Twelve-year incidence of retinal vein occlusion and its trend in Korea

Abstract

Purpose

To estimate the 12-year incidence and trends of clinically diagnosed retinal vein occlusion (RVO) in Korea.

Methods

This is a nationwide population-based retrospective study using the Korean national health claims database from 2002 to 2015. The study consisted of the entire Korean population based on the 2015 Census of Population. We identified patients with incident RVO in 2004–2015. We estimated the crude incidence rates and age- and sex-standardized incidence rates in each 12-year study period. To determine the trend, we also performed joinpoint regression analyses.

Results

We identified 240,495 incident RVO cases. The average incidence rate was 48.09 (95% confidence interval [CI], 47.92–48.27). Women showed a 1.24 times higher incidence rate (53.18 [95% CI, 52.92–53.44]) compared with men (42.78 [95% CI, 42.55–43.02]), while, among patients aged less than 50 years and those aged 80 years or over, men showed higher incidence rates than did women. The highest incidence of 193.56 (95% CI, 191.06–196.06) was observed in the age group of 75 to 79 years. The joinpoint analysis showed an increasing trend of RVO incidence among patients at the age of 70 years and older (annual percentage change, 2.1; 95% CI, 0.2–4.0; p < 0.01).

Conclusion

RVO is a disease of the elderly that peaks in the late 70s and occurs more in women than in men. In Korea, RVO incidence increased from 2004 to 2015 among the population aged 70 years or older, while among those aged less than 70 years, no trend was observed in RVO incidence rates.

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Acknowledgments

The authors would like to thank the National Health Insurance Service for cooperation.

Funding

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health and Welfare, Republic of Korea (Grant No. HI19C0373). National Health Information Database (NHIS-2017-4-037) was provided by the National Health Insurance Service (NHIS) of Korea.

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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Jun Young Park, Sang Jun Park, and Seong Jun Byun. The first draft of the manuscript was written by Jun Young Park, and Sang Jun Park and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Kyu Hyung Park.

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The authors declare that they have no conflict of interest.

Ethical approval

This study was approved by the Institutional Review Board of the Seoul National Bundang Hospital (SNUBH) (the SNUBH IRB No. X-1710-429-906) and was conducted according to the principles of the Declaration of Helsinki.

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Park, J.Y., Park, S.J., Byun, S.J. et al. Twelve-year incidence of retinal vein occlusion and its trend in Korea. Graefes Arch Clin Exp Ophthalmol (2020). https://doi.org/10.1007/s00417-020-04811-8

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Keywords

  • Incidence rate
  • Epidemiology
  • Retinal vein occlusion
  • Trend