Study on the Prevalence and Incidence of Urolithiasis in Korea over the Last 10 Years: An Analysis of National Health Insurance Data

Overview

Journal Investig Clin Urol

Specialty Urology

Date 2018 Nov 8

PMID 30402571

Citations 7

Authors

Joon Se Jung

Chang Hee Han

Sangrak Bae

Affiliations

Soon will be listed here.

Abstract

Purpose: We aimed to analyze the incidence and prevalence of urolithiasis in Korea over the last decade using the National Health Insurance (NHI) sample cohort data.

Materials And Methods: From January 2002 to December 2013, we enrolled sample cohort data from the NHI. Patients diagnosed with international classification of diseases code N20 or N13.2 were included. The incidence and prevalence rate was counted from the same period and patients previously diagnosed with urolithiasis were excluded. We compared the incidence and prevalence of urolithiasis by region, age, and sex, and identified the changes.

Results: Total 1,111,828 subjects were included. Of these subjects, 36,857 had urolithiasis. The male-to-female ratio was 1.57:1, and total incidence rate was 3.27 per 1,000 person-years (1,000p-yrs). The annual incidence was lowest in 2013 (3,138 patients) and highest in 2005 (3,751 patients). Incidence rate by diagnostic code was highest in ureter stone only (2.49 per 1,000p-yrs) and was lowest in kidney and ureter stone both (0.17 per 1,000p-yrs). Prevalence gradually increased from 3,172 in 2002 and 5,758 in 2013. Jeollanam-do had the highest incidence rate of 3.70 persons per 1,000p-yrs, and Jeju had the lowest rate of 2.84 persons per 1,000p-yrs. In gender analysis, Daegu had the highest incidence (4.56) in males, Jeollanam-do had the highest incidence (3.20) in females.

Conclusions: Annual incidence remained stable, whereas prevalence gradually increased. The incidence in male was 1.57 times higher than female, and the peak incidence age was 45-49 years, with the highest incidence occurring in Jeollanam-do and the lowest in Jeju.

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References

Tae B, Balpukov U, Cho S, Jeong C . Eleven-year Cumulative Incidence and Estimated Lifetime Prevalence of Urolithiasis in Korea: a National Health Insurance Service-National Sample Cohort Based Study. J Korean Med Sci. 2017; 33(2):e13. PMC: 5729654. DOI: 10.3346/jkms.2018.33.e13. View

Kim S, Joung J, Suh Y, Kim Y, Hong J, Kuark T . Prevalence and survival prognosis of prostate cancer in patients with end-stage renal disease: a retrospective study based on the Korea national database (2003-2010). Oncotarget. 2017; 8(38):64250-64262. PMC: 5609999. DOI: 10.18632/oncotarget.19453. View

Bae S, Seong J, Kim L, Paick S, Kim H, Lho Y . The epidemiology of reno-ureteral stone disease in Koreans: a nationwide population-based study. Urolithiasis. 2014; 42(2):109-14. DOI: 10.1007/s00240-014-0643-6. View

Park H, Park J, Park S, Lee J . Age, menopause, and cardiovascular risk factors among korean middle-aged women: the 2005 Korea National Health and Nutrition Examination Survey. J Womens Health (Larchmt). 2010; 19(5):869-76. DOI: 10.1089/jwh.2009.1436. View

Modlin M . A history of urinary stone. S Afr Med J. 1980; 58(16):652-5. View

Kamel M, Tao J, Su J, Khalil M, Bissada N, Schurhamer B . Survival outcomes of organ sparing surgery, partial penectomy, and total penectomy in pathological T1/T2 penile cancer: Report from the National Cancer Data Base. Urol Oncol. 2017; 36(2):82.e7-82.e15. DOI: 10.1016/j.urolonc.2017.10.017. View

Kang H, Seo S, Ha Y, Kim W, Kim Y, Yun S . Chronological Trends in Clinical and Urinary Metabolic Features over 20 Years in Korean Urolithiasis Patients. J Korean Med Sci. 2017; 32(9):1496-1501. PMC: 5546970. DOI: 10.3346/jkms.2017.32.9.1496. View

Yasui T, Okada A, Hamamoto S, Hirose M, Ando R, Kubota Y . The association between the incidence of urolithiasis and nutrition based on Japanese National Health and Nutrition Surveys. Urolithiasis. 2013; 41(3):217-24. DOI: 10.1007/s00240-013-0567-6. View

Stamatelou K, Francis M, Jones C, Nyberg L, Curhan G . Time trends in reported prevalence of kidney stones in the United States: 1976-1994. Kidney Int. 2003; 63(5):1817-23. DOI: 10.1046/j.1523-1755.2003.00917.x. View

10.

Gaziev G, Asimakopoulos A, Wadhwa K, Topazio L, Germani S, Miano R . The influence of environmental conditions on the incidence of renal colic in Rome. Urologia. 2016; 83(2):77-82. DOI: 10.5301/uro.5000170. View

11.

Indridason O, Birgisson S, Edvardsson V, Sigvaldason H, Sigfusson N, Palsson R . Epidemiology of kidney stones in Iceland: a population-based study. Scand J Urol Nephrol. 2006; 40(3):215-20. DOI: 10.1080/00365590600589898. View

12.

Park H, Bae S, Kim S, Choi W, Paick S, Ho K . The effect of climate variability on urinary stone attacks: increased incidence associated with temperature over 18 °C: a population-based study. Urolithiasis. 2014; 43(1):89-94. DOI: 10.1007/s00240-014-0741-5. View

13.

Raheem O, Khandwala Y, Sur R, Ghani K, Denstedt J . Burden of Urolithiasis: Trends in Prevalence, Treatments, and Costs. Eur Urol Focus. 2017; 3(1):18-26. DOI: 10.1016/j.euf.2017.04.001. View

14.

Eisner B, Sheth S, Herrick B, Pais Jr V, Sawyer M, Miller N . The effects of ambient temperature, humidity and season of year on urine composition in patients with nephrolithiasis. BJU Int. 2012; 110(11 Pt C):E1014-7. DOI: 10.1111/j.1464-410X.2012.11186.x. View

15.

Turney B, Reynard J, Noble J, Keoghane S . Trends in urological stone disease. BJU Int. 2011; 109(7):1082-7. DOI: 10.1111/j.1464-410X.2011.10495.x. View

16.

Bryant M, Angell J, Tu H, Goodman M, Pattaras J, Ogan K . Health related quality of life for stone formers. J Urol. 2012; 188(2):436-40. DOI: 10.1016/j.juro.2012.04.015. View

17.

Trinchieri A . Epidemiological trends in urolithiasis: impact on our health care systems. Urol Res. 2006; 34(2):151-6. DOI: 10.1007/s00240-005-0029-x. View

18.

Park J, Suh B, Lee M, Woo S, Shin D . National Practice Pattern and Time Trends in Treatment of Upper Urinary Tract Calculi in Korea: a Nationwide Population-Based Study. J Korean Med Sci. 2016; 31(12):1989-1995. PMC: 5102865. DOI: 10.3346/jkms.2016.31.12.1989. View

19.

Ferrari P, Piazza R, Ghidini N, Bisi M, Galizia G, Ferrari G . Lithiasis and risk factors. Urol Int. 2007; 79 Suppl 1:8-15. DOI: 10.1159/000104435. View

20.

Dallas K, Conti S, Liao J, Sofer M, Pao A, Leppert J . Redefining the Stone Belt: Precipitation Is Associated with Increased Risk of Urinary Stone Disease. J Endourol. 2017; 31(11):1203-1210. PMC: 6016725. DOI: 10.1089/end.2017.0456. View