Epidemiologic Study of Pediatric Uveitis and its Ophthalmic Complications Using the Korean National Health Insurance Claim Database
To investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database. Nationwide population-based longitudinal cohort study. This study used the NHI database from 2005 to 2021 and included individuals <18 years of age dia...
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| Veröffentlicht in: | American journal of ophthalmology Jg. 275; S. 1 - 13 |
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| Sprache: | Englisch |
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01.07.2025
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| ISSN: | 0002-9394, 1879-1891, 1879-1891 |
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| Abstract | To investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database.
Nationwide population-based longitudinal cohort study.
This study used the NHI database from 2005 to 2021 and included individuals <18 years of age diagnosed with uveitis on at least three separate visits between 2010 and 2014, with a five-year wash-out period and a seven-year follow-up period. All uveitis cases were classified as either anterior or nonanterior on the basis of the diagnostic code. The occurrence of ophthalmic complications during the follow-up period, and the systemic and socioeconomic associations between pediatric uveitis and its ophthalmic complications were investigated. We obtained the incidence of total, anterior, and nonanterior pediatric uveitis between 2010 and 2014; the percentage of ophthalmic complications during the follow-up period; and hazard ratios for ophthalmic complications of anterior and nonanterior uveitis.
A total of 9495 cases of pediatric uveitis (8734 cases with anterior and 761 with nonanterior uveitis) were identified, with an average annual incidence (per 10 000 children) of total, anterior, and nonanterior uveitis being 2.0, 1.8, and 0.2, respectively. The most common complications were glaucoma or presumed ocular hypertension, macular disease, and amblyopia. Patients with nonanterior uveitis had a significantly higher risk of ophthalmic complications including retinal detachment, cataract, amblyopia, and glaucoma or presumed ocular hypertension than those with anterior uveitis.
This nationwide analysis of pediatric uveitis in South Korea revealed an average incidence of 2.0 per 10 000 children, highlighting the higher risks of ophthalmic complications associated with nonanterior uveitis. |
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| AbstractList | To investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database.
Nationwide population-based longitudinal cohort study.
This study used the NHI database from 2005 to 2021 and included individuals <18 years of age diagnosed with uveitis on at least three separate visits between 2010 and 2014, with a five-year wash-out period and a seven-year follow-up period. All uveitis cases were classified as either anterior or nonanterior on the basis of the diagnostic code. The occurrence of ophthalmic complications during the follow-up period, and the systemic and socioeconomic associations between pediatric uveitis and its ophthalmic complications were investigated. We obtained the incidence of total, anterior, and nonanterior pediatric uveitis between 2010 and 2014; the percentage of ophthalmic complications during the follow-up period; and hazard ratios for ophthalmic complications of anterior and nonanterior uveitis.
A total of 9495 cases of pediatric uveitis (8734 cases with anterior and 761 with nonanterior uveitis) were identified, with an average annual incidence (per 10 000 children) of total, anterior, and nonanterior uveitis being 2.0, 1.8, and 0.2, respectively. The most common complications were glaucoma or presumed ocular hypertension, macular disease, and amblyopia. Patients with nonanterior uveitis had a significantly higher risk of ophthalmic complications including retinal detachment, cataract, amblyopia, and glaucoma or presumed ocular hypertension than those with anterior uveitis.
This nationwide analysis of pediatric uveitis in South Korea revealed an average incidence of 2.0 per 10 000 children, highlighting the higher risks of ophthalmic complications associated with nonanterior uveitis. To investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database.PURPOSETo investigate the incidence and ophthalmic complications of pediatric uveitis using the Korean National Health Insurance (NHI) Service database.Nationwide population-based longitudinal cohort study.DESIGNNationwide population-based longitudinal cohort study.This study used the NHI database from 2005 to 2021 and included individuals <18 years of age diagnosed with uveitis on at least three separate visits between 2010-2014, with a five-year wash-out period and a seven-year follow-up period. All uveitis cases were classified as either anterior or non-anterior on the basis of the diagnostic code. The occurrence of ophthalmic complications during the follow-up period, and the systemic and socioeconomic associations between pediatric uveitis and its ophthalmic complications were investigated. We obtained the incidence of total, anterior, and non-anterior pediatric uveitis between 2010-2014; the percentage of ophthalmic complications during the follow-up period; and hazard ratios for ophthalmic complications of anterior and non-anterior uveitis.METHODSThis study used the NHI database from 2005 to 2021 and included individuals <18 years of age diagnosed with uveitis on at least three separate visits between 2010-2014, with a five-year wash-out period and a seven-year follow-up period. All uveitis cases were classified as either anterior or non-anterior on the basis of the diagnostic code. The occurrence of ophthalmic complications during the follow-up period, and the systemic and socioeconomic associations between pediatric uveitis and its ophthalmic complications were investigated. We obtained the incidence of total, anterior, and non-anterior pediatric uveitis between 2010-2014; the percentage of ophthalmic complications during the follow-up period; and hazard ratios for ophthalmic complications of anterior and non-anterior uveitis.A total of 9,495 cases of pediatric uveitis (8,734 cases with anterior and 761 with non-anterior uveitis) were identified, with an average annual incidence (per 10,000 children) of total, anterior, and non-anterior uveitis being 2.0, 1.8, and 0.2, respectively. The most common complications were glaucoma or presumed ocular hypertension, macular disease, and amblyopia. Patients with non-anterior uveitis had a significantly higher risk of ophthalmic complications including retinal detachment, cataract, amblyopia, and glaucoma or presumed ocular hypertension than those with anterior uveitis.RESULTSA total of 9,495 cases of pediatric uveitis (8,734 cases with anterior and 761 with non-anterior uveitis) were identified, with an average annual incidence (per 10,000 children) of total, anterior, and non-anterior uveitis being 2.0, 1.8, and 0.2, respectively. The most common complications were glaucoma or presumed ocular hypertension, macular disease, and amblyopia. Patients with non-anterior uveitis had a significantly higher risk of ophthalmic complications including retinal detachment, cataract, amblyopia, and glaucoma or presumed ocular hypertension than those with anterior uveitis.This nationwide analysis of pediatric uveitis in South Korea revealed an average incidence of 2.0 per 10,000 children, highlighting the higher risks of ophthalmic complications associated with non-anterior uveitis.CONCLUSIONSThis nationwide analysis of pediatric uveitis in South Korea revealed an average incidence of 2.0 per 10,000 children, highlighting the higher risks of ophthalmic complications associated with non-anterior uveitis. |
| Author | Shin, Yong Un Kim, Jiyeong Or, Chi Mong Christopher Park, Sung Who Akhavanrezayat, Amir Nguyen, Quan Dong Tran, Anh Ngoc Tram Khatri, Anadi Karaca, Irmak Thng, Zheng Xian Kang, Min Ho Do, Diana Hong, Eun Hee Bromeo, Albert John |
| Author_xml | – sequence: 1 givenname: Eun Hee orcidid: 0000-0001-8413-1929 surname: Hong fullname: Hong, Eun Hee organization: From the Department of Ophthalmology (E.H.H., M.H.K., Y.U.S.), Hanyang University College of Medicine, Seoul, South Korea – sequence: 2 givenname: Jiyeong surname: Kim fullname: Kim, Jiyeong organization: Department of Pre-Medicine (J.K.), College of Medicine, and Biostatistics Lab, Medical Research Collaborating Center, Hanyang University, Seoul, South Korea – sequence: 3 givenname: Min Ho surname: Kang fullname: Kang, Min Ho organization: From the Department of Ophthalmology (E.H.H., M.H.K., Y.U.S.), Hanyang University College of Medicine, Seoul, South Korea – sequence: 4 givenname: Sung Who orcidid: 0000-0002-9186-2081 surname: Park fullname: Park, Sung Who organization: Department of Ophthalmology (S.W.P.), Pusan National University College of Medicine, Busan, South Korea – sequence: 5 givenname: Anh Ngoc Tram surname: Tran fullname: Tran, Anh Ngoc Tram organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 6 givenname: Irmak orcidid: 0000-0001-7927-0887 surname: Karaca fullname: Karaca, Irmak organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 7 givenname: Amir orcidid: 0000-0001-9245-4330 surname: Akhavanrezayat fullname: Akhavanrezayat, Amir organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 8 givenname: Chi Mong Christopher orcidid: 0009-0004-0836-2513 surname: Or fullname: Or, Chi Mong Christopher organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 9 givenname: Zheng Xian orcidid: 0000-0003-3275-7537 surname: Thng fullname: Thng, Zheng Xian organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 10 givenname: Albert John surname: Bromeo fullname: Bromeo, Albert John organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 11 givenname: Anadi orcidid: 0000-0002-0444-224X surname: Khatri fullname: Khatri, Anadi organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 12 givenname: Diana surname: Do fullname: Do, Diana organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 13 givenname: Quan Dong surname: Nguyen fullname: Nguyen, Quan Dong email: ndquan@stanford.edu organization: Spencer Center for Vision Research (S.W.P., A.N.T.T., I.K., A.A., C.M.C.O., Z.X.T., A.J.B., A.K., D.D., Q.D.N.), Byers Eye Institute, Stanford University School of Medicine, Palo Alto, California, USA – sequence: 14 givenname: Yong Un surname: Shin fullname: Shin, Yong Un email: yushin@hanyang.ac.kr organization: From the Department of Ophthalmology (E.H.H., M.H.K., Y.U.S.), Hanyang University College of Medicine, Seoul, South Korea |
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| Title | Epidemiologic Study of Pediatric Uveitis and its Ophthalmic Complications Using the Korean National Health Insurance Claim Database |
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