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- Title
Increasing incidence of type I diabetes in The Netherlands. The second nationwide study among children under 20 years of age.
- Authors
Ruwaard, D; Hirasing, R A; Reeser, H M; van Buuren, S; Bakker, K; Heine, R J; Geerdink, R A; Bruining, G J; Vaandrager, G J; Verloove-Vanhorick, S P
- Abstract
<bold>Objective: </bold>A nationwide retrospective study was conducted to assess the incidence of type I diabetes in The Netherlands among children < 20 years of age in 1988-1990. The first study with a similar design covered 1978-1980.<bold>Research Design and Methods: </bold>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.<bold>Results: </bold>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%.<bold>Conclusions: </bold>This study suggests a sustained increase of type I 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.
- Publication
Diabetes Care, 1994, Vol 17, Issue 6, p599
- ISSN
0149-5992
- Publication type
journal article
- DOI
10.2337/diacare.17.6.599