title: Rapid increase of health care utilization and cost due to benign prostatic hyperplasia in Korean men: retrospective population-based analysis using the Health Insurance Review and Assessment service data.
abstract: Using the Korean public health insurance database, we analyzed patients diagnosed as benign prostatic hyperplasia (BPH) from 2004 to 2008. Age and year-specific amount and seasonal variation of hospital visits (HV), duration of treatment (DT), the total and per capita amount of insurance payment (TAIP, PCIP) were evaluated. A total of 12,088,995 HV were studied. Total HV increased 1.7 times and DT almost doubled in 2008 compared to those in 2004. HV, DT, and TAIP showed linearly increasing patterns year by year. In a time series analysis, HV increased in winter and demonstrated seasonality in a 12-month cycle. In a Poisson regression analysis, the annual variations of HV, DT, TAIP, and PCIP were different by age groups. In patients older than 40 yr, HV significantly increased 1.10-1.16 times compared to that of the previous year. DT markedly increased in their 60s and 80s patients. The rate of increase in PCIP was steeper in patients 50 yr and older than in the others.Health care utilization due to BPH was rapidly increasing in Korea and it was remarkable in the elderly population. Seasonal variation of HV demonstrated that health care utilization increased in winter.
authors: Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
authors: Hwancheol
authors: 0000-0001-5033-0153
authors: H
authors: Son
authors: Department of Urology, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea.
authors: Juhyun
authors: 0000-0002-5549-9756
authors: J
authors: Park
authors: Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
authors: Sang Hoon
authors: 0000-0003-4888-483X
authors: SH
authors: Song
authors: Department of Urology, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.
authors: Jung Yoon
authors: 0000-0003-4200-1020
authors: JY
authors: Kang
authors: Department of Urology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
authors: Sung Kyu
authors: 0000-0002-8344-6774
authors: SK
authors: Hong
authors: Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors: Hyun Moo
authors: 0000-0003-3969-4540
authors: HM
authors: Lee
authors: Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.
authors: Sun-Hee
authors: 0000-0002-7120-8250
authors: SH
authors: Kim
authors: Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
authors: Byung-Joo
authors: 0000-0003-4630-4942
authors: BJ
authors: Park
authors: Department of Urology, Kyung Hee University Hospital, Kyung Hee University School of Medicine, Seoul, Korea.
authors: Hyung-Lae
authors: 0000-0002-4338-7423
authors: HL
authors: Lee
authors: Department of Urology, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea.
authors: Kyung Seop
authors: 0000-0002-0554-4272
authors: KS
authors: Lee
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017281:Cost of Illness; D017048:Health Care Costs; D006801:Humans; D007348:Insurance, Health / Q000191:economics* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D011470:Prostatic Hyperplasia / Q000191:economics* / Q000453:epidemiology* / Q000628:therapy; D056910:Republic of Korea / Q000453:epidemiology; D012189:Retrospective Studies; D012621:Seasons; D055815:Young Adult
keywords: Epidemiology; Insurance Claim Review; Prostatic Hyperplasia
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