{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T06:47:11Z","timestamp":1772261231558,"version":"3.50.1"},"reference-count":39,"publisher":"BMJ","issue":"7","funder":[{"DOI":"10.13039\/100008903","name":"Ministry of Health and Welfare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008903","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,6,9]]},"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined National Health Insurance claims data to investigate the epidemiology of shoulder disorders in Korea. Detailed information on medical services and related costs was assessed by major shoulder disorder category.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design and setting<\/jats:title>\n                    <jats:p>The 2014 National Patient Sample dataset provided by the Health Insurance Review and Assessment Service was analysed. Among shoulder-related diagnosis codes, adhesive capsulitis of the shoulder (ACS), rotator cuff syndrome (RCS) and shoulder impingement syndrome (SIS) categories were of highest prevalence. Sociodemographic characteristics and medical service use, frequency and medical costs regarding common shoulder disorders were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The majority of patients with shoulder disorder received ambulatory care (97%). Total and per-patient expenses were highest in patients with RCS. The number of inpatients with RCS was more than twice that of the other two groups, and patients with RCS were more likely to receive surgical management compared with patients with ACS and SIS. Prevalence of shoulder disorders was highest among subjects in their 50s for all three groups. Primary care physicians treated 75.80% of patients with ACS, 56.99% of patients with RCS and 48.06% of patients with SIS, respectively, outlining the difference in medical institution usage patterns. In all three groups, the highest proportion of patients visited orthopaedic surgeons out of medical departments. In the ACS and SIS groups, cost of visits (consultations) took up the largest part of total expenses at 32.30% and 18.88%, respectively, while cost of procedure\/surgery constituted the largest portion in patients with RCS (37.77%). The usage proportion of subcutaneous or intramuscular and intra-articular injections ranged between 20% and 30% for outpatients in all three groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Medical service use, frequency and cost distributions relating to major shoulder disorders in Korea were assessed using nationwide claims data. These findings are expected to aid policy-makers as well as researchers and practitioners as basic healthcare data.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2017-015848","type":"journal-article","created":{"date-parts":[[2017,7,13]],"date-time":"2017-07-13T20:10:12Z","timestamp":1499976612000},"page":"e015848","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":17,"title":["Medical service use and usual care of common shoulder disorders in Korea: a cross-sectional study using the Health Insurance Review and Assessment Service National Patient Sample"],"prefix":"10.1136","volume":"7","author":[{"given":"Hwansoo","family":"Joo","sequence":"first","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoon Jae","family":"Lee","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joon-Shik","family":"Shin","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinho","family":"Lee","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Me-riong","family":"Kim","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wonil","family":"Koh","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeoncheol","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Acupuncture and Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun Kyung","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Korean Rehabilitation Medicine, College of Korean Medicine, Gachon University, Seongnam-si, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jae-Heung","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Korean Rehabilitation Medicine, College of Korean Medicine, Kyung Hee University, Dongdaemun-gu, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5020-6723","authenticated-orcid":false,"given":"In-Hyuk","family":"Ha","sequence":"additional","affiliation":[{"name":"Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, The Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"key":"2025121401213149000_7.7.e015848.1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-17"},{"key":"2025121401213149000_7.7.e015848.2","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kei139"},{"key":"2025121401213149000_7.7.e015848.3","doi-asserted-by":"publisher","DOI":"10.1136\/ard.54.12.959"},{"key":"2025121401213149000_7.7.e015848.4","doi-asserted-by":"publisher","DOI":"10.1080\/03009740310004667"},{"key":"2025121401213149000_7.7.e015848.5","unstructured":"National Health Insurance Service. Press release [Internet] Seoul. 2012 http:\/\/www.nhis.or.kr\/portal\/site\/main\/MENU_WBDCC01\/ (accessed Jun 2014)."},{"key":"2025121401213149000_7.7.e015848.6","doi-asserted-by":"publisher","DOI":"10.1136\/ard.57.11.649"},{"key":"2025121401213149000_7.7.e015848.7","first-page":"392","article-title":"Chronic musculoskeletal problems managed in general practice","volume":"36","author":"Charles","year":"2007","journal-title":"Aust Fam Physician"},{"key":"2025121401213149000_7.7.e015848.8","doi-asserted-by":"publisher","DOI":"10.1002\/art.20535"},{"key":"2025121401213149000_7.7.e015848.9","unstructured":"Jones J , Hodgson J , Clegg T , et al . Self-reported work-related illness in 1995: results from a household survey. Sudbury, UK: HSE Books, 1998."},{"key":"2025121401213149000_7.7.e015848.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00132-004-0746-9"},{"key":"2025121401213149000_7.7.e015848.11","doi-asserted-by":"crossref","unstructured":"Kim J , Son M . National health insurance statistical yearbook. Seoul: Health Insurance Review and Assessment Service and National Health Insurance Service, 2014.","DOI":"10.4178\/epih\/e2014008"},{"key":"2025121401213149000_7.7.e015848.12","doi-asserted-by":"crossref","first-page":"503","DOI":"10.1186\/s12913-016-1746-2","article-title":"Effects of public and private health insurance on medical service utilization in the National Health Insurance System: national panel study in the republic of Korea","volume":"16","author":"Sohn","year":"2016","journal-title":"BMC Health Serv Res"},{"key":"2025121401213149000_7.7.e015848.13","doi-asserted-by":"crossref","DOI":"10.4178\/epih\/e2014008","article-title":"A guide for the utilization of Health Insurance Review and Assessment Service national patient samples","volume":"36","author":"Kim","year":"2014","journal-title":"Epidemiol Health"},{"key":"2025121401213149000_7.7.e015848.14","unstructured":"World Health Organization, Ministry of Health and Welfare. Health Service delivery Profile. Republic of Korea, 2012."},{"key":"2025121401213149000_7.7.e015848.15","unstructured":"Ministry of Health and Welfare. Expenditure of insured items by National Health Insurance. 2015 http:\/\/opendata.hira.or.kr\/op\/opc\/olapMdclCaAsisStatsInfo.do (accessed Mar 2016)."},{"key":"2025121401213149000_7.7.e015848.16","unstructured":"Lee SM , Han SK , Kim JH , et al ; Clinical effectiveness of injection therapy for chronic low back pain: Korean National Evidence-based Health Care Collaborating Agency, 2010:1\u2013232."},{"key":"2025121401213149000_7.7.e015848.17","doi-asserted-by":"publisher","DOI":"10.1016\/s0304-3959(02)00372-x"},{"key":"2025121401213149000_7.7.e015848.18","doi-asserted-by":"publisher","DOI":"10.1097\/01.ajp.0000210912.95664.53"},{"key":"2025121401213149000_7.7.e015848.19","doi-asserted-by":"crossref","first-page":"4","DOI":"10.3109\/02813439608997062","article-title":"Health problems in family practice. an icelandic multicentre study","volume":"14","author":"Njalsson","year":"1996","journal-title":"Scand J Prim Health Care"},{"key":"2025121401213149000_7.7.e015848.20","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-11-144"},{"key":"2025121401213149000_7.7.e015848.21","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.I.01003"},{"key":"2025121401213149000_7.7.e015848.22","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2013.01.006"},{"key":"2025121401213149000_7.7.e015848.23","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.00739"},{"key":"2025121401213149000_7.7.e015848.24","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00364"},{"key":"2025121401213149000_7.7.e015848.25","doi-asserted-by":"publisher","DOI":"10.3109\/03009742.2011.595375"},{"key":"2025121401213149000_7.7.e015848.26","doi-asserted-by":"crossref","first-page":"220","DOI":"10.3109\/17453674.2014.977703","article-title":"Declining incidence of acromioplasty in Finland","volume":"86","author":"Paloneva","year":"2015","journal-title":"Acta Orthop"},{"key":"2025121401213149000_7.7.e015848.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.05.019"},{"key":"2025121401213149000_7.7.e015848.28","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.arthro.2013.11.018","article-title":"Current trends in rotator cuff repair: surgical technique, setting, and cost","volume":"30","author":"Iyengar","year":"2014","journal-title":"Arthroscopy"},{"key":"2025121401213149000_7.7.e015848.29","first-page":"CD005619","article-title":"Surgery for rotator cuff disease","volume":"1","author":"Coghlan","year":"2008","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121401213149000_7.7.e015848.30","unstructured":"Hopman K , Krahe L , Lukersmith S , et al . Clinical practice guidelines for the management of rotator cuff syndrome in the workplace. Port Macquarie (Australia): University of New South Wales, 2013:80."},{"key":"2025121401213149000_7.7.e015848.31","doi-asserted-by":"publisher","DOI":"10.1177\/0363546515616238"},{"key":"2025121401213149000_7.7.e015848.32","unstructured":"Mashford L , Allen R , Barnsley L . Therapeutic guidelines: rheumatology. Melbourne: Therapeutic Guidelines Ltd, 2006."},{"key":"2025121401213149000_7.7.e015848.33","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1016\/S0140-6736(84)92219-0","article-title":"Pulsed electromagnetic field therapy of persistent rotator cuff tendinitis. A double-blind controlled assessment","volume":"1","author":"Binder","year":"1984","journal-title":"Lancet"},{"key":"2025121401213149000_7.7.e015848.34","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-006-0464-2"},{"key":"2025121401213149000_7.7.e015848.35","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2016-012432","article-title":"Evaluation of use and cost of medical care of common lumbar disorders in Korea: cross-sectional study of Korean Health Insurance Review and Assessment Service National Patient Sample data","volume":"6","author":"Ahn","year":"2016","journal-title":"BMJ Open"},{"key":"2025121401213149000_7.7.e015848.36","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.2106\/00004623-200010000-00005","article-title":"Idiopathic adhesive capsulitis. A prospective functional outcome study of nonoperative treatment","volume":"82-A","author":"Griggs","year":"2000","journal-title":"J Bone Joint Surg Am"},{"key":"2025121401213149000_7.7.e015848.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.03.002"},{"key":"2025121401213149000_7.7.e015848.38","doi-asserted-by":"publisher","DOI":"10.1097\/SMJ.0b013e3181f5e85f"},{"key":"2025121401213149000_7.7.e015848.39","unstructured":"Park B , Seong J , Park G , et al . Studying on improving diagnosis codes in National Health Insurance claims data. Seoul: Health Insurance Review and Assessment Service, 2003."}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-015848","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T09:21:41Z","timestamp":1765704101000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-015848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":39,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2017,7,12]]},"published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1136\/bmjopen-2017-015848"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-015848","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,7]]}}}