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Gestational diabetes in Korea: Temporal trends in prevalence, treatment, and short-term consequences from a national health insurance claims database between 2012 and 2016
- Source :
- Diabetes research and clinical practice. 171
- Publication Year :
- 2020
-
Abstract
- This population-based cross-sectional study aimed to investigate recent trends in the prevalence and treatment of gestational diabetes mellitus (GDM) in Korea. We also investigated trends in annual prevalence rate of pregnancy-induced hypertension (PIH) and cesarean section (C-section) in GDM patients.We used data from the Health Insurance Review and Assessment-National Patient Sample (HIRA-NPS) database, 2012-2016. Non-GDM (n = 53,698) and GDM (n = 7956) patient data were analyzed for each year.The annual increase in the prevalence of GDM was 11.1% over 2012-2016, with a significant continuously increasing trend (p 0.0001). Age-stratified analysis showed that the annual prevalence of GDM significantly increased in patients below 40 years of age, but was not statistically significant as an increasing trend in patients above 40 years of age. Annual PIH prevalence rate among GDM women showed decreasing trend but was not statistically significant. An annual increase in C-section rate above 5% in GDM patients was statistically significant in both unadjusted and adjusted for age and PIH models.The prevalence of GDM in Korean women and C-section rates in women with GDM showed a significantly increasing trend, 2012-2016. There is a need for further efforts to monitor this trend and to identify associated risk factors for GDM in Korean women.
- Subjects :
- Adult
endocrine system diseases
Databases, Factual
National Health Programs
Endocrinology, Diabetes and Metabolism
Population
Prevalence
History, 21st Century
Endocrinology
Pregnancy
Risk Factors
Diabetes mellitus
Republic of Korea
Internal Medicine
medicine
Health insurance
Humans
Claims database
education
education.field_of_study
business.industry
Cesarean Section
nutritional and metabolic diseases
General Medicine
Patient data
medicine.disease
female genital diseases and pregnancy complications
Gestational diabetes
Diabetes, Gestational
Cross-Sectional Studies
National health insurance
Female
business
Demography
Subjects
Details
- ISSN :
- 18728227
- Volume :
- 171
- Database :
- OpenAIRE
- Journal :
- Diabetes research and clinical practice
- Accession number :
- edsair.doi.dedup.....29b007c5366741739b32773fe63afa38