Ann Surg Treat Res.  2016 Apr;90(4):218-223. 10.4174/astr.2016.90.4.218.

Current trends of major arterial diseases in Korea: based on data from the Health Insurance Review and Assessment Service

• Kim MH
• Ahn S
• Kim JY
• Jun KW
• Yun SS
• Won YS

• KMID: 2160952
• DOI: http://doi.org/10.4174/astr.2016.90.4.218

Abstract

PURPOSE
This study aims to figure out the changes of the prevalence and management of carotid arterial occlusive diseases (CAOD), abdominal aortic diseases (AAA), and arterial diseases of the lower extremities (LAOD) in Korea over the past 5 years.
METHODS
Data were extracted from the Health Insurance Review and Assessment Service during the period from 2008 to 2012.
RESULTS
The number of patients with CAOD increased by about 30% every year. From the year 2008, the number of open surgeries (OS) and endovascular treatments (ET) increased by more than 20% during each of the first 2 years and by 10% every year for 3 years thereafter for CAOD. ET was preferred to OS and occupied 77%-79% of the total number of procedures. The number of patients with AAA increased by 11%-17% every year. ET for AAA occupied 52% of the total number of procedures in 2008 and gradually increased to 70% in 2012. The number of patients who were diagnosed with LAOD fluctuated over the five years. The total number of procedures to treat LAOD increased each year by 20%-25%. ET for LAOD constantly increased by 18%-24% each year and occupied 80%-95% of the total number of procedures.
CONCLUSION
It is evident that the incidence of vascular diseases will be increasing as our society ages, not to mention its care costs. The need for long-range plans and guidelines are urgent.

Keyword

Carotid stenosis; Aortic aneurysm; Peripheral arterial disease; Endovascular procedures; Trends

MeSH Terms

Aortic Aneurysm
Aortic Diseases
Arterial Occlusive Diseases
Carotid Stenosis
Endovascular Procedures
Humans
Incidence
Insurance, Health*
Korea*
Lower Extremity
Peripheral Arterial Disease
Prevalence
Vascular Diseases

Figure

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  Fig. 1 Expected ageing index over several decades in various nations. Ageing index = (population numbers over 65 years/population numbers between 0 to 14 years) × 100.

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  Fig. 2 Number of patients and procedures regarding carotid arterial occlusive disease (CAOD).

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  Fig. 3 Number of patients and procedures regarding lower extremity arterial occlusive disease.

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  Fig. 4 Distribution of endovascular treatment in major arterial disease based on physician types. IC, interventional cardiologist; VS, vascular surgeon.

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  Fig. 5 Distribution of endovascular treatment in coronary artery disease (CAD) and major arterial disease (MAD).

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