ArticleJournal of Korean Neurosurgical Society2020
Trends in the Incidence and Treatment of Cerebrovascular Diseases in Korea : Part I. Intracranial Aneurysm, Intracerebral Hemorrhage, and Arteriovenous Malformation.
Article in Journal of Korean Neurosurgical Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Transition from a detector-dose-based to a CNR-based cerebral angiography system: evaluation of image quality and radiation dose.Radiological physics and technology · 2026Article
- Interobserver agreement among clinicians in the treatment recommendations for patients with unruptured intracranial aneurysms.Journal of cerebrovascular and endovascular neurosurgery · 2026Article
- Editors' Pick in March 2026.Journal of Korean Neurosurgical Society · 2026Article
- Timing for the Resumption of Anticoagulants after Intracranial Hemorrhage.Journal of Korean Neurosurgical Society · 2026Article
- Factors Associated with the Utilization of Out-of-Region Medical Institutions for Brain Diseases.Yonsei medical journal · 2025Article
- Comparative study of the refined mini-pterional approach with reduced skin incision versus the conventional mini-pterional approach for clipping unruptured middle cerebral artery aneurysms: a propensity score-matched analysis.Neurosurgical review · 2025Article
- Integration of Palliative Care in Neurosurgical Critical Care : Insights from a Single-Center Perspective.Journal of Korean Neurosurgical Society · 2025Article
- Nationwide Cohort observational study on the safety and efficacy of COVID-19 vaccination in patients with Moyamoya disease.Scientific reports · 2024Observational
- The Usefulness of Extradural Anterior Clinoidectomy for Lower-Lying Posterior Communicating Artery Aneurysms : A Cadaveric Study.Journal of Korean Neurosurgical Society · 2024Article
- Telemedicine Protocols for the Management of Patients with Acute Spontaneous Intracerebral Hemorrhage in Rural and Medically Underserved Areas in Gangwon State : Recommendations for Doctors with Less Expertise at Local Emergency Rooms.Journal of Korean Neurosurgical Society · 2024Article
- Clinical Outcomes of Clipping and Coil Embolization for Ruptured Intracranial Aneurysms Categorized by Region and Hospital Size: A Nationwide Cohort Study in Korea.Journal of Korean medical science · 2024Article
- Incidence and case fatality of stroke in Korea, 2011-2020.Epidemiology and health · 2024Article
- Comparison of treatment outcomes and complications of coil embolization in elderly and very elderly patients with cerebral aneurysms: a propensity score matching analysis.Acta neurochirurgica · 2023Article
- Clinical Outcomes of Coil Embolization for Unruptured Intracranial Aneurysms Categorized by Region and Hospital Size : A Nationwide Cohort Study in Korea.Journal of Korean Neurosurgical Society · 2023Article
- Validation of prediction algorithm for risk estimation of intracranial aneurysm development using real-world data.Scientific reports · 2023Article
- Development of Cloud-Based Telemedicine Platform for Acute Intracerebral Hemorrhage in Gangwon-do : Concept and Protocol.Journal of Korean Neurosurgical Society · 2023Article
- Safety and Efficacy of Low-dose Prasugrel in the Endovascular Treatment of Unruptured Aneurysms in the Elders (≥ 75 Years).Clinical neuroradiology · 2023Article
- Optimal target blood pressure for the primary prevention of hemorrhagic stroke: a nationwide observational study.Frontiers in neurology · 2023Article
- Impact of statin treatment on cardiovascular events in patients with retinal vein occlusion: a nested case-control study in Korea.Epidemiology and health · 2023Article
- Initial severity of aneurysmal subarachnoid hemorrhage (SAH): Trend over time.Journal of cerebrovascular and endovascular neurosurgery · 2022Article
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo analyze the incidence and treatment trends of hemorrhagic stroke (HS), according to HS subtypes, using nationwide data in Korea from January 2008 to December 2016.
methodsWe used data from the national health-claim database provided by the National Health Insurance Service for 2008-2016 using the International Classification of Diseases. The crude incidence and age-standardized incidence of each disease associated with HS, which included intracranial aneurysm (IA), hypertensive intracerebral hemorrhage (ICH), and arteriovenous malformation (AVM), were calculated and additional analysis was conducted according to age and sex. Changes in trends in treatment methods and number of treatments were analyzed for each cerebrovascular disease using the Korean Classification of Diseases procedure codes.
resultsIn 2016, the total number of newly diagnosed adult patients with HS was 24169, showing a decrease by 7.0% since 2008; the age-standardized incidence of HS was 46.2 per 100000 person-years. The age-standardized incidence of unruptured IA (UIA) in adults was 71.4 per 100000 person-years-increased by 2.6-fold since 2008-while that of ruptured IA (RIA) was 12.6 per 100000 person-years, which had decreased at a rate of 20.3% since 2008. The number of coil embolization (CE) for UIA increased by 3.4-fold over 9 years and exceeded that of clipping since 2008. With respect to RIA, CE increased by 2.0-fold over 9 years and exceeded that of clipping from 2014. As for spontaneous ICH in adults, the age-standardized incidence was 31.3 per 100000 personyears in 2016-decreased by 34.7% since 2008-and 14.6% of patients diagnosed with ICH were treated in 2016, which was not significantly different from the proportion of patients treated since 2008. The age-standardized incidence of unruptured AVM (UAVM) was 2.0 per 100000 person-year in 2016, while that of ruptured AVM (RAVM) was 2.4 per 100000 person-years in 2016, showing a decreasing rate of 17.2% from 2008. The total number of treated patients with AVM declined since 2014.
conclusionIn Korea, age-related cerebral vascular diseases, such as RIA, ICH, and RAVM, demonstrated a declining trend in agestandardized incidence; meanwhile, UIA and UAVM demonstrated an increased trend in both crude incidence and age-standardized incidence for 9 years. The increase in the elderly population, management of hypertension, and development of diagnostic and endovascular techniques appear to have influenced this trend.
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