Evidence map›Paper›PMID 41287500›Full record

ArticleYonsei medical journal2025

Trends in Health Expenditures for Chronic Disease Management: Hypertension, Diabetes Mellitus, and Dyslipidemia from 2013 to 2020.

KyungYi Kim, Minji Hong, Sang Gyu Lee, Hyuk-Jae Chang, Tae Hyun Kim

Abstract read
In one paragraph

Article in Yonsei medical journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Continuity of Care and Risks of Hospitalization and Mortality in COPD: A Nationwide Cohort Study.International journal of chronic obstructive pulmonary disease · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

KyungYi KimDepartment of Biohealth Industry, Graduate School of Transdisciplinary Health Sciences, Yonsei University, Seoul, Korea.ORCID https://orcid.org/0000-0002-7856-3255
Minji HongSaw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0009-7506-3165
Sang Gyu LeeDepartment of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-4847-2421
Hyuk-Jae ChangDivision of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.ORCID https://orcid.org/0000-0002-6139-7545
Tae Hyun KimDepartment of Biohealth Industry, Graduate School of Transdisciplinary Health Sciences, Yonsei University, Seoul, Korea. THKIM@yuhs.ac.ORCID https://orcid.org/0000-0003-1053-8958

Funding

Institute of Information and Communications Technology Planning and Evaluation 20220 00972
6 · The paper itself

Abstract

purposeChronic diseases such as hypertension (HT), diabetes mellitus (DM), and dyslipidemia (LD) are leading contributors to healthcare expenditures globally, including in South Korea. This study aimed to analyze trends in health expenditures for managing these conditions, focusing on patient demographics, comorbidities, and complications, using real-world data from a tertiary care hospital. MATERIALS AND

methodsThis retrospective study utilized clinical data from Severance Hospital's Severance Clinical Research Analysis Portal (SCRAP) system, covering 2013 to 2020. Patients diagnosed with HT, DM, and LD were identified using ICD-10 codes. Generalized linear mixed models were applied to evaluate trends in health expenditures, and a Sankey diagram was used to visualize expenditure flows by patient subgroups and care categories.

resultsTotal health expenditures increased nearly threefold, from 157.2 billion KRW in 2013 to 444.8 billion KRW in 2020, driven primarily by rising reimbursable costs (67.1% to 84.1%). Per-patient expenditures decreased initially but stabilized by 2020. Patients with HT+DM incurred the highest per-patient costs, followed by those with HT alone. Complications, particularly cardiovascular and cerebrovascular diseases, significantly elevated costs, with inpatient care accounting for the largest expenditure share.

conclusionThe economic burden of managing chronic diseases is substantial, particularly for patients with multiple conditions or complications. Strengthening preventive care and integrated management strategies, alongside sustained financial support, is crucial for improving cost-efficiency in chronic disease care.

Indexed as

Diabetes MellitusDyslipidemiasHealth ExpendituresHypertensionAdultAgedChronic DiseaseDisease ManagementFemaleHumansMaleMiddle AgedRepublic of KoreaRetrospective Studiesdiabetes mellitusdyslipidemiaHealth expenditureshypertension

Identifiers

PMID41287500
PMCPMC12673652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.