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Current treatment status and medical costs for hemodialysis vascular access based on analysis of the Korean Health Insurance Database
The Korean Journal of Internal Medicine ; : 1160-1168, 2018.
Artículo en Inglés | WPRIM | ID: wpr-718015
ABSTRACT
BACKGROUND/

AIMS:

The Republic of Korea is a country where the hemodialysis population is growing rapidly. It is believed that the numbers of treatments related to vascular access-related complications are also increasing. This study investigated the current status of treatment and medical expenses for vascular access in Korean patients on hemodialysis.

METHODS:

This was a descriptive observational study. We inspected the insurance claims of patients with chronic kidney disease who underwent hemodialysis between January 2008 and December 2016. We calculated descriptive statistics of the frequencies and medical expenses of procedures for vascular access.

RESULTS:

The national medical expenses for access-related treatment were 7.12 billion KRW (equivalent to 6.36 million USD) in 2008, and these expenses increased to 42.12 billion KRW (equivalent to 37.67 million USD) in 2016. The population of hemodialysis patients, the annual frequency of access-related procedures, and the total medical cost for access-related procedures increased by 1.6-, 2.6-, and 5.9-fold, respectively, over the past 9 years. The frequency and costs of access care increased as the number of patients on hemodialysis increased. The increase in vascular access-related costs has largely been driven by increased numbers of percutaneous angioplasty.

CONCLUSIONS:

The increasing proportion of medical costs for percutaneous angioplasty represents a challenge in the management of end-stage renal disease in Korea. It is essential to identify the clinical and physiological aspects as well as anatomical abnormalities before planning angioplasty. A timely surgical correction could be a viable option to control the rapid growth of access-related medical expenses.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Fístula Arteriovenosa / Diálisis Renal / Angioplastia / Insuficiencia Renal Crónica / República de Corea / Procedimientos Endovasculares / Estudio Observacional / Reclamos Administrativos en el Cuidado de la Salud / Seguro / Seguro de Salud Tipo de estudio: Evaluación Económica en Salud / Estudio observacional Límite: Humanos País/Región como asunto: Asia Idioma: Inglés Revista: The Korean Journal of Internal Medicine Año: 2018 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Fístula Arteriovenosa / Diálisis Renal / Angioplastia / Insuficiencia Renal Crónica / República de Corea / Procedimientos Endovasculares / Estudio Observacional / Reclamos Administrativos en el Cuidado de la Salud / Seguro / Seguro de Salud Tipo de estudio: Evaluación Económica en Salud / Estudio observacional Límite: Humanos País/Región como asunto: Asia Idioma: Inglés Revista: The Korean Journal of Internal Medicine Año: 2018 Tipo del documento: Artículo