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논문분류 춘계학술대회 초록집
제목 Medical costs in peri-diagnosis period of various biopsy-confirmed kidney diseases in South Korea
저자 Young Sun Shin
출판정보 2024; 2024(1):
키워드
초록 Objectives: In-depth investigation is imperative to scrutinize medical costs associated with pre- and post-biopsy periods for diverse kidney diseases in South Korea. Long-term epidemiological data, including follow-up information, is essential for comparing risks linked to various kidney diseases and their adverse outcomes. Methods: Patients diagnosed with glomerulonephritis (GN), tubulointerstitial nephritis (TIN), and acute tubular necrosis (ATN) at Seoul National University Hospital between 2012 and 2018 were included. We linked the prospective cohort data of biopsy-confirmed kidney disease patients (KORNERSTONE) from our study hospital to the national claims database of Korea, covering both medical events and insured costs. We analyzed medical costs during the pre- and post-kidney biopsy periods, categorized by specific diagnoses, and delved into adverse prognostic outcomes. Results: Our study involved 1,390 patients with biopsy-confirmed GN, TIN, and ATN. Post-diagnosis, monthly average medical costs increased for most kidney diseases, excluding membranous nephropathy, Henoch Schönlein purpura, and amyloidosis. The most substantial yearly average medical cost increase was observed in the ATN, ATIN (acute TIN), and CTIN (chronic TIN) groups. Costs rose for most kidney disease categories, except for amyloidosis. Higher myocardial infarction, stroke, and death rates were noted in CTIN, ATIN, and ATN compared to other types, with lupus nephritis displaying the highest end-stage kidney disease progression rate. Conclusions: In South Korea, medical costs for the majority of GN, TIN, and ATN patients increased following kidney biopsy diagnosis. This current data provides valuable epidemiological insights into the medical costs and prognosis of various kidney diseases in the country.
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