- Current Status of Diabetes Management in Korea Using National Health Insurance Database.
-
Seok Won Park, Dae Jung Kim, Kyung Wan Min, Sei Hyun Baik, Kyung Mook Choi, Ie Byung Park, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Juneyoung Lee, Choon Hee Chung, Jaiyong Kim, Hwayoung Kim
-
Korean Diabetes J. 2007;31(4):362-367. Published online July 1, 2007
-
DOI: https://doi.org/10.4093/jkda.2007.31.4.362
-
-
3,252
View
-
40
Download
-
31
Crossref
-
Abstract
PDF
- BACKGROUND
The prevalence of diabetes is steadily increasing in Korea. The increase in number of people with diabetes would ultimately result in premature death, poor quality of life, and increasing economic burden. However, in our country, researches regarding on the quality of diabetes management are lacking. This study was conducted in 2005 using National Health Insurance Database to know the current status of diabetes management in Korea. METHODS: We have randomly selected 3,902 subjects out of 2,503,754 subjects who had claims with diagnosis of diabetes between January 2003 to December 2003 by using two staged cluster sampling method. Field survey with review of medical records and telephone survey was conducted with standardized record forms developed by Korean Diabetes Association; Task Force Team For Basic Statistical Study of Korean Diabetes Mellitus. RESULTS: The age of diabetic subjects was 58.1 +/- 12.6 years and the duration of diabetes was 6.2 +/- 5.5 years. Hypertension was present in 54% of diabetic subjects. Among those with hypertension, 59% were controlled with blood pressure below 140/90 mmHg, but only 19% were controlled with blood pressure below 130/80 mmHg. Hyperlipidemia was present in 29% of diabetic subjects. Only 38% of those with hyperlipidemia were controlled with LDL-cholesterol below 100 mg/dL. For glycemic control, only 40% of diabetic subjects achieved the goal of HbA1c less than 7%, which was suggested by ADA. CONCLUSION: We found that only 20~40% of diabetic subjects in Korea achieved the management goal for glucose, blood pressure, and lipids. It seems urgent to develop a quality management program for diabetes subjects in Korea.
-
Citations
Citations to this article as recorded by
- Developing a nomogram for predicting depression in diabetic patients after COVID-19 using machine learning
Haewon Byeon Frontiers in Public Health.2023;[Epub] CrossRef - Factors Influencing the Utilization of Diabetes Complication Tests Under the COVID-19 Pandemic: Machine Learning Approach
Haewon Byeon Frontiers in Endocrinology.2022;[Epub] CrossRef - Influences of Patient Activation on Diabetes Self-Care Activities and Diabetes-Specific Distress
Sookyung Choi, Su Hyun Kim Korean Journal of Adult Nursing.2020; 32(1): 10. CrossRef - Factors Related to Self-care in Patients with Type 2 Diabetes
Seung-Yeon Kong, Mi-Kyoung Cho The Open Nursing Journal.2020; 14(1): 64. CrossRef - Current status of treatment of type 2 diabetes mellitus in Ningbo, China
Tianmeng Yang, Rongjiong Zheng, Qingmei Chen, Yushan Mao Journal of Clinical Laboratory Analysis.2019;[Epub] CrossRef - Prevalence and incidence of atherosclerotic cardiovascular disease and its risk factors in Korea: a nationwide population-based study
Hyungtae Kim, Siin Kim, Sola Han, Pratik P. Rane, Kathleen M. Fox, Yi Qian, Hae Sun Suh BMC Public Health.2019;[Epub] CrossRef - The Effectiveness of Multidisciplinary Team-Based Education in the Management of Type 2 Diabetes
Jong Ho Kim, Yun Jeong Nam, Won Jin Kim, Kyung Ah Lee, A Ran Baek, Jung Nam Park, Jin Mi Kim, Seo Young Oh, Eun Heui Kim, Min Jin Lee, Yun Kyung Jeon, Bo Hyun Kim, In Joo Kim, Yong Ki Kim, Sang Soo Kim The Journal of Korean Diabetes.2018; 19(2): 119. CrossRef - Physician-Directed Diabetes Education without a Medication Change and Associated Patient Outcomes
Hun-Sung Kim, Hyunah Kim, Hae-Kyung Yang, Eun Young Lee, Yoo Jin Jeong, Tong Min Kim, So Jung Yang, Seo Yeon Baik, Seung-Hwan Lee, Jae Hyoung Cho, In Young Choi, Hyeon Woo Yim, Bong-Yun Cha Diabetes & Metabolism Journal.2017; 41(3): 187. CrossRef - Risks of borderline liver enzyme abnormalities to the incidence of impaired fasting glucose and diabetes mellitus: a 7 year follow up study of workers
Jin-Hyun Yu, Jin-Seok Kim, Mee-Ra Lee, Seong-Yong Yoon, Seong-Yong Cho, Seung-Hyun Yoo, Boo-Il Kim Annals of Occupational and Environmental Medicine.2016;[Epub] CrossRef - Relationship Between Duration of Type 2 Diabetes and Self-Reported Participation in Diabetes Education in Korea
Jongnam Hwang, Jeffrey A. Johnson Asia Pacific Journal of Public Health.2015; 27(2): NP311. CrossRef - Current Status of Management in Type 2 Diabetes Mellitus at General Hospitals in South Korea
Jin-Hee Jung, Jung-Hwa Lee, Jin-Won Noh, Jeong-Eun Park, Hee-Sook Kim, Joo-Wha Yoo, Bok-Rye Song, Jeong-rim Lee, Myeong-Hee Hong, Hyang-Mi Jang, Young Na, Hyun-Joo Lee, Jeong-Mi Lee, Yang-Gyo Kang, Sun-Young Kim, Kang-Hee Sim Diabetes & Metabolism Journal.2015; 39(4): 307. CrossRef - Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data
Young-Ju Kim, Myoung-Nam Lim, Dong-Suk Lee Journal of Korean Academy of Nursing.2014; 44(6): 743. CrossRef - Evaluating Chronic Care of Public Health Centers in a Metropolitan City
Yong-Jun Choi, Dong-Soo Shin, Minah Kang, Sang-Soo Bae, Jaiyong Kim Health Policy and Management.2014; 24(4): 312. CrossRef - Increasing risk of diabetes mellitus according to liver function alterations in electronic workers
Kyoungho Lee, Joohee Han, Soo‐Geun Kim Journal of Diabetes Investigation.2014; 5(6): 671. CrossRef - The Effect of the Experience of Diabetes Education on Knowledge, Self-Care Behavior and Glycosylated Hemoglobin in Type 2 Diabetic Patients
Seung Hei Moon, Young Whee Lee, Ok-Kyung Ham, Soo-Hyun Kim The Journal of Korean Academic Society of Nursing Education.2014; 20(1): 81. CrossRef - Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan
Ji Hye Suk, Chang Won Lee, Sung Pyo Son, Min Cheol Kim, Jun Hyeob Ahn, Kwang Jae Lee, Ja Young Park, Sun Hye Shin, Min Jeong Kwon, Sang Soo Kim, Bo Hyun Kim, Soon Hee Lee, Jeong Hyun Park, In Joo Kim Diabetes & Metabolism Journal.2014; 38(3): 230. CrossRef - Effect of Self-Monitoring of Blood Glucose Based Diabetes Self-Management Education on Glycemic Control in Type 2 Diabetes
Kang Hee Sim, Moon Sook Hwang The Journal of Korean Academic Society of Nursing Education.2013; 19(2): 127. CrossRef - Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef - Total Energy Intake May Be More Associated with Glycemic Control Compared to Each Proportion of Macronutrients in the Korean Diabetic Population
Hye Mi Kang, Dong-Jun Kim Diabetes & Metabolism Journal.2012; 36(4): 300. CrossRef - Effect of Soybeans, Chungkukjang, and Doenjang on Blood Glucose and Serum Lipid Profile in Streptozotocin-induced Diabetic Rats
Ah-Ra Kim, Jae-Joon Lee, Sun-Sook Cha, Hae-Choon Chang, Myung-Yul Lee Journal of the Korean Society of Food Science and Nutrition.2012; 41(5): 621. CrossRef - Comparative Study on Self-Care Behavior, Diabetes-related Stress, and Stress Coping among Good, Inadequate, and Poor Glycemic Control Groups
Hye-Yeon Kang, Mee-Ock Gu Journal of Korean Academy of Fundamentals of Nursing.2012; 19(2): 168. CrossRef - Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice
Mi Yeon Kim, Sunghwan Suh, Sang-Man Jin, Se Won Kim, Ji Cheol Bae, Kyu Yeon Hur, Sung Hye Kim, Mi Yong Rha, Young Yun Cho, Myung-Shik Lee, Moon Kyu Lee, Kwang-Won Kim, Jae Hyeon Kim Diabetes & Metabolism Journal.2012; 36(6): 452. CrossRef - Biological Effect of Vaccinium uliginosum L. on STZ-induced Diabetes and Lipid Metabolism in Rats
Eun-Kyung Han, Hyuck-Se Kwon, Se-Gye Shin, Yoon-Hee Choi, Il-Jun Kang, Cha-Kwon Chung Journal of the Korean Society of Food Science and Nutrition.2012; 41(12): 1727. CrossRef - Comparative Study on HbA1C, Self-care Behavior, and Quality of Life by Depression Status in Type II Diabetic Patients
Young-Min Jeong, Mi-Young Kim Journal of Korean Academy of Fundamentals of Nursing.2012; 19(3): 353. CrossRef - Therapeutic Target Achievement in Type 2 Diabetic Patients after Hyperglycemia, Hypertension, Dyslipidemia Management
Ah Young Kang, Su Kyung Park, So Young Park, Hye Jeong Lee, Ying Han, Sa Ra Lee, Sung Hwan Suh, Duk Kyu Kim, Mi Kyoung Park Diabetes & Metabolism Journal.2011; 35(3): 264. CrossRef - Bowl-Based Meal Plan versus Food Exchange-Based Meal Plan for Dietary Intake Control in Korean Type 2 Diabetic Patients
Hee-Jung Ahn, Boo-Kyung Koo, Ji-Yeon Jung, Hwi-Ryun Kwon, Hyun-Jin Kim, Kang-Seo Park, Kyung-Ah Han, Kyung-Wan Min Korean Diabetes Journal.2009; 33(2): 155. CrossRef - An Evaluation of Sampling Design for Estimating an Epidemiologic Volume of Diabetes and for Assessing Present Status of Its Control in Korea
Ji-Sung Lee, Jaiyong Kim, Sei-Hyun Baik, Ie-Byung Park, Juneyoung Lee Journal of Preventive Medicine and Public Health.2009; 42(2): 135. CrossRef - The Current Status of Type 2 Diabetes Management at a University Hospital
Young Sil Lee Korean Diabetes Journal.2009; 33(3): 241. CrossRef - The Effect of Gamma-Glutamyltransferase on Impaired Fasting Glucose or Type 2 Diabetes in Korean Men
Tae-Yeon Kim, Do-Hoon Kim, Chang-Hae Park, Kyung-Hwan Cho, Seung-Hwan Lee, Hyuk Ga, Hwan-cheol Kim Korean Diabetes Journal.2009; 33(3): 215. CrossRef - Management of Diabetic Mellitus in Low-income Rural Patients
Hye-Yeon Kim, Woo-Jun Yun, Min-Ho Shin, Sun-Seong Kweon, Hye-Ran Ahn, Seong-Woo Choi, Young-Hoon Lee, Dong-Hyeok Cho, Jung-Ae Rhee Journal of Preventive Medicine and Public Health.2009; 42(5): 315. CrossRef - The Effect of Smoking Status upon Occurrence of Impaired Fasting Glucose or Type 2 Diabetes in Korean Men
Chang-Hae Park, Hyuk Ga, Jong-Han Leem, Seung-Min Kwak, Hwan-Cheol Kim, Ji-Ho Choi Journal of Preventive Medicine and Public Health.2008; 41(4): 249. CrossRef
- Current Status of the Continuity of Ambulatory Diabetes Care and its Impact on Health Outcomes and Medical Cost in Korea Using National Health Insurance Database.
-
Jaiyong Kim, Hyeyoung Kim, Hwayoung Kim, Kyung Wan Min, Seok Won Park, Ie Byung Park, Jeong Hyun Park, Sei Hyun Baik, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Sunhee Lee, Juneyoung Lee, Choon Hee Chung, Kyung Mook Choi, Injeoung Choi, Dae Jung Kim
-
Korean Diabetes J. 2006;30(5):377-387. Published online September 1, 2006
-
DOI: https://doi.org/10.4093/jkda.2006.30.5.377
-
-
2,791
View
-
48
Download
-
21
Crossref
-
Abstract
PDF
- BACKGROUND
The continuity of care in chronic diseases, especially in diabetes, was emphasized from many studies. But large scale studies with long-term observation which confirm the impact of continuity of care on health outcomes are rare. This study tried national level 3 year observation to find differences in hospitalization, mortality and medical costs among patient groups with different utilization pattern. METHODS: The 1,088,564 patients with diabetes diagnosis and diabetes drug prescription in 2002, from 20 to 79 years old, and survived until the end of 2004 were included. Annual drug prescription days, number of visited clinics and quarterly continuity of care were measured. Gender, age group, living area, health insurance premium level (as a proxy of the income level), years of first DM diagnosis, five co-morbidities (hypertension, heart disease, stroke, renal disease, admission with DM), hospitalization experience and the type of main attending clinic were adjusted. Hospitalization, mortality and high costs group (top quintile) in 2005 were predicted by multiple logistic regression model. RESULTS: Patients who failed in continuity of care in 2003 and 2004 showed higher hospitalization (OR =1.29), higher mortality (OR =1.75) and they are more likely to be high costs group (OR =1.34) in 2005 than who fulfilled the continuity of care. Patients who have single attending clinic also showed lower hospitalization, lower mortality and lower cost. Completeness in diabetic drug prescription were correlated with lower hospitalization, lower mortality but with higher cost. Possible cost saving from continual care with single attending clinic was estimated at Won 417 billion (Dollar 1 = Won 943.7). Possible expenditure from complete drug prescription was Won 228 billion. So, net saving was Won 139 billion in our study population. CONCLUSION: Continual care and single attending clinic saves patient's life and national costs. Fragmented primary care system in Korea should be reformed for more effective care of chronic diseases. National Health Insurance Database in Korea enables nationwide long-term observation study which overcomes the many limitations found in hospital-based studies and cross-sectional surveys.
-
Citations
Citations to this article as recorded by
- The effect of continuity of care on medical costs in patients with chronic shoulder pain
Ju-hyun Oh, Boyoung Jung, Eun-San Kim, Namkwen Kim, In-Hyuk Ha Scientific Reports.2021;[Epub] CrossRef - Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases: A Longitudinal Study
Bich-Na Jang, Hwi-Jun Kim, Bo-Ram Kim, Seonyeong Woo, Woo-Jin Lee, Eun-Cheol Park International Journal of Environmental Research and Public Health.2021; 18(15): 7977. CrossRef - Impact of Continuous Care on Health Outcomes and Cost for Type 2 Diabetes Mellitus: Analysis Using National Health Insurance Cohort Database
Ji Hyun Nam, Changwoo Lee, Nayoung Kim, Keun Young Park, Jeonghoon Ha, Jaemoon Yun, Dong Wook Shin, Euichul Shin Diabetes & Metabolism Journal.2019; 43(6): 776. CrossRef - Chasms in Achievement of Recommended Diabetes Care among Geographic Regions in Korea
Sanghyun Cho, Ji-Yeon Shin, Hyun Joo Kim, Sang Jun Eun, Sungchan Kang, Won Mo Jang, Hyemin Jung, Yoon Kim, Jin Yong Lee Journal of Korean Medical Science.2019;[Epub] CrossRef - Evaluation of the chronic disease management program for appropriateness of medication adherence and persistence in hypertension and type-2 diabetes patients in Korea
Jung-Ae Kim, Eun-Sook Kim, Eui-Kyung Lee Medicine.2017; 96(14): e6577. CrossRef - Greater continuity of care reduces hospital admissions in patients with hypertension: An analysis of nationwide health insurance data in Korea, 2011–2013
Young Soon Nam, Kyoung Hee Cho, Hee-Chung Kang, Kwang-Sig Lee, Eun-Cheol Park Health Policy.2016; 120(6): 604. CrossRef - Impact of Market Competition on Continuity of Care and Hospital Admissions for Asthmatic Children: A Longitudinal Analysis of Nationwide Health Insurance Data 2009-2013
Kyoung Hee Cho, Eun-Cheol Park, Young Soon Nam, Seon-Heui Lee, Chung Mo Nam, Sang Gyu Lee, Saravana Kumar PLOS ONE.2016; 11(3): e0150926. CrossRef - Factors affecting treatment compliance in new hypertensive patients in Korea
Hyun-Jin Kim, Kanghee Moon, Tae-hee Park, So-Youn Park, Seok-Jun Yoon, In-Hwan Oh Clinical and Experimental Hypertension.2016; 38(8): 701. CrossRef - The relationship between diabetes and the reoperation rate after lumbar spinal surgery: a nationwide cohort study
Chi Heon Kim, Chun Kee Chung, Sukyoun Shin, Bo Ram Choi, Min Jung Kim, Byung Joo Park, Yunhee Choi The Spine Journal.2015; 15(5): 866. CrossRef - The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012
Kyoung Hee Cho, Young Sam Kim, Chung Mo Nam, Tae Hyun Kim, Sun Jung Kim, Kyu-Tae Han, Eun-Cheol Park, Hemachandra Reddy PLOS ONE.2015; 10(11): e0141465. CrossRef - Associations Between the Continuity of Ambulatory Care of Adult Diabetes Patients in Korea and the Incidence of Macrovascular Complications
Young-Hoon Gong, Seok-Jun Yoon, Hyeyoung Seo, Dongwoo Kim Journal of Preventive Medicine and Public Health.2015; 48(4): 188. CrossRef - Evaluation of low-dose aspirin for primary prevention of ischemic stroke among patients with diabetes: a retrospective cohort study
Ye-Jee Kim, Nam-Kyong Choi, Mi-Sook Kim, Joongyub Lee, Yoosoo Chang, Jong-Mi Seong, Sun-Young Jung, Ju-Young Shin, Ji-Eun Park, Byung-Joo Park Diabetology & Metabolic Syndrome.2015;[Epub] CrossRef - Factors Affecting Diabetic Screening Behavior of Korean Adults: A Multilevel Analysis
Hyeongsu Kim, Minjung Lee, Haejoon Kim, Kunsei Lee, Sounghoon Chang, Vitna Kim, Jun Pyo Myong, Soyoun Jeon Asian Nursing Research.2013; 7(2): 67. CrossRef - Higher quality primary care is associated with good self-rated health status
N. J. Sung, J. F. Markuns, K. H. Park, K. Kim, H. Lee, J. H. Lee Family Practice.2013; 30(5): 568. CrossRef - Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef - Continuity of ambulatory care and health outcomes in adult patients with type 2 diabetes in Korea
Jae-Seok Hong, Hee-Chung Kang Health Policy.2013; 109(2): 158. CrossRef - Strategies for improvement of primary care in Korea
Heui Sug Jo Journal of the Korean Medical Association.2012; 55(10): 959. CrossRef - Factors associated with diabetes outpatient use of tertiary or general hospitals as their usual source of care in Korea
Jung Chan Lee, Kye Hyun Kim, Han Nah Kim, Nam Soon Kim Journal of the Korean Medical Association.2012; 55(12): 1215. CrossRef - Factors associated with the hypertension outpatients' choice of healthcare providers in Korea
Jung Chan Lee, Kye Hyun Kim, Han Nah Kim, Yoon Hyung Park Journal of the Korean Medical Association.2011; 54(9): 961. CrossRef - Analysis of the Continuity of Outpatient among Adult Patients with hypertension and its Influential Factors in Korea
Kyung-Ae Son, Yoon-Shin Kim, Min-Hee Hong, Mi-As Jeong Journal of the Korea Academia-Industrial cooperation Society.2010; 11(6): 2161. CrossRef - Continuity of Care for Elderly Patients with Diabetes Mellitus, Hypertension, Asthma, and Chronic Obstructive Pulmonary Disease in Korea
Jae Seok Hong, Hee Chung Kang, Jaiyong Kim Journal of Korean Medical Science.2010; 25(9): 1259. CrossRef
- Current Status of Diabetic Foot in Korean Patients Using National Health Insurance Database.
-
Choon Hee Chung, Dae Jung Kim, Jaiyong Kim, Hyeyoung Kim, Hwayoung Kim, Kyung Wan Min, Seok Won Park, Jeong Hyun Park, Sei Hyun Baik, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Sunhee Lee, Juneyoung Lee, Kyung Mook Choi, Injeoung Choi, Ie Byung Park
-
Korean Diabetes J. 2006;30(5):372-376. Published online September 1, 2006
-
DOI: https://doi.org/10.4093/jkda.2006.30.5.372
-
-
3,150
View
-
56
Download
-
18
Crossref
-
Abstract
PDF
- BACKGROUND
Foot ulcer diseases are more prevalent in diabetic patients than that those of non-diabetic patients. Several reports showed the risk of amputation and the medical cost were increased when foot ulcer developed. Therefore, strict glycemic control from the initial period of diabetes is necessary. Since there is no enough epidemiologic data, large scaled studies for medical and economic consequences about diabetic foot ulcer are needed. METHODS: This study was based on health insurance claims submitted to the National Health Insurance Review Agency during the period from December 1994 through December 2002. We investigated the incidence and medical cost of foot disorders in Korean population using the disease-classification codes on the health insurance claim forms. RESULTS: The incidences of foot disorders (per 100,000 of population) were 49.7 for amputations, 99.7 for ulcers, and 1,051 for injuries in diabetic patients, and 4.2 for amputations, 10.3 for ulcers, and 943 for injuries in non-diabetic patients. Relative risk of the incidences of foot amputation, ulcer, and injury in diabetic patients comparing with non-diabetic patients were 11.7, 9.7, and 1.1, respectively. Total medical costs (per capita) of foot amputation, ulcer, and injury in diabetic patients were 2.0, 1.7, and 2.1 times higher, respectively, than those of non-diabetic patients. Mean hospital stay of foot amputation, ulcer, and injury in diabetic patients were 1.6, 1.3, and 1.7 times more, respectively, than those of non-diabetic patients. CONCLUSION: In diabetic patients, the incidences of foot amputation and ulcer are higher than those of non-diabetic patients. To reduce those incidences, we need to early strict glycemic control as well as government based management.
-
Citations
Citations to this article as recorded by
- The Risk of the Aggravation of Diabetic Foot According to Air Quality Factors in the Republic of Korea: A Nationwide Population-Based Study
Saintpee Kim, Sungho Won, Young Yi International Journal of Environmental Research and Public Health.2024; 21(6): 775. CrossRef - Efficacy of a povidone‐iodine foam dressing (Betafoam) on diabetic foot ulcer
Heui C. Gwak, Seung H. Han, Jinwoo Lee, Sejin Park, Ki‐Sun Sung, Hak‐Jun Kim, Dongil Chun, Kyungmin Lee, Jae‐Hoon Ahn, Kyunghee Kwak, Hyung‐Jin Chung International Wound Journal.2020; 17(1): 91. CrossRef - Regional Variation in the Incidence of Diabetes-Related Lower Limb Amputations and Its Relationship with the Regional Factors
Sung Hun Won, Jahyung Kim, Dong-Il Chun, Young Yi, Suyeon Park, Kwang-Young Jung, Gun-Hyun Park, Jaeho Cho Journal of Korean Foot and Ankle Society.2019; 23(3): 121. CrossRef - Depth and combined infection is important predictor of lower extremity amputations in hospitalized diabetic foot ulcer patients
Eun-Gyo Jeong, Sung Shim Cho, Sang-Hoon Lee, Kang-Min Lee, Seo-Kyung Woo, Yoongoo Kang, Jae-Seung Yun, Seon-Ah Cha, Yoon-Jung Kim, Yu-Bae Ahn, Seung-Hyun Ko, Jung-Min Lee The Korean Journal of Internal Medicine.2018; 33(5): 952. CrossRef - Risk factors for diabetic foot ulcer recurrence: A prospective 2-year follow-up study in Egypt
Walaa A. Khalifa The Foot.2018; 35: 11. CrossRef - Microbiology and Antimicrobial Therapy for Diabetic Foot Infections
Ki Tae Kwon, David G. Armstrong Infection & Chemotherapy.2018; 50(1): 11. CrossRef - Diagnosis and Management of Diabetic Foot
Chang Won Lee The Journal of Korean Diabetes.2018; 19(3): 168. CrossRef - Effects of foot complications in patients with Type 2 diabetes mellitus on public healthcare: An analysis based on the Korea National Diabetes Program Cohort
So Young Park, Sang Youl Rhee, Suk Chon, Kyu Jeung Ahn, Sung-Hoon Kim, Sei Hyun Baik, Yongsoo Park, Moon Suk Nam, Kwan Woo Lee, Jeong-taek Woo, Ki Hong Chun, Young Seol Kim Journal of Diabetes and its Complications.2017; 31(2): 375. CrossRef - Prevalence and Current Status of Treatment of Diabetic Foot in South Korea
Jae-Ik Bae, Je Hwan Won, Jun Su Kim, Man Deuk Kim, Chang Jin Yoon, Yun Ku Cho Journal of the Korean Society of Radiology.2016; 74(3): 169. CrossRef - Lifestyle, Diet, Self-care, and Diabetes Fatalism of Diabetic Patients with and without Diabetic Foot
Jungha Choi, Juhee Kang, Hongmie Lee Korean Journal of Community Nutrition.2014; 19(3): 241. CrossRef - The Quality of Medical Care Provided to Homeless Diabetes Patients in a General Hospital in Seoul, and the Prevalence of Diabetes Comorbidities
Sun Hee Beom, Moo Kyung Oh, Chul Woo Ahn Korean Journal of Medicine.2014; 86(5): 585. CrossRef - Advanced Glycation End Products and Management of Diabetes Diet
Hyun-Sun Lee The Journal of Korean Diabetes.2013; 14(2): 90. CrossRef - Cost-effectiveness Analysis of Home Care Services for Patients with Diabetic Foot
Chong Rye Song, Yong Soon Kim, Jin Hyun Kim Journal of Korean Academy of Nursing Administration.2013; 19(4): 437. CrossRef - Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef - Treatment of Diabetic Foot Ulcer Using Matriderm In Comparison with a Skin Graft
Hyojin Jeon, Junhyung Kim, Hyeonjung Yeo, Hoijoon Jeong, Daegu Son, Kihwan Han Archives of Plastic Surgery.2013; 40(04): 403. CrossRef - Three Cases of Auricular Pressure Ulcer in Ambulatory Leprotic Patients
Nam Soo Han, Hyung-Cheol Park Korean Journal of Otorhinolaryngology-Head and Neck Surgery.2013; 56(9): 588. CrossRef - Diabetic Foot: Past and Present
Ji Ho Lee, Choon Hee Chung Journal of Korean Diabetes.2011; 12(2): 69. CrossRef - Epidemiology of Diabetic Foot Disease
Kyu Jeung Ahn Journal of Korean Diabetes.2011; 12(2): 72. CrossRef
- Current Status of Aspirin User in Korean Diabetic Patients Using Korean Health Insurance Database.
-
Ie Byung Park, Dae Jung Kim, Jaiyong Kim, Hyeyoung Kim, Hwayoung Kim, Kyung Wan Min, Seok Won Park, Jeong Hyun Park, Sei Hyun Baik, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Sunhee Lee, Juneyoung Lee, Choon Hee Chung, Injeoung Choi, Kyung Mook Choi
-
Korean Diabetes J. 2006;30(5):363-371. Published online September 1, 2006
-
DOI: https://doi.org/10.4093/jkda.2006.30.5.363
-
-
2,751
View
-
34
Download
-
7
Crossref
-
Abstract
PDF
- AIMS: ADA guidelines recommend aspirin for all patients with diabetes who have had a prior CHD events as well as a primary prevention strategy among those with at least one other risk factor. We examined the current status of regular aspirin intake among Korean adults who diagnosed as diabetes. METHODS: This study examined the characteristics of aspirin user in new-onset diabetes over 40 years based on health insurance claims submitted to the Health Insurance Review Agency (HIRA) of Korea during the period from January 2001 through December 2003. New onset diabetes defined as the first health insurance claim of antidiabetic drugs submitted to HIRA for the three months (January to March 2001) that never submitted for previous 6 years. RESULTS: The number of total new-onset diabetic patients was 30,014 in 2001, 29,819 in 2002, and 32,061 in 2003. The incidence rate of diabetes over 40 years for 3 months in 2001, 2002 and 2003 were 0.172%, 0.167% and 0.18. Mean age of women who diagnosed diabetes were significant higher than that of men in 2001 (women 59.2+/-10.6 yrs, men 54.8+/-9.8 yrs), in 2002 (women 59.5+/-10.6 yrs, men 54.6+/-9.3 yrs) and in 2003 (women 59.6+/-10.7 yrs, men 54.7+/-9.9 yrs) (p < 0.001). The number of aspirin user increased from 2,065 (6.9%) in 2001, 2,638 (8.9%) in 2002 and 3,711 (11.6%) in 2003. 30.5% of new-onset diabetics in 2001 had hypertension, 12.4% of them had hypercholesterolemia, 11.8% of them had cerebral infarct, 2.6% of them had cerebral hemorrhage, 3.8% of them had coronary heart disease and, but, 55.6% of them had not any CVD. Logistic regression analysis using aspirin use as a dependent variable showed that the number of aspirin use in patients with hypertension, hypercholesterolemia, cerebral infarct and coronary heart disease was higher than in patients without those (hypertension [OR], 3.89 (95% CI, 3.52~4.31); hypercholesterolemia [OR], 2.16 (95% CI, 1.90~2.46; cerebral infarct [OR], 2.05 (95% CI, 1.82~2.30); coronary heart disease [OR], 9.41 (95% CI, 8.20~10.80), respectively). Coronary heart disease was the most important associated factor of aspirin use. CONCLUSIONS: We found significant underuse of aspirin therapy among our population compared with that of America. Major efforts are needed to increase aspirin use in diabetic patients.
-
Citations
Citations to this article as recorded by
- Evaluation of low-dose aspirin for primary prevention of ischemic stroke among patients with diabetes: a retrospective cohort study
Ye-Jee Kim, Nam-Kyong Choi, Mi-Sook Kim, Joongyub Lee, Yoosoo Chang, Jong-Mi Seong, Sun-Young Jung, Ju-Young Shin, Ji-Eun Park, Byung-Joo Park Diabetology & Metabolic Syndrome.2015;[Epub] CrossRef - Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan
Ji Hye Suk, Chang Won Lee, Sung Pyo Son, Min Cheol Kim, Jun Hyeob Ahn, Kwang Jae Lee, Ja Young Park, Sun Hye Shin, Min Jeong Kwon, Sang Soo Kim, Bo Hyun Kim, Soon Hee Lee, Jeong Hyun Park, In Joo Kim Diabetes & Metabolism Journal.2014; 38(3): 230. CrossRef - Epidural Hematoma Related with Low-Dose Aspirin : Complete Recovery without Surgical Treatment
Kyoung-Tae Kim, Dae-Chul Cho, Suk-Won Ahn, Suk-Hyung Kang Journal of Korean Neurosurgical Society.2012; 51(5): 308. CrossRef - The Prevalence and Features of Korean Gout Patients Using the National Health Insurance Corporation Database
Chan Hee Lee, Na Young Sung Journal of Rheumatic Diseases.2011; 18(2): 94. CrossRef - Overlapping Medication Associated with Healthcare Switching among Korean Elderly Diabetic Patients
Ju-Young Shin, Nam-Kyong Choi, Sun-Young Jung, Ye-Jee Kim, Jong-Mi Seong, Byung-Joo Park Journal of Korean Medical Science.2011; 26(11): 1461. CrossRef - Cause-of-Death Trends for Diabetes Mellitus over 10 Years
Su Kyung Park, Mi-Kyoung Park, Ji Hye Suk, Mi Kyung Kim, Yong Ki Kim, In Ju Kim, Yang Ho Kang, Kwang Jae Lee, Hyun Seung Lee, Chang Won Lee, Bo Hyun Kim, Kyung Il Lee, Mi Kyoung Kim, Duk Kyu Kim Korean Diabetes Journal.2009; 33(1): 65. CrossRef - The Current Status of Type 2 Diabetes Management at a University Hospital
Young Sil Lee Korean Diabetes Journal.2009; 33(3): 241. CrossRef
- Current Status of Diabetic End-Stage Renal Disease Using Korean Health Insurance Database.
-
Dae Jung Kim, Jaiyong Kim, Hyeyoung Kim, Kyung Wan Min, Seok Won Park, Ie Byung Park, Jeong Hyun Park, Sei Hyun Baik, Hyun Shik Son, Chul Woo Ahn, Jee Young Oh, Sunhee Lee, Juneyoung Lee, Choon Hee Chung, Kyung Mook Choi, Injeoung Choi, Hwayoung Kim
-
Korean Diabetes J. 2006;30(5):355-362. Published online September 1, 2006
-
DOI: https://doi.org/10.4093/jkda.2006.30.5.355
-
-
2,868
View
-
36
Download
-
7
Crossref
-
Abstract
PDF
- BACKGROUND
Diabetes is becoming one of the main causes of end-stage renal disease (ESRD) worldwide. We studied the prevalence and incidence of end-stage renal disease (ESRD) in the Korean population based on health insurance claims submitted to the Health Insurance Review Agency. We also investigated the proportion of medications taken by the ESRD patients, and frequency of hospital admission or visits, and medical expenses between ESRD patients with and without diabetes. METHODS: This study was based on health insurance claims submitted to the Health Insurance Review Agency during the period from January 2001 through December 2003. Using the disease-classification codes on the health insurance claim forms, those who were diagnosed with chronic renal disease (N18 or N19) and received dialysis-related treatment (Z49), treatment with a kidney dialysis machine (Z99.2), or kidney transplantation (Z94.0) were defined as ESRD patients. Among the ESRD patients, those who were diagnosed with diabetes (E10-E14) and/or took anti-diabetic drugs were defined as ESRD patients with diabetes. RESULTS: The ESRD patients totaled 33,870 in 2001, 37,894 in 2002, and 41,167 (858.3 per million population) in 2003. ESRD patients with diabetes increased to 56.7% in 2003. The number of ESRD patients in whom renal replacement therapy was initiated was 8,134 in 2002 and 8,322 (173.5 per million population) in 2003. ESRD patients with diabetes used more anti-hypertensive drugs (1.2 times as many), lipid-lowering drugs (1.6 times), and anti-platelet agents (1.8 times) than did ESRD patients without diabetes. In 2003, 66.5% of the ESRD patients with diabetes were hospitalized, which was 1.6 times the hospital admissions of ESRD patients without diabetes. ESRD patients with diabetes also had hospital stays that were 1.6 times longer per patient and inpatient service expenses that were 1.6times greater per patient, compared with those reported for ESRD patients without diabetes. CONCLUSION: The incidence of ESRD accompanied by diabetes has risen rapidly. Given the burden of medical treatment costs placed on ESRD patients with diabetes, more aggressive interventions should be implemented to prevent diabetes and renal complications among patients with diabetes.
-
Citations
Citations to this article as recorded by
- Health-Related Quality of Life Based on Comorbidities Among Patients with End-Stage Renal Disease
Jieun Cha, Dallong Han Osong Public Health and Research Perspectives.2020; 11(4): 194. CrossRef - Effects for Comorbidities of Chronic Kidney Disease on the Progression to End-stage Renal Disease
Hwa Jeong Seo Journal of Health Informatics and Statistics.2020; 45(4): 356. CrossRef - The Impact of Physical, Psychological, Social Factors on Illness Burden of Long-term Hemodialysis Patients in South Korea
Jieun Cha Journal of Health Informatics and Statistics.2018; 43(3): 159. CrossRef - Effect of diabetic case management intervention on health service utilization in Korea
Soon Ae Shin, Hyeongsu Kim, Kunsei Lee, Vivian Lin, George Liu International Journal of Nursing Practice.2015; 21(6): 780. CrossRef - The Quality of Medical Care Provided to Homeless Diabetes Patients in a General Hospital in Seoul, and the Prevalence of Diabetes Comorbidities
Sun Hee Beom, Moo Kyung Oh, Chul Woo Ahn Korean Journal of Medicine.2014; 86(5): 585. CrossRef - Diabetes Epidemics in Korea: Reappraise Nationwide Survey of Diabetes "Diabetes in Korea 2007"
Ie Byung Park, Jaiyong Kim, Dae Jung Kim, Choon Hee Chung, Jee-Young Oh, Seok Won Park, Juneyoung Lee, Kyung Mook Choi, Kyung Wan Min, Jeong Hyun Park, Hyun Shik Son, Chul Woo Ahn, Hwayoung Kim, Sunhee Lee, Im Bong Lee, Injeoung Choi, Sei Hyun Baik Diabetes & Metabolism Journal.2013; 37(4): 233. CrossRef - Posttransplant Diabetes Mellitus
Hye Soo Kim, Suk Young Kim Korean Journal of Transplantation.2009; 23(2): 123. CrossRef
|