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The incidence of type 1 diabetes is still increasing in the Netherlands, but has stabilised in children under five (Young DUDE s‐1)
Author(s) -
Spaans Engelina A. J. M.,
Gusdorf Lisette M. A.,
Groenier Klaas H.,
Brand Paul L. P.,
Veeze Henk J.,
Reeser Hans M.,
Bilo Henk J. G.,
Kleefstra Nanne
Publication year - 2015
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12949
Subject(s) - medicine , incidence (geometry) , pediatrics , confidence interval , diabetes mellitus , type 1 diabetes , type 2 diabetes , reimbursement , cohort , cohort study , retrospective cohort study , demography , health care , endocrinology , physics , sociology , economic growth , optics , economics
Aim This study described the incidence and prevalence of type 1 diabetes in children in the Netherlands in 2010–2011 and to compare these results with earlier studies. Methods This was a retrospective nationwide cohort study of Dutch children aged 14 years or younger. Patients were identified using health insurance reimbursement registries for hospital care and invoices for insulin. In the Netherlands, all children with diabetes are treated by hospital‐based paediatricians and health care for all Dutch citizens is covered by law. Results The incidence of type 1 diabetes almost doubled between 1978–1980 and 2010–2011, from 11.1 to 21.4 per 100 000. In the youngest age group, who were under 5 years, the incidence rate doubled between 1996 and 1999 and remained stable after that. There were no relevant incidence differences between the sexes. The overall prevalence of type 1 diabetes in the Netherlands during 2009–2011 was 143.6 (95% confidence interval 141.1–146.2) per 100 000 children and was similar for boys and girls. Conclusion The incidence of type 1 diabetes in children in the Netherlands almost doubled between 1978–1980 and 2010–2011, but the incidence in children under 5 years appeared to stabilise between 1996 and 1999. There were no statistical differences between the sexes.