Healthcare-seeking Prevalence of Lower Urinary Tract Symptoms Among National Health Insurance Enrollees in Taiwan, 2000-2009

Wu, Ming; Hsu, Yu Wen; Weng, Shih‐Feng; Ho, Chung‐Han; Wang, Jhi Joung; Tong, Yat-Ching

doi:10.1016/j.urology.2012.08.033

Cited by 22 publications

(36 citation statements)

References 24 publications

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“…The overall prevalence of LUTS in our cohort, defined by LUTS diagnostic codes, or LUTS-related prescription use or procedures or any combination thereof, was lower than in similar aged populations that assessed LUTS with ICD-9 coding 18 or self-administered questionnaires. 19,20 For example, based on over 1 million health care seeking men and women in Taiwan, the prevalence of LUTS coded by insurance claims among 18–29 year olds was 4.3%, whereas in this veteran cohort aged 18–34 years, only 1.3% had a LUTS outcome.…”

Section: Commentcontrasting

confidence: 65%

Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Breyer

Cohen

Bertenthal

et al. 2014

Urology

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OBJECTIVE To determine the prevalence and correlates of lower urinary tract symptoms (LUTS) among returned Iraq and Afghanistan veterans; in particular its association with mental health diagnoses and medication use. METHODS We performed a retrospective cohort study of Iraq and Afghanistan veterans who were new users of U.S. Department of Veterans Affairs health care. Mental health diagnoses were defined by International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM) codes from medical records. LUTS was defined by ICD-9-CM code, use of prescription medication for LUTS, or procedure for LUTS. We determined the independent association of mental health diagnoses and LUTS after adjusting for sociodemographic and military service characteristics, comorbidities, and medications. RESULTS Of 519,189 veterans, 88% were men and the mean age was 31.8 years (standard deviation ± 9.3). The overall prevalence of LUTS was 2.2% (11,237/519,189). Veterans with post-traumatic stress disorder (PTSD) were significantly more likely to have a LUTS diagnosis, prescription, or related procedure (3.5%) compared with veterans with no mental health diagnoses (1.3%) or a mental health diagnosis other than PTSD (3.1%, P <.001). In adjusted models, LUTS was significantly more common in veterans with PTSD with and without other mental health disorders vs those without mental health disorders (adjusted relative risk [ARR] = 2.04, 95% confidence interval [CI] = 1.94–2.15) and in veterans prescribed opioids (ARR = 2.46, 95% CI = 2.36–2.56). CONCLUSION In this study of young returned veterans, mental health diagnoses and prescription for opioids were independently associated with increased risk of receiving a diagnosis, treatment, or procedure for LUTS. Provider awareness may improve the detection and treatment of LUTS, and improve patient care and quality of life. UROLOGY 83: 312—319, 2014.

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Section: Commentcontrasting

confidence: 65%

Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Breyer

Cohen

Bertenthal

et al. 2014

Urology

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“…No statistically significant differences in age, gender, or costs between the sample group and all enrollees in Taiwan exist. Details of the NHIRD are described in our previous studies [7], [16]. Briefly, NHIRD was established by the National Health Research Institute to promote research in existing and emerging medical issues in Taiwan.…”

Section: Methodsmentioning

confidence: 99%

“…In a recent study, we found that demand for healthcare service, with separate subtype distributions, also increased with the advancement of age [7]. Aging is a significant factor in the prevalence of LUTS, and the problems associated with aging is a worldwide phenomenon [8], [9].…”

Section: Introductionmentioning

confidence: 98%

Medical Attendance for Lower Urinary Tract Symptoms Is Associated with Subsequent Increased Risk of Outpatient Visits and Hospitalizations Based on a Nationwide Population-Based Database

Weng

Hsu

et al. 2013

PLoS ONE

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IntroductionLower urinary tract symptoms (LUTS), which encompass storage, voiding, and postmicturition symptoms, are highly prevalent and recognized globally. Based on a nationwide population-based database, this study tests the hypothesis that medical attendance for LUTS is associated with a subsequent increase in the number of outpatient visits and hospitalizations, with differences among medical specialties and age groups.MethodsParticipants were selected from a random population sample of approximately one million people as a representative cohort of National Health Insurance (NHI) enrollees in Taiwan. Participants had at least three outpatient service claims with a coding of LUTS during the recruitment period 2001–2004. Both the LUTS group and non-LUTS control group were monitored for subsequent outpatient visits and hospitalizations, excluding LUTS-related healthcare services, for 2 years following the index date. The results were categorized based on medical specialty and age group.ResultsThe outpatient visit rates (no. per person-year) and adjusted incidence rate ratios (IRRs) (95% confidence interval (CI) were significantly higher in urology (4.51, 95%CI 4.15–4.91) and gynecology (1.82, 95%CI 1.76–1.89) for the LUTS group. They were also significantly high in other departments, including internal medicine (1.25), general practice (1.13), Chinese medicine (1.77), family medicine (1.19), surgery (1.38), and psychiatry (1.98). Similarly, the hospitalization rate (no. per 1000 person-year) and adjusted IRRs (95% CI) were significantly higher in urology (5.50, 95% CI = 4.60–6.50) and gynecology (1.60, 95% CI = 1.35–1.90), as well as in internal medicine (1.55) and surgery (1.56), but not in psychiatry (1.12). Furthermore, the IRRs differed among 3 age groups.ConclusionsA significantly higher number of outpatient visits and hospitalizations were observed for individuals with LUTS, compared to the control group, and the effects differed with the advancement of age. This study broadens understanding of LUTS by viewing their impact on healthcare services with multiple and overlapping systems, rather than considering them exclusively as symptoms of traditional diseases of the bladder and urethra.

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“…In particular, for Korea and Taiwan, the entire population is registered for medical insurance, and almost all medical facilities contract with NHIS, making it possible to analyze the collected data and estimate the prevalence of certain diseases [12][13][14]. We ascertained the number of inpatients and outpatients nationwide for allergic diseases using medical insurance claims data for allergic diseases from 2003 to 2011.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Allergic Disease in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey (2010–2012)

Im¹,

Yang²,

Choi³

et al. 2017

Korean J Otorhinolaryngol-Head Neck Surg

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Objectives: To investigate trends in the prevalence of allergic disease over a 9-year period.Methods: Using National Health Insurance Service (NHIS) data, the annual number of patients with allergic disease was obtained for each regional subdivisions (small cities, counties, and districts) from 2003 to 2011. Annual populations for each sub-region were obtained and used to calculate the standardized prevalence. To compare prevalence within the study period, data was standardized spatially and temporally. For standardization, demographic data was used to obtain the registered population and demographic structure for 2010, which was used to perform direct standardization of previous years. In addition, a geographic information system (GIS) was used to visualize prevalence for individual sub-regions, and allergic diseases were categorized into five groups according to prevalence. Results:The nationwide outpatient prevalence of allergic rhinitis increased approximately 2.3-fold, from 1.27% in 2003 to 2.97% in 2013, while inpatient prevalence also increased approximately 2.4-fold,. The outpatient prevalence of asthma increased 1.2-fold, and inpatient prevalence increased 1.3-fold. The outpatient prevalence of atopic dermatitis decreased approximately 12%, and inpatient prevalence decreased 5%. Conclusions:There was a large difference between prevalence estimated from actual treatment data and prevalence based on patients' self-reported data, particularly for allergic rhinitis. Prevalence must continually be calculated and trends should be analyzed for the efficient management of allergic diseases. To this end, prevalence studies using NHIS claims data may be useful.

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Healthcare-seeking Prevalence of Lower Urinary Tract Symptoms Among National Health Insurance Enrollees in Taiwan, 2000-2009

Cited by 22 publications

References 24 publications

Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Medical Attendance for Lower Urinary Tract Symptoms Is Associated with Subsequent Increased Risk of Outpatient Visits and Hospitalizations Based on a Nationwide Population-Based Database

Prevalence of Allergic Disease in Korean Adults: Results from the Korea National Health and Nutrition Examination Survey (2010–2012)

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