Relationship between continuity of care and clinical outcomes in patients with dyslipidemia in Korea: a real world claims database study

Dyslipidemia is a risk factor for atherosclerotic cardiovascular disease and requires proactive management. This study aimed to investigate the association between care continuity and the outcomes of patients with dyslipidemia. We conducted a retrospective cohort study on patients with dyslipidemia...

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Bibliographic Details
Published in:Scientific reports 2022-02, Vol.12 (1), p.3062-11, Article 3062
Main Authors: Lee, Juhee, Choi, Eunyoung, Choo, Eunjung, Linda, Siachalinga, Jang, Eun Jin, Lee, Iyn-Hyang
Format: Article
Language:English
Subjects:
692/699/75/2099
692/700
692/700/1538
692/700/228
Adult
Arteriosclerosis
Atherosclerosis - epidemiology
Cardiovascular disease
Cardiovascular diseases
Clinical outcomes
Continuity of care
Continuity of Patient Care - organization & administration
Continuity of Patient Care - statistics & numerical data
Databases, Factual
Dyslipidemia
Dyslipidemias - therapy
Female
Follow-Up Studies
Humanities and Social Sciences
Humans
Incidence
Insurance Claim Review
Male
Metabolic disorders
Middle Aged
multidisciplinary
National Health Programs
Office Visits - statistics & numerical data
Patient Acceptance of Health Care - statistics & numerical data
Patients
Proportional Hazards Models
Republic of Korea - epidemiology
Retrospective Studies
Risk Factors
Science
Science (multidisciplinary)
Treatment Outcome
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Summary:Dyslipidemia is a risk factor for atherosclerotic cardiovascular disease and requires proactive management. This study aimed to investigate the association between care continuity and the outcomes of patients with dyslipidemia. We conducted a retrospective cohort study on patients with dyslipidemia by employing the Korea National Health Insurance claims database during the period 2007–2018. The Continuity of Care Index (COCI) was used to measure continuity of care. We considered incidence of atherosclerotic cardiovascular disease as a primary outcome. A Cox's proportional hazards regression model was used to quantify risks of primary outcome. There were 236,486 patients newly diagnosed with dyslipidemia in 2008 who were categorized into the high and low COC groups depending on their COCI. The adjusted hazard ratio for the primary outcome was 1.09 times higher (95% confidence interval: 1.06–1.12) in the low COC group than in the high COC group. The study shows that improved continuity of care for newly-diagnosed dyslipidemic patients might reduce the risk of atherosclerotic cardiovascular disease.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-022-06973-3