건강보험심사평가원 보건의료빅데이터개방시스템을 활용한 코로나-19 유행 전‧후의 이과 질환 진료 변화 분석 (Analysis of Changes in Medical Treatment for Otological Diseases Before and After COVID-19 Pandemic Using HIRA Healthcare Bigdata Hub)

서지정보

· 발행기관 : 대한이비인후과학회 부산,울산,경남 지부회
· 수록지 정보 : 임상이비인후과 / 35권 / 2호 / 57 ~ 68페이지
· 저자명 : 김석현, 이일우, 공수근, 오세준, 엄태웅, 이현민

초록

Background and Objectives: The COVID-19 pandemic has also brought about significant changes in otologic diseas- es. To analyze the changes in medical treatment patterns of otologic diseases before and after COVID-19 pandemic in South Korea, we utilized the Health Insurance Review and Assessment Service (HIRA) healthcare big data open system.
Materials and Methods: From January 2018 (before the outbreak of COVID-19; 2018, 2019) to December 2021 (after COVID-19 pandemic; 2020, 2021), we analyzed data related to hearing-related diseases, otitis media-related diseases, and vestibular disorders based on diagnosis codes. This analysis assessed the frequency of medical visits, associat- ed medical expenses, and the number of surgeries. Results: The hearing-related group showed an overall increase.
Among them, sudden idiopathic hearing loss (H91.2) and tinnitus (H93.1) increased by 9.7% and 2.9%, respectively. The otitis media-related group showed a significant decrease. Acute suppurative otitis media (H660) decreased by 28%, acute serous otitis media (H650) by 25%, and chronic serous otitis media (H652) by 21%. In contrast, chronic tubotym- panic suppurative otitis media (H661) showed a 5.2% increase. The vestibular disease group showed an increase. Be- nign paroxysmal positional vertigo (BPPV ) (H81.1) increased by 21%, Ménière’s disease (H8100) by 15%, and vestibular neuronitis (H81.2) by 13%. There was a decrease in otologic surgeries. Ventilation tube insertion (S5620) decreased by 14%, tympanoplasty (S5640) by 9.3% and canal wall up mastoidectomy (S5671) by 6.7%. Conclusion: The COVID-19 pandemic has identified many disease-specific shifts in healthcare behavior. Our study of these changes may provide clues about how to respond to future pandemics.

영어초록

Background and Objectives: The COVID-19 pandemic has also brought about significant changes in otologic diseas- es. To analyze the changes in medical treatment patterns of otologic diseases before and after COVID-19 pandemic in South Korea, we utilized the Health Insurance Review and Assessment Service (HIRA) healthcare big data open system.
Materials and Methods: From January 2018 (before the outbreak of COVID-19; 2018, 2019) to December 2021 (after COVID-19 pandemic; 2020, 2021), we analyzed data related to hearing-related diseases, otitis media-related diseases, and vestibular disorders based on diagnosis codes. This analysis assessed the frequency of medical visits, associat- ed medical expenses, and the number of surgeries. Results: The hearing-related group showed an overall increase.
Among them, sudden idiopathic hearing loss (H91.2) and tinnitus (H93.1) increased by 9.7% and 2.9%, respectively. The otitis media-related group showed a significant decrease. Acute suppurative otitis media (H660) decreased by 28%, acute serous otitis media (H650) by 25%, and chronic serous otitis media (H652) by 21%. In contrast, chronic tubotym- panic suppurative otitis media (H661) showed a 5.2% increase. The vestibular disease group showed an increase. Be- nign paroxysmal positional vertigo (BPPV ) (H81.1) increased by 21%, Ménière’s disease (H8100) by 15%, and vestibular neuronitis (H81.2) by 13%. There was a decrease in otologic surgeries. Ventilation tube insertion (S5620) decreased by 14%, tympanoplasty (S5640) by 9.3% and canal wall up mastoidectomy (S5671) by 6.7%. Conclusion: The COVID-19 pandemic has identified many disease-specific shifts in healthcare behavior. Our study of these changes may provide clues about how to respond to future pandemics.

참고자료

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