Abstract:
OBJECTIVES:This study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category. DESIGN AND SETTING:The 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence. Sociodemographic characteristics and medical service use, frequency and medical costs regarding common shoulder disorders were evaluated. RESULTS:The majority of patients with shoulder disorder received ambulatory care (97%). Total and per-patient expenses were highest in patients with RCS. The number of inpatients with RCS was more than twice that of the other two groups, and patients with RCS were more likely to receive surgical management compared with patients with ACS and SIS. Prevalence of shoulder disorders was highest among subjects in their 50s for all three groups. Primary care physicians treated 75.80% of patients with ACS, 56.99% of patients with RCS and 48.06% of patients with SIS, respectively, outlining the difference in medical institution usage patterns. In all three groups, the highest proportion of patients visited orthopaedic surgeons out of medical departments. In the ACS and SIS groups, cost of visits (consultations) took up the largest part of total expenses at 32.30% and 18.88%, respectively, while cost of procedure/surgery constituted the largest portion in patients with RCS (37.77%). The usage proportion of subcutaneous or intramuscular and intra-articular injections ranged between 20% and 30% for outpatients in all three groups. CONCLUSIONS:Medical service use, frequency and cost distributions relating to major shoulder disorders in Korea were assessed using nationwide claims data. These findings are expected to aid policy-makers as well as researchers and practitioners as basic healthcare data.
journal_name
BMJ Openjournal_title
BMJ openauthors
Joo H,Lee YJ,Shin JS,Lee J,Kim MR,Koh W,Park Y,Song YK,Cho JH,Ha IHdoi
10.1136/bmjopen-2017-015848subject
Has Abstractpub_date
2017-07-12 00:00:00pages
e015848issue
7issn
2044-6055pii
bmjopen-2017-015848journal_volume
7pub_type
杂志文章相关文献
BMJ Open文献大全abstract:INTRODUCTION:Tobacco causes kidney damage that can progress to chronic kidney disease. However, the diagnostic parameters used in clinics are not effective in identifying smokers at risk. Our first objective is to more effectively detect subclinical renal damage in smokers. In addition, we hypothesise that tobacco cons...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032918
更新日期:2020-03-08 00:00:00
abstract:INTRODUCTION:Chronic musculoskeletal pain is a complex medical condition that can significantly impact quality of life. Patients with chronic pain demonstrate attentional biases towards pain-related information. The therapeutic benefits of modifying attentional biases by implicitly training attention away from pain-rel...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030607
更新日期:2020-02-20 00:00:00
abstract:OBJECTIVE:We aimed to epidemiologically assess rubella herd immunity as a function of time, age and gender in Japan, with reference to the recent 2012-2014 rubella epidemic. DESIGN:This study is a retrospective seroepidemiological analysis. MAIN OUTCOME MEASURES:The susceptible fraction of the population was examined...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-009928
更新日期:2016-01-27 00:00:00
abstract:OBJECTIVES:The need for thorough patient information is increasing as maternity care becomes more medicalised. The aim was to assess the quality of written patient information on labour induction. In most Danish hospitals, misoprostol is the first-choice drug for induction in low-risk pregnancies. Misoprostol has been ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011333
更新日期:2016-05-27 00:00:00
abstract:INTRODUCTION:Childcare settings have been widely identified as important venues for promoting healthy lifestyles to children. Out-of-school hours care (OSHC) is a rapidly growing childcare service, yet there has been limited research reported on healthy eating and physical activity (HEPA) environments within the Austra...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036397
更新日期:2020-09-28 00:00:00
abstract:OBJECTIVES:This study sought to explore patients' experiences of living with, and adapting to, chronic obstructive pulmonary disease (COPD) in the rural context. Specifically, our research question was 'What are the barriers and facilitators to living with and adapting to COPD in rural Australia?' DESIGN:Qualitative, ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030953
更新日期:2019-10-07 00:00:00
abstract:OBJECTIVE:To compare the benefits and harms of a Dutch 10-session Community Occupational Therapy programme for patients with Alzheimer's disease with the impact of a one session consultation at home in German routine healthcare. DESIGN:A seven-centre, parallel group, active controlled randomised controlled trial. Pati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000096
更新日期:2011-08-09 00:00:00
abstract:OBJECTIVE:To assess the impact of describing an antibody-positive test result using the terms Immunity and Passport or Certificate, alone or in combination, on perceived risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and protective behaviours. DESIGN:2×3 experimental design...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2020-040448
更新日期:2020-08-30 00:00:00
abstract:OBJECTIVES:Emotional issues such as depression, anxiety and post-traumatic stress disorder are common following a cardiac event. Despite their high prevalence, they often go undiagnosed and research suggests that men in particular are at higher risk. Therefore, a better understanding of men's experiences with a cardiac...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029560
更新日期:2019-09-27 00:00:00
abstract:OBJECTIVE:To provide insight into how and in what clinical fields overdiagnosis is studied and give directions for further applied and methodological research. DESIGN:Scoping review. DATA SOURCES:Medline up to August 2017. STUDY SELECTION:All English studies on humans, in which overdiagnosis was discussed as a domin...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2017-018448
更新日期:2017-12-27 00:00:00
abstract:OBJECTIVES:To explore perceptions of superslims packaging, including compact 'lipstick' packs, in line with 3 potential impacts identified within the impact assessment of the European Union (EU) Tobacco Products Directive: appeal, harm perceptions and the seriousness of warning of health risks. DESIGN:Qualitative focu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010102
更新日期:2016-01-08 00:00:00
abstract:INTRODUCTION:Although shortcomings in clinician-family communication and decision making for incapacitated, critically ill patients are common, there are few rigorously tested interventions to improve outcomes. In this manuscript, we present our methodology for the Pairing Re-engineered Intensive Care Unit Teams with N...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033521
更新日期:2020-03-29 00:00:00
abstract:OBJECTIVES:Sickness absence (SA) is a widely studied integrated measure of health status. To better understand how SA behaves over time (SA trajectory) a longitudinal and individual-centred approach will allow identifying groups of individuals who share common characteristics. The aim of this study was to identify and ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-029092
更新日期:2019-07-03 00:00:00
abstract:PURPOSE:Despite the growing evidence that physical activity and familial factors play a role in low back pain (LBP), there is a lack of robust longitudinal studies that (1) investigate the types and dosages of physical activity that are protective or harmful for LBP, (2) employ objective measures of physical activity a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036301
更新日期:2020-07-28 00:00:00
abstract::Objectives To evaluate the adequacy of reporting of protocols for randomised trials on diseases of the digestive system registered in http://ClinicalTrials.gov and the consistency between primary outcomes, secondary outcomes and sample size specified in http://ClinicalTrials.gov and published trials. Methods Randomis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000309
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:The hypertension epidemic in Africa collectively with very low rates of blood pressure control may predict an incremented prevalence of resistant hypertension (RH) across the continent. The aim of this study was to determine the prevalence of RH and associated risk factors in Africa. DATA SOURCES:We conducte...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-011452
更新日期:2016-09-20 00:00:00
abstract:INTRODUCTION:Bicycling is promoted as a transportation and population health strategy globally. Yet bicycling has low uptake in North America (1%-2% of trips) compared with European bicycling cities (15%-40% of trips) and shows marked sex and age trends. Safety concerns due to collisions with motor vehicles are primary...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019130
更新日期:2018-01-21 00:00:00
abstract:OBJECTIVES:The job of firefighting can cause lumbar burden and low back pain. This study aimed to identify the association between age and lumbar intervertebral disc degeneration and whether the association differs between field and administrative (non-field) firefighters. METHODS:Subjects were selected using a strati...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2016-011587
更新日期:2016-06-28 00:00:00
abstract:OBJECTIVES:Patient-centred care is related to better health outcomes, greater patient satisfaction and reduced healthcare costs. One of the core components of patient-centred care, defined in the patient-centred clinical method, is enhancing the patient-doctor relationship. In this study, we aim to measure the therapeu...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-033710
更新日期:2020-02-05 00:00:00
abstract:OBJECTIVE:Leadership is associated with organisational performance in healthcare, including quality, safety and clinical outcomes for patients. Leadership development programmes have proliferated in recent years. Nevertheless, very few have examined participant experiences in depth in order to understand which programm...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-035797
更新日期:2020-04-06 00:00:00
abstract:OBJECTIVE:Post-randomisation exclusions in randomised controlled trials are common and may include participants identified as not meeting trial eligibility criteria after randomisation. We report how a decision might be reached and reported on, to include or exclude these participants. We illustrate using a motivating ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039546
更新日期:2020-12-02 00:00:00
abstract:OBJECTIVES:To compare the efficacy of hypnotherapy versus gabapentin for the treatment of hot flashes in breast cancer survivors, and to evaluate the feasibility of conducting a clinical trial comparing a drug with a complementary or alternative method (CAM). DESIGN:Prospective randomised trial. SETTING:Breast health...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003138
更新日期:2013-09-10 00:00:00
abstract:INTRODUCTION:Cannabis use and dependence is a serious health and criminal justice issue among incarcerated populations internationally. Upon abrupt, enforced cessation of cannabis, prisoners may suffer irritability and anger that can lead to threatening behaviour, intimidation, violence, sleep disturbances and self-har...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002951
更新日期:2013-05-28 00:00:00
abstract:OBJECTIVES:In the UK there are approximately 850 000 new fractures seen each year. Rates of non-union of 5-10% of fractures have been suggested, the cost to the National Health Service of treating non-union has been reported to range between £7000 and £79 000 per person yet there are little actual data available. The o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002276
更新日期:2013-02-08 00:00:00
abstract:OBJECTIVES:The objective of this study was to longitudinally describe the history of tonsil surgery in Swedish children and adolescents regarding incidence, indications for surgery, surgical methods and the age and gender distributions. SETTING:A retrospective longitudinal population-based cohort study based on regist...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-013346
更新日期:2017-01-13 00:00:00
abstract:OBJECTIVES:According to a large-scale international survey, Peru has one of the highest prevalences of asthma worldwide; however, data from this survey were limited to participants from urban Lima. The authors sought to characterise the epidemiology of asthma in Peru in two regions with disparate degrees of urbanisatio...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2011-000421
更新日期:2012-02-22 00:00:00
abstract:OBJECTIVES:Low-dose methoxyflurane is a non-opioid, inhaled analgesic administered via the Penthrox inhaler and was recently licensed in Europe for emergency relief of moderate-to-severe trauma-associated pain in conscious adults. This non-interventional study investigated occupational exposure to methoxyflurane in the...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034647
更新日期:2020-02-10 00:00:00
abstract:INTRODUCTION:Foot ulceration is a multifactorial complication of diabetes. Therapeutic insoles and footwear are frequently used to reduce elevated tissue pressures associated with risk of foot ulceration. A novel protocol using in-shoe pressure measurement technology to provide an instant optimised insole and house sho...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2019-029185
更新日期:2019-03-23 00:00:00
abstract:OBJECTIVES:National guidelines recommend mobilisation in bed as early as possible after acute stroke. Little is known about the influence of upright positioning on real-time cerebral flow variables in patients with stroke. We aimed to assess whether cerebral blood flow velocity (CBFV) changes significantly after uprigh...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-002960
更新日期:2013-08-14 00:00:00
abstract:OBJECTIVES:Treatment patterns for patients with myelodysplastic syndromes (MDS) outside clinical trials are not well described. Our objective was to evaluate treatment patterns and patient characteristics that influence time to disease-modifying therapy in patients with MDS in the USA. DESIGN, PARTICIPANTS AND OUTCOME...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019955
更新日期:2018-07-23 00:00:00