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Original Article

국내 염증성장질환의 약물치료 및 약제비 현황 : 2010-2014 국민건강보험자료 활용 연구
Medication Use and Drug Expenditure in Inflammatory Bowel Disease : based on Korean National Health Insurance Claims Data (2010-2014)

첫 페이지 보기
  • 발행기관
    한국임상약학회 바로가기
  • 간행물
    한국임상약학회지 KCI 등재 바로가기
  • 통권
    제29권 제2호 (2019.06)바로가기
  • 페이지
    pp.79-88
  • 저자
    하정은, 장은진, 임슬기, 손현순
  • 언어
    한국어(KOR)
  • URL
    https://www.earticle.net/Article/A357153

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원문정보

초록

영어
Backgrounds: Inflammatory bowel disease (IBD) including ulcerative colitis (UC) and Crohn’s disease (CD) increased prevalence and economic burden. Objectives: This study aimed to investigate drug use pattern in IBD patients in a real world. Methods: National Health Insurance claim data from 2010 to 2014 were used in this population-based study. All IBD patients diagnosed during study period were enrolled. IBD medications included 5-aminosalicylic acid (ASA), glucocorticoid, immunomodulator and anti-tumor necrosis factor-α agent(anti TNF-α). Growth rate of IBD prevalence, prescribed drug classes, duration of drug therapy and medication cost were analyzed. Number and percentage of patients for categorical variables, and mean and median for continuous variables were presented. Results: Total numbers of patients were 131,158 and 57,286 during 5 years, and their annual growth rate were 3.2 and 5.7% for UC and CD. UC and CD were prevalent in the 40-50 (41.2%) and 20-30 age groups (36.0%). About 60% of IBD patients was prescribed any of medications. 5-ASA was the most frequently prescribed, followed by corticosteroid and immunomodulator. Anti TNF-α use was the lowest, but 5 times higher than UC in CD. Combination therapies with different class of drugs were in 29% for UC and 62% for CD. Mean prescription days per patient per year were 306 and 378, and the median medication cost per patient per year was KRW 420,000 (USD 383) and KRW 830,000 (USD755), for UC and CD, respectively. Conclusions: Increasing prevalence of IBD requires further studies to contribute to achieve better clinical outcomes of drug therapy.

목차

ABSTRACT
연구 방법
자료원
연구대상자
염증성장질환 치료약제
평가변수
통계분석
연구결과
염증성장질환의 유병률
염증성장질환의 약물치료 시행률
염증성장질환 치료약제 계열별 사용 현황
염증성장질환 치료약제 성분별 사용 현황
염증성장질환 치료약제의 복합요법 사용 현황
염증성장질환 치료약제의 연간 처방일수
염증성장질환 치료약제의 연간 약제비 규모
고찰
결론
감사의 글
참고문헌

키워드

Inflammatory bowel disease ulcerative colitis Crohn’s disease drug therapy real world data

저자

  • 하정은 [ Jung Eun Ha | 차의과학대학교 약학대학 ]
  • 장은진 [ Eun Jin Jang | 안동대학교 자연과학대학 ]
  • 임슬기 [ Seul Gi Im | 경북대학교 자연과학대학 ]
  • 손현순 [ Hyun Soon Sohn | 차의과학대학교 약학대학 ] Corresponding Author

참고문헌

자료제공 : 네이버학술정보

간행물 정보

발행기관

  • 발행기관명
    한국임상약학회 [Korean College of Clinical Pharmacy]
  • 설립연도
    1
  • 분야
    의약학>약학
  • 소개
    합리적 약물치료(rational pharmacotherapy)의 보장 및 증진을 궁극목적으로 하며 이를 달성하기 위해 임상약학의 발전과 회원 상호간의 친목을 도모한다.

간행물

  • 간행물명
    한국임상약학회지 [Korean Journal of Clinical Pharmacy]
  • 간기
    계간
  • pISSN
    1226-6051
  • 수록기간
    1991~2026
  • 등재여부
    KCI 등재
  • 십진분류
    KDC 518 DDC 615

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