Prevalence of treated epilepsy in Korea based on national health insurance data.

Abstract:

:The Korean national health security system covers the entire population and all medical facilities. We aimed to estimate epilepsy prevalence, anticonvulsant utilization pattern and the cost. We identified prevalent epilepsy patients by the prescription of anticonvulsants under the diagnostic codes suggesting seizure or epilepsy from 2007 Korean National Health Insurance databases. The information of demography, residential area, the kind of medical security service reflecting economic status, anticonvulsants, and the costs was extracted. The overall prevalence of treated epilepsy patients was 2.41/1,000, and higher for men than women. The age-specific prevalence was the lowest in those in their thirties and forties. Epilepsy was more prevalent among lower-income individuals receiving medical aid. The regional prevalence was the highest in Jeju Island and lowest in Ulsan city. New anticonvulsants were more frequently used than old anticonvulsants in the younger age group. The total annual cost of epilepsy or seizure reached 0.46% of total medical expenditure and 0.27% of total expenditure on health. This is the first nationwide epidemiological report issued on epilepsy in Korea. Epilepsy prevalence in Korea is comparable to those in developed countries. Economic status and geography affect the prevalence of epilepsy.

journal_name

J Korean Med Sci

authors

Lee SY,Jung KY,Lee IK,Yi SD,Cho YW,Kim DW,Hwang SS,Kim S,Korean Epilepsy Society.

doi

10.3346/jkms.2012.27.3.285

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

285-90

issue

3

eissn

1011-8934

issn

1598-6357

journal_volume

27

pub_type

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