DIABETES MELLITUS from epidemiology to health policy - RePub

174 Pages·2010·3.74 MB·English

DIABETES MELLITUS
from epidemiology to health policy
ClP-GEGEVENS KONINKLJJKE BlBLiOTHEEK, DEN HAAG
Ruwaard, Dirk
Diabetes mellitus: from epidemiology to health policy /
Dirk Ruwaard. - [S.l.: s.n.J.
Thesis Rotterdam. -With ref. - With summary in Dutch.
ISBN 90-9009749-X
Subject headings: diabetes / epidemiology / forecasts /
prospects / health policy
Cover: 'from data to scenarios', M.D. Comelissen-Kuyt, Katwijk
Printing: Drukkerij Elinkwijk B.V., Utrecht
© J 996 Ruwaard. No part of this publication may be reproduced, stored in a data
processing system or transmitted in any form by printing. photocopying, microfilming
or otherwise, without the prior permission of the author.
DIABETES MELLITUS
from epidemiology to health policy
DIABETES MELLITUS
van epidemiologie naar gezondheidsbeleid
Pl'oefschrift
ter verkrijging van de graad van doctor
aan de Erasmus Universiteit Rotterdam
op gezag van de rector magnificus
Prof.dr. P.W.C. Akkermans M.A.
en volgens besluit van het College voor Promoties.
De open bare verdediging zal plaatsvinden op
lVoensdag 2 oktober 1996 am 15.45 lIur
door
Dirk Ruwaard
geboren te Katwijk aan Zee
PROMOTIECOMMISSIE
Promotores: Prof.dr.ir. D. Kromhout
Prof.dr. A.F. Casparie
Overige leden: Prof.dr. D.E. Grobbee
Prof.dr. P.J. van der Maas
Prof.dr. R.J. Heine
Co-promot~r: Dr. H. Verkleij
Financial support by the Dutch Diabetic Research Foundation and the National Institute
of Public Health and the Environment for the publication of this thesis is gratefully
acknowledged.
Vaor Helina, Suzanne, Corne en Lotte
Voar mijn ouders

CONTENTS
I. Introduction 9
2. Diabetes mellitus: points of departure 19
3. Increasing incidence of type I diabetes in the Netherlands: 41
the second nation-wide study among children under 20 years of age
4. Is the incidence of diabetes increasing in all age groups in 49
the Netherlands? Results of the second study in the Dutch
Sentinel Practice Network
5. Forecasting the number of diabetic patients in the Netherlands in 2005 63
6. Forecasting the number of diabetic patients in the Netherlands in 2005: 81
an update
7. Changing occurrence of diabetes mellitus and implications 99
for health policy: from a global to a national perspective
8. General discussion 127
Summary 157
Samenvatting 163
Dankwoord 169
About the author 171
7

CHAPTER 1
Introduction