Trends in healthcare utilisation of patients with migraine in South Korea: a retrospective observational study using Health Insurance Review and Assessment Service National Patient Sample data from 2010 to 2018

Objective This study used 2010-2018 Health Insurance Review and Assessment Service National Patient Sample data to analyse the distribution and healthcare utilisation of patients with migraine in South Korea. Design Retrospective, observational study using serial cross-sectional data. Participants Patients with primary diagnosis of G43, a Korean Standard Classification of Diseases-10 code for migraine, were included in the analysis. The exclusion criteria were missing code information; code for dental, health centre or psychiatry; institution type specified as nursing hospital, psychiatric hospital, dental hospital, midwifery centre or health centre; blank entries for total cost or days of care. 453246 records of patients and 117157 patients corresponding to those records were identified. Outcome measures Primary outcome measures were medical service utilisation status, treatment methods and drug use status associated with migraine. Results Cases and patients of migraine increased from 48846 and 19468 (2010) to 52729 and 20802 (2018), respectively, increases of 7.95% and 6.85%, respectively, compared with 2010. Total cost of care increased from $921857.88 (2010) to $1 711 219.60 (2018). The most common age range of patients was 45-54 years, with 2.69 times more female than male patients. In Western medicine hospitals, subcutaneous or intramuscular injection therapy was used frequently, while in Korean medicine hospitals, acupuncture therapy was used. Among Western medicine outpatients, more than 50% of the therapeutics prescribed for acute migraine were simple analgesics or non-steroidal anti-inflammatory drugs. The number of prescriptions for the prevention of episodic migraine increased from 13600 cases (2010) to 20546 cases (2018), representing the steepest increase in drug utilisation. Conclusions Treatments frequently used in Western and Korean medicine hospitals and their frequency of use and costs were identified. The findings of this study can be used as a basis for relevant health policy decisions.

Automated summary

This study analyzed the distribution and healthcare utilization of patients with migraine in South Korea using data from 2010-2018. The study identified the treatments frequently used in Western and Korean medicine hospitals, as well as their frequency of use and costs. The findings can be used as a basis for relevant health policy decisions.