Premium
The estimate prevalence of glaucoma & trend of glaucoma care in south korea based on national claim database
Author(s) -
SEO SJ,
BAE HW,
LEE YH,
LEE SY,
HONG S,
SEONG GJ,
KIM CY
Publication year - 2014
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2014.t021.x
Subject(s) - glaucoma , medicine , population , optometry , diagnosis code , ophthalmology , environmental health
Purpose To estimate the prevalence and to analyze the trend of glaucoma care in South Korea from 2008 to 2012. Methods Patients who diagnosed with glaucoma from 2008 to 2012 were retrospectively identified using the diagnostic code for glaucoma and the surgical codes for glaucoma surgeries in National Health Insurance (NHI) & Health Insurance Review and Assessment service(HIRA) database. The prevalence of glaucoma, glaucoma care cost, cost for glaucoma procedure and percentage of cost for glaucoma procedure were estimated. Results The number of glaucoma patients was increased by 60% from 2008 to 2012. The estimated prevalence of glaucoma in the population aged ≥ 40 years was increase from 1.30% in 2008 to 1.90% in 2012(P<0.001, test for linear trend). The prevalence of glaucoma increased with age and was higher in men than in women(OR 0.9 (95% confidential interval 0.89~0.90) in 2012). Although the cost for glaucoma procedure has increased from 2008 to 2012, the percentage of cost for glaucoma procedure among total glaucoma care cost showed a decreasing trend annually(from 9.07% in 2008 to 5.21% in 2012). Conclusion The number of glaucoma patients and the prevalence of glaucoma increased annually in South Korea. However, in this study, the prevalence of glaucoma was underestimated comparing with other population based study. This result mean glaucoma screening test was not enough to finding glaucoma patients in South Korea. In conclusion, to find glaucoma patients, it is necessary to develop glaucoma screening system in countries having similar health care circumstance with South Korea.