Long-term mortality of patients with tuberculosis in Korea

S. C. Park; M. J. Kang; C. H. Han; S. M. Lee; C. J. Kim; J. M. Lee; Y. A. Kang

doi:10.5588/ijtld.19.0324

Long-term mortality of patients with tuberculosis in Korea

S. C. Park, M. J. Kang, C. H. Han, S. M. Lee, C. J. Kim, J. M. Lee, Y. A. Kang

Department of Internal Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: Long-term mortality following tuberculosis (TB) diagnosis in Korea remains unclear. METHODS: The present study used data from the National Health Insurance Service database, an extensive health-related database including most Korean residents. TB patients were identified using International Classification of Diseases, Tenth Revision coding (A15-19, U88.0-88.1) and the type of anti-TB drug(s) between 2003 and 2016. Long-term mortality and causes of death in TB patients were analysed. RESULTS: A total of 357 211 individuals had TB over the period from 2003 to 2016 and 103 682 died. The mean age of the cohort was 54.7 6 20.7 years, and 59.8% were male. The survival probability of TB patients at 1, 5, and 10 years after diagnosis was 87.8%, 75.3%, and 63.3%, respectively. High mortality and TB-related death rates were especially prominent in the early stages after TB diagnosis. The overall standardized mortality ratio of TB patients to the general Korean population was 3.23 (95% confidence interval 3.21–3.25). CONCLUSION: Mortality in TB patients was especially high in the early stages of disease after TB diagnosis, and mostly due to TB. This figure was approximately three-times higher than the mortality rate in the general population.

Original language	English
Pages (from-to)	492-498
Number of pages	7
Journal	International Journal of Tuberculosis and Lung Disease
Volume	24
Issue number	5
DOIs	https://doi.org/10.5588/ijtld.19.0324
Publication status	Published - 2020 May 1

Bibliographical note

Funding Information:
This work was supported by a National Health Insurance Ilsan Hospital grant (number: NHIS-2019-1-048). This study used data from the National Health Insurance Service database system. The sponsor had no role in the design of the study, the analysis of the data, or the preparation of the manuscript. The authors alone are responsible for the content and writing of the paper. Conflicts of interest: none declared.

Publisher Copyright:
© 2020 The Union.

All Science Journal Classification (ASJC) codes

Pulmonary and Respiratory Medicine
Infectious Diseases

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.5588/ijtld.19.0324

Cite this

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title = "Long-term mortality of patients with tuberculosis in Korea",

abstract = "BACKGROUND: Long-term mortality following tuberculosis (TB) diagnosis in Korea remains unclear. METHODS: The present study used data from the National Health Insurance Service database, an extensive health-related database including most Korean residents. TB patients were identified using International Classification of Diseases, Tenth Revision coding (A15-19, U88.0-88.1) and the type of anti-TB drug(s) between 2003 and 2016. Long-term mortality and causes of death in TB patients were analysed. RESULTS: A total of 357 211 individuals had TB over the period from 2003 to 2016 and 103 682 died. The mean age of the cohort was 54.7 6 20.7 years, and 59.8% were male. The survival probability of TB patients at 1, 5, and 10 years after diagnosis was 87.8%, 75.3%, and 63.3%, respectively. High mortality and TB-related death rates were especially prominent in the early stages after TB diagnosis. The overall standardized mortality ratio of TB patients to the general Korean population was 3.23 (95% confidence interval 3.21–3.25). CONCLUSION: Mortality in TB patients was especially high in the early stages of disease after TB diagnosis, and mostly due to TB. This figure was approximately three-times higher than the mortality rate in the general population.",

author = "Park, {S. C.} and Kang, {M. J.} and Han, {C. H.} and Lee, {S. M.} and Kim, {C. J.} and Lee, {J. M.} and Kang, {Y. A.}",

note = "Funding Information: This work was supported by a National Health Insurance Ilsan Hospital grant (number: NHIS-2019-1-048). This study used data from the National Health Insurance Service database system. The sponsor had no role in the design of the study, the analysis of the data, or the preparation of the manuscript. The authors alone are responsible for the content and writing of the paper. Conflicts of interest: none declared. Publisher Copyright: {\textcopyright} 2020 The Union.",

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doi = "10.5588/ijtld.19.0324",

language = "English",

volume = "24",

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AU - Park, S. C.

AU - Kang, M. J.

AU - Han, C. H.

AU - Lee, S. M.

AU - Kim, C. J.

AU - Lee, J. M.

AU - Kang, Y. A.

N1 - Funding Information: This work was supported by a National Health Insurance Ilsan Hospital grant (number: NHIS-2019-1-048). This study used data from the National Health Insurance Service database system. The sponsor had no role in the design of the study, the analysis of the data, or the preparation of the manuscript. The authors alone are responsible for the content and writing of the paper. Conflicts of interest: none declared. Publisher Copyright: © 2020 The Union.

PY - 2020/5/1

Y1 - 2020/5/1

N2 - BACKGROUND: Long-term mortality following tuberculosis (TB) diagnosis in Korea remains unclear. METHODS: The present study used data from the National Health Insurance Service database, an extensive health-related database including most Korean residents. TB patients were identified using International Classification of Diseases, Tenth Revision coding (A15-19, U88.0-88.1) and the type of anti-TB drug(s) between 2003 and 2016. Long-term mortality and causes of death in TB patients were analysed. RESULTS: A total of 357 211 individuals had TB over the period from 2003 to 2016 and 103 682 died. The mean age of the cohort was 54.7 6 20.7 years, and 59.8% were male. The survival probability of TB patients at 1, 5, and 10 years after diagnosis was 87.8%, 75.3%, and 63.3%, respectively. High mortality and TB-related death rates were especially prominent in the early stages after TB diagnosis. The overall standardized mortality ratio of TB patients to the general Korean population was 3.23 (95% confidence interval 3.21–3.25). CONCLUSION: Mortality in TB patients was especially high in the early stages of disease after TB diagnosis, and mostly due to TB. This figure was approximately three-times higher than the mortality rate in the general population.

AB - BACKGROUND: Long-term mortality following tuberculosis (TB) diagnosis in Korea remains unclear. METHODS: The present study used data from the National Health Insurance Service database, an extensive health-related database including most Korean residents. TB patients were identified using International Classification of Diseases, Tenth Revision coding (A15-19, U88.0-88.1) and the type of anti-TB drug(s) between 2003 and 2016. Long-term mortality and causes of death in TB patients were analysed. RESULTS: A total of 357 211 individuals had TB over the period from 2003 to 2016 and 103 682 died. The mean age of the cohort was 54.7 6 20.7 years, and 59.8% were male. The survival probability of TB patients at 1, 5, and 10 years after diagnosis was 87.8%, 75.3%, and 63.3%, respectively. High mortality and TB-related death rates were especially prominent in the early stages after TB diagnosis. The overall standardized mortality ratio of TB patients to the general Korean population was 3.23 (95% confidence interval 3.21–3.25). CONCLUSION: Mortality in TB patients was especially high in the early stages of disease after TB diagnosis, and mostly due to TB. This figure was approximately three-times higher than the mortality rate in the general population.

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Long-term mortality of patients with tuberculosis in Korea

Abstract

Bibliographical note

All Science Journal Classification (ASJC) codes

UN SDGs

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