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The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea

BACKGROUND: The epidemiology of tuberculosis (TB) has been assessed based on the data of the analysis of TB patients notified to the surveillance system in Korea. However, the national status of TB is not validated through this surveillance system. The objective is to determine the epidemiology of T...

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Autores principales: Park, Yoon-Sung, Hong, Sung-Jin, Boo, Yoo-Kyung, Hwang, Eun-Suk, Kim, Hyun Jung, Cho, Seung-Hee, Na, Kyung-In, Cho, En-Hi, Shin, Sang-Sook
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Tuberculosis and Respiratory Diseases 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475472/
https://www.ncbi.nlm.nih.gov/pubmed/23101024
http://dx.doi.org/10.4046/trd.2012.73.1.48
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author Park, Yoon-Sung
Hong, Sung-Jin
Boo, Yoo-Kyung
Hwang, Eun-Suk
Kim, Hyun Jung
Cho, Seung-Hee
Na, Kyung-In
Cho, En-Hi
Shin, Sang-Sook
author_facet Park, Yoon-Sung
Hong, Sung-Jin
Boo, Yoo-Kyung
Hwang, Eun-Suk
Kim, Hyun Jung
Cho, Seung-Hee
Na, Kyung-In
Cho, En-Hi
Shin, Sang-Sook
author_sort Park, Yoon-Sung
collection PubMed
description BACKGROUND: The epidemiology of tuberculosis (TB) has been assessed based on the data of the analysis of TB patients notified to the surveillance system in Korea. However, the national status of TB is not validated through this surveillance system. The objective is to determine the epidemiology of TB and to understand the accurate status of TB patients treated in private institutions. METHODS: Medical records of 53,579 patients who had been diagnosed with TB in 2008 were analyzed. RESULTS: Among 53,579 patients, the number of sputum smear positive cases was 15,639(29.2%) and the number of new cases was 39,191 (73.1%). The drug resistance rate of new cases was 5.3%, while the rate stood at 13.3% for TB patients with treatment history. The number of multi-drug resistant TB (MDR-TB) patients was 2,472 (4.6%), which consists of 2.9% of new cases and 9.3% of TB patients with prior treatment history. The number of extensively drug-resistant TB patients was 749 (1.4%), consisting of 1.1% of new cases and 2.2% of TB patients with prior treatment history. In terms of treatment outcomes, 66.4% of all TB patients, 70.5% of new cases, 64.4% of relapse cases, and 46.8% of MDR-TB cases were cured or completed. It was inferred that in 2008, the total number of TB patients reached 70,767, 145.6 per 100,000 people (95% confidence interval, 145.5~145.7). CONCLUSION: We conclude that the medical records review of the Health Insurance Review and Assessment Service (HIRA) data can be very effective in promoting the understanding of the current status of TB in private institutions.
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spelling pubmed-34754722012-10-25 The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea Park, Yoon-Sung Hong, Sung-Jin Boo, Yoo-Kyung Hwang, Eun-Suk Kim, Hyun Jung Cho, Seung-Hee Na, Kyung-In Cho, En-Hi Shin, Sang-Sook Tuberc Respir Dis (Seoul) Original Article BACKGROUND: The epidemiology of tuberculosis (TB) has been assessed based on the data of the analysis of TB patients notified to the surveillance system in Korea. However, the national status of TB is not validated through this surveillance system. The objective is to determine the epidemiology of TB and to understand the accurate status of TB patients treated in private institutions. METHODS: Medical records of 53,579 patients who had been diagnosed with TB in 2008 were analyzed. RESULTS: Among 53,579 patients, the number of sputum smear positive cases was 15,639(29.2%) and the number of new cases was 39,191 (73.1%). The drug resistance rate of new cases was 5.3%, while the rate stood at 13.3% for TB patients with treatment history. The number of multi-drug resistant TB (MDR-TB) patients was 2,472 (4.6%), which consists of 2.9% of new cases and 9.3% of TB patients with prior treatment history. The number of extensively drug-resistant TB patients was 749 (1.4%), consisting of 1.1% of new cases and 2.2% of TB patients with prior treatment history. In terms of treatment outcomes, 66.4% of all TB patients, 70.5% of new cases, 64.4% of relapse cases, and 46.8% of MDR-TB cases were cured or completed. It was inferred that in 2008, the total number of TB patients reached 70,767, 145.6 per 100,000 people (95% confidence interval, 145.5~145.7). CONCLUSION: We conclude that the medical records review of the Health Insurance Review and Assessment Service (HIRA) data can be very effective in promoting the understanding of the current status of TB in private institutions. The Korean Academy of Tuberculosis and Respiratory Diseases 2012-07 2012-07-31 /pmc/articles/PMC3475472/ /pubmed/23101024 http://dx.doi.org/10.4046/trd.2012.73.1.48 Text en Copyright © 2012. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved. http://creativecommons.org/licenses/by-nc/3.0 It is identical to the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/).
spellingShingle Original Article
Park, Yoon-Sung
Hong, Sung-Jin
Boo, Yoo-Kyung
Hwang, Eun-Suk
Kim, Hyun Jung
Cho, Seung-Hee
Na, Kyung-In
Cho, En-Hi
Shin, Sang-Sook
The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title_full The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title_fullStr The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title_full_unstemmed The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title_short The National Status of Tuberculosis Using Nationwide Medical Records Survey of Patients with Tuberculosis in Korea
title_sort national status of tuberculosis using nationwide medical records survey of patients with tuberculosis in korea
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475472/
https://www.ncbi.nlm.nih.gov/pubmed/23101024
http://dx.doi.org/10.4046/trd.2012.73.1.48
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