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)
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 diseaseulcerative colitisCrohn’s diseasedrug therapyreal world data