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Retrospective Drugs Utilization Review Study for Chronic Kidney Disease Using National Health Insurance Database  

Kim, Dong-Sook (Department of Research, Health Insurance Review & Assessment Service)
Lee, Hyun-Jeong (Department of Research, Health Insurance Review & Assessment Service)
Son, In-Ja (Pharmacy Departement, Seoul National University Hospital)
Kim, Gui-Sook (Pharmacy Departement, Seoul National University Hospital)
Shin, Joo-Young (Departement of Preventive Medicine, College of Medicine, Seoul National University)
Lee, Kun-Sei (Department of Research, Health Insurance Review & Assessment Service)
Publication Information
YAKHAK HOEJI / v.53, no.3, 2009 , pp. 138-144 More about this Journal
Abstract
The purpose was to implement drug utilization review (DUR) for whom were diagnosed with chronic kidney disease (CKD) population using health insurance claim data. This study constructed drug utilization database using Health Insurance Review and Assessment Service (HIRA) database and selected contraindicated drugs with kidney based on previously developed drug utilization guide and reviewing other countries' examples. Main outcome measures were the proportion of prescription for 1 or more drugs of concern. The cohort included 115,948 subjects, who were diagnosed with chronic kidney disease. Inappropriate drugs with CKD patients was some used, and the most commonly prescribed classes were aluminum drugs. However it is difficult to find problems with inappropriate drug because claims data doesn't have laboratory data. Based on the result of retrospective drug utilization review study, more studies should be analysed drug utilization patterns and monitoring system should be developed.
Keywords
retrospective drug utilization review; health insurance database; chronic kidney disease;
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