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KMID : 1148120220120010019
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Journal of Advanced Spine Surgery
2022 Volume.12 No. 1 p.19 ~ p.26
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Prevalence of and Trends in Therapy for Adolescent Idiopathic Scoliosis: The Impact of Regional and Economic Status
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Jang Hae-Dong
Han Sang-Soo
Hong Jae-Young
Lee Jae-Chul
Choi Sung-Woo
Kang Dong-Woo
Joo Jae-Eun
Shin Byung-Joon
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Abstract
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Purpose: To evaluate the impacts of regional and socioeconomic factors on adolescent idiopathic scoliosis (AIS) diagnosis and treatment using national datasets of the Korean National Health Insurance System. The prevalence of, and therapeutic trends in, AIS are affected by a variety of environmental factors.
Materials and Methods: We analyzed random samples from datasets (10% of all entries) between 2012 and 2018, including in terms of patient demographics, residential status (a “special city”, and urban, and rural regions) and socioeconomic status (SES) based on health insurance premiums (which distinguish National Health Insurance and Medical Aid [MA] beneficiaries).
Results: The AIS prevalence was approximately 1.6-fold higher in females than in males, whereas the rate of male surgery was approximately 1.5-fold higher than that in females. AIS prevalence was higher among National Health Insurance beneficiaries (in all years), whereas the surgery rate was higher among MA beneficiaries (in most years). In all years, AIS prevalence was significantly higher among special city residents than in urban and rural residents. However, the surgical treatment rates were higher in the latter regions.
Conclusions: Our nationwide evaluation revealed AIS prevalence rates and therapeutic trends. AIS epidemiology varies by region and economic status.
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KEYWORD
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Adolescent idiopathic scoliosis, Prevalence, Regional difference, Nationwide, Socioeconomic status
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