水仙碱和非布司他的处方有所增加。痛风患者最常见的合并症是肌肉骨骼疾病。虽然痛风管理的总成本增加了,但每位患者的成本并没有显著增加。本研究提供了韩国痛风患者医疗服务利用现状以及疾病负担和药物使用趋势的见解。这些发现对参与痛风管理和治疗决策的临床医生和政策制定者具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/579a/10869061/3fc118c81da7/medi-103-e36436-g001.jpg

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