Diabetes Metab J > Volume 30(5); 2006 > Article
Korean Diabetes Journal 2006;30(5):372-376.
DOI: https://doi.org/10.4093/jkda.2006.30.5.372    Published online September 1, 2006.
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
1Task Force Team for Basic Statistical Study of Korean Diabetes Mellitus of Korean Diabetes Association, Korea.
2Department of Research, Health Insurance Review Agency, Korea.
3Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Korea.
4Department of Endocrinology and Metabolism, Ajou University School of Medicine, Korea.
5Department of Internal Medicine, College of Medicine, Eulji University, Korea.
6Department of Internal, Pochon CHA University, Korea.
7Department of Internal Medicine, Pusan Paik Hospital, Inje College of Medicine, Korea.
8Division of Endocrinology and Metabolism, Department of Internal Medicine, Korea University, Korea.
9Department of Internal Medicine, The Catholic University of Korea, Korea.
10Department of Internal Medicine, Yonsei University College of Medicine, Korea.
11Division of Endocrinology and Metabolism, Ewha Womans University College of Medicine, Korea.
12Department of Biostatistics, College of Medicine, Korea University, Korea.
13Department of Endocrinology, Gachon University of Science and Medicine, Gil Medical Center, Korea.
Abstract
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.
Key Words: Diabetic foot ulcer, Incidence, Medical cost


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