PDF(Pubmed)
Abstract：
Background and Objective: The aim of this study was to analyze trends in surgical and non-surgical service utilization for common shoulder disorders in Korea from 2010 to 2019. Methods and Materials: This retrospective, cross-sectional, descriptive study utilized National Patient Sample data from the Health Insurance and Review Assessment Service (HIRA) of Korea. These data constitute a 2% sample out of the entire Korean population and include data for a variety of parameters instrumental for health care research. Patients with at least one medical service use for rotator cuff syndrome or tear, impingement syndrome, or adhesive capsulitis between January 2010 and December 2019 were included. Trends in healthcare utilization by disorder type, patient demographics, seasonal service use, and treatment details were examined. Results: There was an upward trend in the total number of patients and costs for shoulder disorders, from 35,798 patients and USD 5,485,196 in 2010 to 42,558 and USD 11,522,543 in 2019, respectively. The number of patients aged ≥60 and hospital visits increased. March had the highest number of claims. Physical therapy was the most common non-surgical procedure, while nerve block claims more than doubled. Opioid prescription rates also tripled. Surgical treatments were dominated by shoulder rotator cuff repair and acromioplasty. Conclusions: There was a significant increase in healthcare utilization for shoulder disorders, marked by rising costs and patient numbers. The use of nerve blocks and opioids notably increased. These data are valuable for clinicians, researchers, and policymakers.
摘要：
背景和目的：本研究的目的是分析2010年至2019年韩国常见肩关节疾病的手术和非手术服务利用趋势。方法和材料：本回顾性研究，横截面,描述性研究利用韩国健康保险和审查评估服务（HIRA）的国家患者样本数据。这些数据占整个韩国人口的2％，包括用于医疗保健研究的各种参数的数据。至少有一次医疗服务的患者使用肩袖综合征或撕裂，撞击综合征,纳入2010年1月至2019年12月期间的粘连性囊炎或粘连性囊炎.按疾病类型划分的医疗保健利用趋势，患者人口统计学，季节性服务使用，并检查了治疗细节。结果:肩关节紊乱的患者总数和费用均呈上升趋势,从2010年的35,798名患者和5,485,196美元到2019年的42,558和11,522,543美元。年龄≥60岁的患者和住院人数增加。3月的索赔数量最多。物理疗法是最常见的非手术方法,而神经阻滞声称增加了一倍多。阿片类药物处方率也增加了两倍。手术治疗以肩袖修补术和肩峰成形术为主。结论：肩部疾病的医疗保健利用率显着增加，以成本和患者人数上升为标志。神经阻滞和阿片类药物的使用显著增加。这些数据对临床医生很有价值,研究人员,和政策制定者。
