Adjustment for Multimorbidity in Estimations of the Burden of Diseases Using Korean NHIS Data

신윤희; Eun Jeong Choi; Bomi Park; Hye Ah Lee; Eun-Kyung Lee; Hyesook Park

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자료유형: 학술저널

저자정보: 신윤희 (이화여자대학교) Eun Jeong Choi (Ewha Womans University College of Medicine) Bomi Park (Chung-Ang University College of Medicine) Hye Ah Lee (Ewha Womans University) Eun-Kyung Lee (Ewha Womans University College of Medicine) Hyesook Park (Ewha Womans University College of Medicine)

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제55권 제1호

발행연도: 2022.1

수록면: 28 - 36 (9page)

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The current multimorbidity correction method in the Global Burden of Disease studies assumes the independent occurrence of diseases. Those studies use Monte-Carlo simulations to adjust for the presence of multiple disease conditions for all diseases. The present study investigated whether the above-mentioned assumption is reasonable based on the prevalence confirmed from actual data. This study compared multimorbidity-adjusted years of lived with disability (YLD) obtained by Monte-Carlo simulations and multimorbidity-adjusted YLD using multimorbidity prevalence derived from National Health Insurance Service data. The 5 most common diseases by sex and age groups were selected as diseases of interest. No significant differences were found between YLD estimations made using actual data and Monte-Carlo simulations, even though assumptions about the independent occurrence of diseases should be carefully applied. The prevalence was not well reflected according to disease characteristics in those under the age of 30, among whom there was a difference in YLD between the 2 methods. Therefore, when calculating the burden of diseases for Koreans over the age of 30, it is possible to calculate the YLD with correction for multimorbidity through Monte-Carlo simulation, but care should be taken with under-30s. It is useful to apply the efficiency and suitability of calibration for multiplicative methods using Monte-Carlo simulations in research on the domestic disease burden, especially in adults in their 30s and older. Further research should be carried out on multimorbidity correction methodology according to the characteristics of multiple diseases by sex and age.

#Multimorbidity #Burden of diseases #Korea

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Yoonhee Shin

소속기관 Ewha Womans University Seoul Hospital

주요연구분야 의약학 > 의학 일반 의약학 > 기초의학 > 예방의학·직업환경의학

논문수 5 이용수 17

Eun Jeong Choi

소속기관 Ewha Womans University College of Medicine