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Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study

PURPOSE: We aimed to analyze the characteristics and management of bladder and urethral injuries in Korea by use of the National Health Insurance Service (NHIS) database. MATERIALS AND METHODS: Data from the NHIS database representative of all cases of Korean bladder injury (n=4,631) and urethral in...

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Autores principales: Tae, Bum Sik, Yoon, Young Eun, Na, Woong, Oh, Kyung Jin, Park, Sung Yul, Park, Jae Young, Moon, Hong Sang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8756144/
https://www.ncbi.nlm.nih.gov/pubmed/34983127
http://dx.doi.org/10.4111/icu.20210065
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author Tae, Bum Sik
Yoon, Young Eun
Na, Woong
Oh, Kyung Jin
Park, Sung Yul
Park, Jae Young
Moon, Hong Sang
author_facet Tae, Bum Sik
Yoon, Young Eun
Na, Woong
Oh, Kyung Jin
Park, Sung Yul
Park, Jae Young
Moon, Hong Sang
author_sort Tae, Bum Sik
collection PubMed
description PURPOSE: We aimed to analyze the characteristics and management of bladder and urethral injuries in Korea by use of the National Health Insurance Service (NHIS) database. MATERIALS AND METHODS: Data from the NHIS database representative of all cases of Korean bladder injury (n=4,631) and urethral injury (n=17,858) reported between 2012 and 2016 were analyzed. We used the International Classification of Diseases, 10th revision, clinical modification codes to identify the diagnoses. RESULTS: A total of 491 males (1.97/100,000) and 590 females (2.39/100,000) experienced bladder injury in 2012, and 449 males (1.76/100,000) and 624 females (2.47/100,000) in 2016. The risk of bladder injury was higher in female than in male (hazard ratio [HR], 1.267; p<0.001). The annual incidence of bladder injury did not increase (HR, 0.992; p=0.409). A total of 2,886 (62.3%) patients were managed with conservative treatment, and 1,745 (37.7%) patients underwent surgical treatment. A total of 4,114 males (16.5/100,000) and 285 females (1.2/100,000) had urethral injury in 2012, while 4,465 males (17.5/100,000) and 303 females (1.2/100,000) had urethral injury in 2016. The incidence of urethral injury is increasing annually (HR, 1.010; p=0.036). CONCLUSIONS: The incidence of urethral injury increased continuously over the years studied, whereas that of bladder injury remained unchanged in Korea. The incidence of bladder injury was higher in females, and more than 90% of total urethral injuries were reported in males. This is the first study to evaluate the epidemiology of bladder and urethral injury using a nationwide population database.
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spelling pubmed-87561442022-01-25 Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study Tae, Bum Sik Yoon, Young Eun Na, Woong Oh, Kyung Jin Park, Sung Yul Park, Jae Young Moon, Hong Sang Investig Clin Urol Original Article PURPOSE: We aimed to analyze the characteristics and management of bladder and urethral injuries in Korea by use of the National Health Insurance Service (NHIS) database. MATERIALS AND METHODS: Data from the NHIS database representative of all cases of Korean bladder injury (n=4,631) and urethral injury (n=17,858) reported between 2012 and 2016 were analyzed. We used the International Classification of Diseases, 10th revision, clinical modification codes to identify the diagnoses. RESULTS: A total of 491 males (1.97/100,000) and 590 females (2.39/100,000) experienced bladder injury in 2012, and 449 males (1.76/100,000) and 624 females (2.47/100,000) in 2016. The risk of bladder injury was higher in female than in male (hazard ratio [HR], 1.267; p<0.001). The annual incidence of bladder injury did not increase (HR, 0.992; p=0.409). A total of 2,886 (62.3%) patients were managed with conservative treatment, and 1,745 (37.7%) patients underwent surgical treatment. A total of 4,114 males (16.5/100,000) and 285 females (1.2/100,000) had urethral injury in 2012, while 4,465 males (17.5/100,000) and 303 females (1.2/100,000) had urethral injury in 2016. The incidence of urethral injury is increasing annually (HR, 1.010; p=0.036). CONCLUSIONS: The incidence of urethral injury increased continuously over the years studied, whereas that of bladder injury remained unchanged in Korea. The incidence of bladder injury was higher in females, and more than 90% of total urethral injuries were reported in males. This is the first study to evaluate the epidemiology of bladder and urethral injury using a nationwide population database. The Korean Urological Association 2022-01 2021-12-01 /pmc/articles/PMC8756144/ /pubmed/34983127 http://dx.doi.org/10.4111/icu.20210065 Text en © The Korean Urological Association, 2022 https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Tae, Bum Sik
Yoon, Young Eun
Na, Woong
Oh, Kyung Jin
Park, Sung Yul
Park, Jae Young
Moon, Hong Sang
Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title_full Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title_fullStr Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title_full_unstemmed Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title_short Epidemiologic study of bladder and urethral injury in Korea: A nationwide population-based study
title_sort epidemiologic study of bladder and urethral injury in korea: a nationwide population-based study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8756144/
https://www.ncbi.nlm.nih.gov/pubmed/34983127
http://dx.doi.org/10.4111/icu.20210065
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