Predictive costs in medical care for Koreans with metabolic syndrome from 2009 to 2013 based on the National Health Insurance claims dataset = Predictive costs in medical care for Koreans with metabolic syndrome from 2009 to 2013 based on the National Health Insurance claims dataset

다국어 초록 (Multilingual Abstract)

Background/Aims: Although metabolic syndrome has been associated with increasing medical costs worldwide, there have been no studies using a nationwide and longitudinal South Korean dataset. We investigated trends in subsidized medical costs among Korean adults with metabolic syndrome.
Methods: This study was based on the National Sample Cohort database of South Korea. We used data of national health checkups in 2009 as well as data of subsidized prescription drugs and the Korean Classification of Disease diagnosis codes from claims in 2007 to 2008 to identify underlying diseases. We calculated the direct medical costs, which were subsidized by the Korean National Health Insurance, among 204,768 individuals older than 20 years from 2009 to 2013.
Results: The proportion of subjects with metabolic syndrome was 27.2%. Direct medical costs for 5 years differed by a magnitude of 2.16 between subjects with and without metabolic syndrome. The costs increased by approximately 41.8% in the metabolic syndrome group in 5 years. Direct medical costs increased with every additional risk factor, even if a subject had less than three risk factors of metabolic syndrome. Metabolic syndrome per se and all of its components, except low serum high-density lipoprotein cholesterol level, resulted in a significant increase in medical costs.
Conclusions: The medical costs of subjects with metabolic syndrome were higher than that of those without metabolic syndrome and it increased with the number of risk factors. Further research using cumulative data of more than 10 years, including unsubsidized and indirect costs, is needed in the future.

참고문헌 (Reference)

• 1 김희선, "지역사회 대상의 대사증후군 자가관리 프로그램 중재 효과- 서울특별시 대사증후군 관리 시범사업 -" 한국보건교육건강증진학회 28 (28): 51-62, 2011
• 2 조비룡, "우리나라 국가검진체계의 실상" 대한의사협회 54 (54): 666-669, 2011
• 3 임승지, "건강보험 청구자료를 이용한 우리나라 뇌졸중 환자의 사회경제적 비용 추계" 대한예방의학회 42 (42): 251-260, 2009
• 4 Carroll S, "What is the relationship between exercise and metabolic abnormalities? A review of the metabolic syndrome" 34 : 371-418, 2004
• 5 World Health Organization, "WHO Guidelines Approved by the Guidelines Review Committee"
• 6 Gwang-Yul Hwang, "The Relationship between Smoking Level and Metabolic Syndrome in Male Health Check-up Examinees over 40 Years of Age" 대한가정의학회 35 (35): 219-226, 2014
• 7 Statistical Korea, "Statistics Classification Portal" Statistical Korea
• 8 이효, "Physical activity disparities by socioeconomic status among metabolic syndrome patients: The Fifth Korea National Health and Nutrition Examination Survey" 한국운동재활학회 12 (12): 10-14, 2016
• 9 National Health Insurance Corporation, "National Health Screening Statistical Yearbook 2009"
• 10 Nichols GA, "Metabolic syndrome components are associated with future medical costs independent of cardiovascular hospitalization and incident diabetes" 9 : 127-133, 2011
• 11 National Health Insurance Corporation, "Manual of the Regular Health Checkup"
• 12 Ministry of Health and Welfare, "Korean National Health Accounts and Total Health Expenditure in 2013"
• 13 Lim S, "Increasing prevalence of metabolic syndrome in Korea : the Korean National Health and Nutrition Examination Survey for 1998-2007" 34 : 1323-1328, 2011
• 14 US Department of Health and Human Services, "Helping Patients Who Drink Too Much: A Clinician’s Guide"
• 15 Boudreau DM, "Health care utilization and costs by metabolic syndrome risk factors" 7 : 305-314, 2009
• 16 공형식, "Factors Associated with Metabolic Syndrome and Related Medical Costs by the Scale of Enterprise in Korea" 대한직업환경의학회 25 (25): 23-23, 2013
• 17 Korean Statistical Information Service, "Exchange rate" Statistics Korea
• 18 McCullough AJ, "Epidemiology of the metabolic syndrome in the USA" 12 : 333-340, 2011
• 19 Scholze J, "Epidemiological and economic burden of metabolic syndrome and its consequences in patients with hypertension in Germany, Spain and Italy : a prevalence-based model" 10 : 529-, 2010
• 20 Kirch W, "Encyclopedia of Public Health" Springer Netherlands 2008
• 21 Kim SY, "Economic burden of allergic rhinitis in Korea" 24 : e110-e113, 2010
• 22 Statistics Korea, "Easy consumer price index" Statistics Korea
• 23 Grundy SM, "Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition" 109 : 433-438, 2004
• 24 Curtis LH, "Costs of the metabolic syndrome in elderly individuals : findings from the Cardiovascular Health Study" 30 : 2553-2558, 2007
• 25 Lee J, "Cohort profile : the National Health Insurance Service-National Sample Cohort(NHIS-NSC), South Korea" 46 : e15-, 2017
• 26 Isomaa B, "Cardiovascular morbidity and mortality associated with the metabolic syndrome" 24 : 683-689, 2001
• 27 Kim SK, "Association between alcohol consumption and metabolic syndrome in a community-based cohort of Korean Adults" 23 : 2104-2110, 2017
• 28 Lee SY, "Appropriate waist circumference cutoff points for central obesity in Korean adults" 75 : 72-80, 2007