Current Status of Diabetes Management in Korea Using National Health Insurance Database

Park, Seok Won; Kim, Dae Jung; Min, Kyung Up; Baik, Sei Hyun; Choi, Kyung Mook; Park, Ie Byung; Park, Jeong Hyun; Son, Hyun Shik; Ahn, Chul Woo; Oh, Jee Young; Lee, Jun-Young; Chung, Choon Hee; Kim, Jaiyong; Kim, Hwayoung

doi:10.4093/jkda.2007.31.4.362

Cited by 39 publications

(39 citation statements)

References 7 publications

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“…and the fact that women tended to be older was similar to previous studies in Korea [9]. However, HbA1c levels were lower but the prevalence of obesity was higher compared to previous reports [9]. The prevalence of hypertension of our study was 66%, which was higher than the health insurance data from 2007 (51% in men 58% in women [9]), but it was similar to another study performed in 2006 by the Department of Endocrinology of the tertiary hospitals in Korea who reported 60.4% prevalence of hypertension [10].…”

Section: Discussionsupporting

confidence: 89%

Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan

Suk¹,

Lee²,

Son

et al. 2014

Diabetes Metab J

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BackgroundData regarding the prescription status of individuals with diabetes are limited. This study was an analysis of participants from the relationship between cardiovascular disease and brachial-ankle pulse wave velocity in patients with type 2 diabetes (REBOUND) Study, which was a prospective multicenter cohort study recruited from eight general hospitals in Busan, Korea. We performed this study to investigate the current status of prescription in Korean type 2 diabetic patients.MethodsType 2 diabetic patients aged 30 years or more were recruited and data were collected for demographics, medical history, medications, blood pressure, and laboratory tests.ResultsThree thousands and fifty-eight type 2 diabetic patients were recruited. Mean age, duration of diabetes, and HbA1c were 59 years, 7.6 years, and 7.2%, respectively. Prevalence of hypertension was 66%. Overall, 7.3% of patients were treated with diet and exercise only, 68.2% with oral hypoglycemic agents (OHAs) only, 5.3% with insulin only, and 19.2% with both insulin and OHA. The percentage of patients using antihypertensive, antidyslipidemic, antiplatelet agents was similar as about 60%. The prevalence of statins and aspirin users was 52% and 32%, respectively.ConclusionIn our study, two thirds of type 2 diabetic patients were treated with OHA only, and one fifth with insulin plus OHA, and 5% with insulin only. More than half of the patients were using each of antihypertensive, antidyslipidemic, or antiplatelet agents. About a half of the patients were treated with statins and one third were treated with aspirin.

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Section: Discussionsupporting

confidence: 89%

Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan

Suk¹,

Lee²,

Son

et al. 2014

Diabetes Metab J

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“…Of these, 41.0% were smokers and 44.5% ingested alcohol once a week. Thus, among the Korean patients reviewed in that study, the management of diabetes was poor [3].…”

Section: Introductionmentioning

confidence: 91%

“…Few studies have investigated the trend of the prevalence of diabetes in Asia including Korea, where it is increasing rapidly with simultaneous dramatic socioeconomic development [3]. A recent study that compared the prevalence of diabetes between Caucasians and Asians aged over 18 years between 1997 and 2008 using National Institutes of Health Standards (NIHS) data showed that the prevalence of diabetes increased more among Asians than among Caucasians, and was higher among Asian Indians compared to the other populations studied [13].…”

Section: Introductionmentioning

confidence: 99%

Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data

2014

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Purpose: The objective of this study was to provide a trend analysis of the prevalence of diabetes relative to the socioeconomic, lifestyle, and physiologic risk factors among Korean adults aged over 30 years for a 10-year period using data from the Korean National Health and Nutrition Examination Survey. Methods: Prevalence difference and the slope index of inequality were calculated for each risk factors using binomial regression by considering the repeated cross-sectional features of the data. The prevalence ratio and the relative index of inequality were calculated using log-binomial regression. Linear trend tests were performed using SAS 9.2. Results: Crude prevalence of diabetes increased over the 10-year period, and was higher for men than for women. It was very high for adults 60 years or over, consistently increasing over time. The prevalence among unemployed men, women with higher level of stress, women with hypertension, and adults with serum triglyceride levels over 135 mg/dL increased over the 10-year period in comparison with the respective control group. Conclusion: Considering the rapid economic development and associated lifestyle changes in Korea, action should be taken to control the prevalence of diabetes by both preventing and consistently monitoring these identified risk factors using a public-health approach.

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“…Since the subjects analyzed in the previous study were more than 65 years old, the ratio might not be true for the general population of patients with diabetes [7]. In another study to assess the epidemiologic characteristics of diabetes mellitus in Korea, using the Korean health insurance database, 60.6% of patients with diabetes did not receive an education [8]. In 2007, the status of diabetes education in Korea was assessed via survey using questionnaires from diabetes nurse educators who have diabetes educator certificates.…”

Section: Introductionmentioning

confidence: 99%

Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice

et al. 2012

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BackgroundDiabetes self-management education has an important role in diabetes management. The efficacy of education has been proven in several randomized trials. However, the status of diabetes education programs in real Korean clinical practice has not yet been evaluated in terms of patient compliance with the education prescription.MethodsWe retrospectively analyzed clinical and laboratory data from all patients who were ordered to undergo diabetes education during 2009 at Samsung Medical Center, Seoul, Korea (n=2,291). After excluding ineligible subjects, 588 patients were included in the analysis.ResultsAmong the 588 patients, 433 received education. The overall compliance rate was 73.6%, which was significantly higher in the subjects with a short duration or living in a rural area compared to those with a long duration (85.0% vs. 65.1%, respectively; P<0.001) or living in an urban area (78.2% vs. 70.4%, respectively; P=0.037). The hemoglobin A1c decreased greater in the compliant group (from 7.84±1.54 at baseline to 6.79±1.06 at 3 months and 6.97±1.20 at 12 months after prescription in the compliant group vs. from 7.74±1.25 to 7.14±1.02 and 7.24±1.24 in the non-compliant group; P=0.001). The decrease in hemoglobin A1c was greater in the subjects with a short duration (P=0.032).ConclusionIn our study a large percent of patients refuse to get education despite having a prescription from their physician. This refusal rate was higher in the patients with long-standing diabetes or in urban residence. Furthermore, education was more effective in patients with a short duration of diabetes in clinical practice.

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Current Status of Diabetes Management in Korea Using National Health Insurance Database

Cited by 39 publications

References 7 publications

Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan

Current Status of Prescription in Type 2 Diabetic Patients from General Hospitals in Busan

Trend Analysis in the Prevalence of Type 2 Diabetes According to Risk Factors among Korean Adults: Based on the 2001~2009 Korean National Health and Nutrition Examination Survey Data

Education as Prescription for Patients with Type 2 Diabetes Mellitus: Compliance and Efficacy in Clinical Practice

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