DOI QR코드

DOI QR Code

The economic burden of stroke in 2010 in Korea

2010년 한국인 뇌졸중의 경제적 질병부담

  • Kim, Hyun-Jin (Department of Public Health, Graduate School, Korea University) ;
  • Kim, Young-Ae (Department of Public Health, Graduate School, Korea University) ;
  • Seo, Hye-Young (Department of Health Policy and Hospital Management, Graduate School of Public Health, Korea University) ;
  • Kim, Eun-Jung (Department of Nursing, Cheju Halla College) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Oh, In-Hwan (Department of Preventive Medicine, School of Medicine, Kyung Hee University)
  • 김현진 (고려대학교 일반대학원 보건학협동과정) ;
  • 김영애 (고려대학교 일반대학원 보건학협동과정) ;
  • 서혜영 (고려대학교 보건대학원 보건 정책 및 병원관리학과) ;
  • 김은정 (제주한라대학교 간호학과) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실) ;
  • 오인환 (경희대학교 의학전문대학원 예방의학교실)
  • Published : 2012.12.10

Abstract

Stroke is a disease that causes a substantial economic burden. With the rapidly aging population in Korea, the prevalence of chronic diseases, including stroke, is expected to rise, along with associated health care expenditures. Therefore, we estimated the economic burden of stroke in Korea in 2010 using nationally representative data. We used a prevalence-based approach to estimate the cost of stroke by claims data from the Korean National Health Insurance. Data from the Korea Health Panel, the Korea National Statistical Office's records of causes of death, and Labor Statistics were used to calculate direct non-medical costs and indirect costs. Direct costs included direct medical costs and direct non-medical costs, and indirect costs were opportunity costs lost due to premature death and productivity loss. Total costs were estimated by adding age- and gender-specific costs. The total economic burden of stroke was $3.53 billion: $1.87 billion for hemorrhagic stroke and $1.66 billion for ischemic stroke. The direct costs were $1.74 billion and the indirect costs were $1.79 billion. By gender, males were burdened at $2.19 billion, while females bore $1.34 billion of the total burden. Stroke imposes a huge economic burden, as indicated by the fact that the costs of stroke increased by 4.4% from 2005 to 2010, and the estimated cost was 0.35% of gross domestic product. Therefore, effective prevention programs and treatments are needed to reduce the economic burden of stroke in Korea.

Keywords

References

  1. Luengo-Fernandez R, Leal J, Gray A, Petersen S, Rayner M. Cost of cardiovascular diseases in the United Kingdom. Heart 2006;92:1384-1389. https://doi.org/10.1136/hrt.2005.072173
  2. Leal J, Luengo-Fernandez R, Gray A, Petersen S, Rayner M. Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J 2006;27:1610-1619. https://doi.org/10.1093/eurheartj/ehi733
  3. Statistics Korea. Report on death causes 2008. Daejeon: Statistics Korea; 2008.
  4. Korea Centers for Disease Control and Prevention. The Korea National Health and Nutrition Examination Survey (KNHANES). Cheongwon: Korea Centers for Disease Control and Prevention; 2005.
  5. Statistics Korea. Report on the social statistics survey 2008. Daejeon: Statistics Korea; 2010.
  6. American Heart Association. Heart disease and stroke statistics: 2008 update. Dallas: American Heart Association; 2008.
  7. Kang HY, Lim SJ, Suh HS, Liew D. Estimating the lifetime economic burden of stroke according to the age of onset in South Korea: a cost of illness study. BMC Public Health 2011;11:646. https://doi.org/10.1186/1471-2458-11-646
  8. Lim SJ, Kim HJ, Nam CM, Chang HS, Jang YH, Kim S, Kang HY. Socioeconomic costs of stroke in Korea: estimated from the Korea national health insurance claims database. J Prev Med Public Health 2009;42:251-260. https://doi.org/10.3961/jpmph.2009.42.4.251
  9. Saka RO, McGuire A, Wolfe CD. Economic burden of stroke in England. London: University of London; 2009.
  10. Chan B, Hayes B. Cost of stroke in Ontario, 1994/95. CMAJ 1998;159:S2-S8.
  11. Gosman-Hedstrom G, Claesson L, Blomstrand C, Fagerberg B, Lundgren-Lindquist B. Use and cost of assistive technology the first year after stroke. A randomized controlled trial. Int J Technol Assess Health Care 2002;18:520-527.
  12. World Health Organization. International Classification of Diseases (ICD) [Internet]. Geneva: World Health Organization [cited 2010 Nov 1]. Available from: http://www.who.int/classifications/icd/en.
  13. Kim SG, Hahm MI, Choi KS, Seung NY, Shin HR, Park EC. The economic burden of cancer in Korea in 2002. Eur J Cancer Care (Engl) 2008;17:136-144. https://doi.org/10.1111/j.1365-2354.2007.00818.x
  14. Oh IH, Yoon SJ, Seo HY, Kim EJ, Kim YA. The economic burden of musculoskeletal disease in Korea: a cross sectional study. BMC Musculoskelet Disord 2011;12:157. https://doi.org/10.1186/1471-2474-12-157
  15. Kim JH, Chung JC, Kim SO. Results of survey on medical care cost by patient. In: Lee SY, editor. Survey in the benefit coverage rate of National Health Insurance in 2006. Seoul: National Health Insurance Corporation; 2007. p. 111-125.
  16. Korea Health Panel. Transportation cost for healthcare utilization in 2008 [Internet]. Seoul: Korea Health Panel [cited 2010 Nov 1]. Available from: http://www.khp.re.kr.
  17. Sarangnanum Medicare Service Association. The official average guardian cost [Internet]. [place unknown]: Sarangnanum Medicare Service Association [cited 2010 Nov 1]. Available from: http://www.sarangnanum.or.kr/esnc/service.htm.
  18. Kim SY, Yoon SJ, Jo MW, Kim EJ, Kim HJ, Oh IH. Economic burden of allergic rhinitis in Korea. Am J Rhinol Allergy 2010;24:e110-e113.
  19. Drummond MF, Stoddart GL, Torrance GW. Methods for the economic evaluation of health care programmes. 2nd ed. Toronto: Oxford University Press; 1997.
  20. Ministry of Employment and Labor. Survey report on wage structure in 2007 [Internet]. Gwacheon: Ministry of Employment and Labor [cited 2010 Nov 1]. Available from: http://laborstat.molab.go.kr/SurveyWH/OLAP/Analysis/stat_OLAP.jsp?tbl_id=DT_PAY0004&org_id=118&path .
  21. Schmid A, Pugin J, Chevrolet JC, Marsch S, Ludwig S, Stocker R, Finnern H. Burden of illness imposed by severe sepsis in Switzerland. Swiss Med Wkly 2004;134:97-102.
  22. Kim J, Hahm MI, Park EC, Park JH, Park JH, Kim SE, Kim SG. Economic burden of cancer in South Korea for the year 2005. J Prev Med Public Health 2009;42:190-198. https://doi.org/10.3961/jpmph.2009.42.3.190
  23. Oh MS, Yu KH, Roh JK, Lee BC; Korean Stroke Registry Study Group. Gender differences in the mortality and outcome of stroke patients in Korea. Cerebrovasc Dis 2009;28:427-434. https://doi.org/10.1159/000235986
  24. Glader EL, Stegmayr B, Norrving B, Terent A, Hulter-Asberg K, Wester PO, Asplund K; Riks-Stroke Collaboration. Sex differences in management and outcome after stroke: a Swedish national perspective. Stroke 2003;34:1970-1975. https://doi.org/10.1161/01.STR.0000083534.81284.C5
  25. Di Carlo A, Lamassa M, Baldereschi M, Pracucci G, Basile AM, Wolfe CD, Giroud M, Rudd A, Ghetti A, Inzitari D; European BIOMED Study of Stroke Care Group. Sex differences in the clinical presentation, resource use, and 3-month outcome of acute stroke in Europe: data from a multicenter multinational hospital-based registry. Stroke 2003;34:1114-1119. https://doi.org/10.1161/01.STR.0000068410.07397.D7
  26. Reid JM, Dai D, Gubitz GJ, Kapral MK, Christian C, Phillips SJ. Gender differences in stroke examined in a 10-year cohort of patients admitted to a Canadian teaching hospital. Stroke 2008;39:1090-1095. https://doi.org/10.1161/STROKEAHA.107.495143
  27. Han MK, Huh Y, Lee SB, Park JH, Lee JJ, Choi EA, Lim JY, Lim S, Kim KI, Park YJ, Paik NJ, Kim TK, Jang HC, Kim KW; Korean Consortium for Health and Aging Research. Prevalence of stroke and transient ischemic attack in Korean elders: findings from the Korean Longitudinal Study on Health and Aging (KLoSHA). Stroke 2009;40:966-969. https://doi.org/10.1161/STROKEAHA.108.524983
  28. Thorngren M, Westling B. Utilization of health care resources after stroke: a population-based study of 258 hospitalized cases followed during the first year. Acta Neurol Scand 1991;84:303-310. https://doi.org/10.1111/j.1600-0404.1991.tb04959.x
  29. Hong KS. Disability-adjusted life years analysis: implications for stroke research. J Clin Neurol 2011;7:109-114. https://doi.org/10.3988/jcn.2011.7.3.109
  30. Koh IS, Kim HC, Kwon SB, Hwang SH, Kwon KH, Kim SM, Song HK, Lee BC. The compliance of stroke patients for secondary prevention: in Seoul & Kyunggi province. J Korean Neurol Assoc 1999;17:472-477.

Cited by

  1. The Epidemiology and Economic Burden of Clostridium difficile Infection in Korea vol.2015, pp.None, 2012, https://doi.org/10.1155/2015/510386
  2. Recent Trends in Economic Burden of Acute Myocardial Infarction in South Korea vol.10, pp.2, 2012, https://doi.org/10.1371/journal.pone.0117446
  3. 뇌졸중 환자의 작업치료 보험수가 분석 vol.16, pp.3, 2012, https://doi.org/10.5762/kais.2015.16.3.1920
  4. 착용형 하지 로봇을 이용한 편마비 보행 재활 훈련 효과에 관한 연구 vol.32, pp.10, 2015, https://doi.org/10.7736/kspe.2015.32.10.879
  5. The Economic Burden of Hepatitis A, B, and C in South Korea vol.69, pp.1, 2012, https://doi.org/10.7883/yoken.jjid.2014.499
  6. Productivity losses associated with cardiovascular disease: a systematic review vol.16, pp.6, 2012, https://doi.org/10.1080/14737167.2016.1259571
  7. Big Data-Enabled Analysis of DRGs-Based Payment on Stroke Patients in Jiaozuo, China vol.2020, pp.None, 2012, https://doi.org/10.1155/2020/6690019
  8. Measuring stroke and transient ischemic attack burden in New Zealand: Protocol for the fifth Auckland Regional Community Stroke Study (ARCOS V) vol.15, pp.5, 2012, https://doi.org/10.1177/1747493019884528
  9. The Socioeconomic Burden of Acquired Brain Injury among the Korean Patients over 20 Years of Age in 2015-2017: a Prevalence-Based Approach vol.14, pp.3, 2012, https://doi.org/10.12786/bn.2021.14.e24