Title
Increasing incidence of type I diabetes in The Netherlands: The second nationwide study among children under 20 years of age
Author
Ruwaard, D.
Hirasing, R.A.
Reeser, H.M.
van Buuren, S.
Barker, K.
Heine, R.J.
Geerdink, R.A.
Bruining, G.J.
Vaandrager, G.J.
Verloove-Vanhorick, S.P.
TNO Preventie en Gezondheid
Publication year
1994
Abstract
OBJECTIVE - A nationwide retrospective study was conducted to assess the incidence of type 1 diabetes in The Netherlands among children <20 years of age in 1988-1990. The first study with a similar design covered 1978-1980. RESEARCH DESIGN AND METHODS - The capture-recapture census method was chosen for analysis of the data. A questionnaire was sent to all Dutch pediatricians and internists, and for the ascertainment, a similar questionnaire was sent out separately to members of the Dutch Diabetes Association, which is the national patient association. RESULTS - The average achieved ascertainment rate was 81%. The ascertainment-adjusted annual incidence was 13.2/100,000 for 0- to 19-year-old children, indicating an increase of 23% compared with the 1978-1980 survey; for 0- to 14-year-olds, the increase amounted to 17%. CONCLUSIONS - This study suggests a sustained increase of type 1 diabetes in The Netherlands because the cumulative incidence studied previously in the 1960-1970 birth cohorts of male army conscripts 18 years of age was also found to rise. In contrast to Northern European countries, an increase in incidence for the age category 0-4 years could not be found.
Subject
Audiology
Adult
Childhood disease
Health survey
Insulin dependent diabetes mellitus
Major clinical study
Adolescent
Age Factors
Child
Child, Preschool
Comparative Study
Diabetes Mellitus, Insulin-Dependent
Female
Human
Incidence
Infant
Internal Medicine
Male
Netherlands
Pediatrics
Questionnaires
Sex Factors
Time Factors
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http://resolver.tudelft.nl/uuid:2aeb9bdb-c837-4b72-a250-9117650aede3
TNO identifier
232619
ISSN
0149-5992
Source
Diabetes Care, 17 (6), 599-601
Document type
article