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. 1993 Jul;83(7):989–995. doi: 10.2105/ajph.83.7.989

Forecasting the number of diabetic patients in The Netherlands in 2005.

D Ruwaard 1, R T Hoogenveen 1, H Verkleij 1, D Kromhout 1, A F Casparie 1, E A van der Veen 1
PMCID: PMC1694793  PMID: 8328622

Abstract

OBJECTIVES. There is evidence from past decades that the number of diabetic patients has increased independently of changes in demography. A static model that takes into account only demographic changes is therefore unable to forecast the expected number of diabetic patients correctly. METHODS. We developed a dynamic model in which actual incidence, prevalence, and life expectancy data are used and alternative assumptions about future trends in these parameters can be incorporated. RESULTS. This dynamic model forecasts higher numbers of diabetic patients than the less sophisticated static model. According to the dynamic model, a 46% increase in the number of diabetic patients in The Netherlands can be expected, from 244,000 in 1990 to 355,000 in 2005 (about 2.5% annually). The static model forecasts a 22% increase. CONCLUSIONS. Diabetes mellitus will become a more serious public health problem than can be expected from demographic changes only. In planning future health care, monitoring of trends in incidence, prevalence, remission, and mortality or life expectancy is a necessary prerequisite.

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Selected References

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  1. Feskens E. J., Bowles C. H., Kromhout D. Intra- and interindividual variability of glucose tolerance in an elderly population. J Clin Epidemiol. 1991;44(9):947–953. doi: 10.1016/0895-4356(91)90058-h. [DOI] [PubMed] [Google Scholar]
  2. Fuller J. H. Causes of death in diabetes mellitus. Horm Metab Res Suppl. 1985;15:3–9. [PubMed] [Google Scholar]
  3. Goodkin G. Mortality factors in diabetes. A 20 year mortality study. J Occup Med. 1975 Nov;17(11):716–721. [PubMed] [Google Scholar]
  4. Harris M. I., Hadden W. C., Knowler W. C., Bennett P. H. Prevalence of diabetes and impaired glucose tolerance and plasma glucose levels in U.S. population aged 20-74 yr. Diabetes. 1987 Apr;36(4):523–534. doi: 10.2337/diab.36.4.523. [DOI] [PubMed] [Google Scholar]
  5. Herman W. H., Sinnock P., Brenner E., Brimberry J. L., Langford D., Nakashima A., Sepe S. J., Teutsch S. M., Mazze R. S. An epidemiologic model for diabetes mellitus: incidence, prevalence, and mortality. Diabetes Care. 1984 Jul-Aug;7(4):367–371. doi: 10.2337/diacare.7.4.367. [DOI] [PubMed] [Google Scholar]
  6. King H., Zimmet P. Trends in the prevalence and incidence of diabetes: non-insulin-dependent diabetes mellitus. World Health Stat Q. 1988;41(3-4):190–196. [PubMed] [Google Scholar]
  7. Melton L. J., 3rd, Palumbo P. J., Chu C. P. Incidence of diabetes mellitus by clinical type. Diabetes Care. 1983 Jan-Feb;6(1):75–86. doi: 10.2337/diacare.6.1.75. [DOI] [PubMed] [Google Scholar]
  8. O'Sullivan J. B., Williams R. F., McDonald G. W. The prevalence of diabetes mellitus and related variables--a population study in Sudbury, Massachusetts. J Chronic Dis. 1967 Jul;20(7):535–543. doi: 10.1016/0021-9681(67)90084-7. [DOI] [PubMed] [Google Scholar]
  9. Panzram G. Mortality and survival in type 2 (non-insulin-dependent) diabetes mellitus. Diabetologia. 1987 Mar;30(3):123–131. doi: 10.1007/BF00274216. [DOI] [PubMed] [Google Scholar]
  10. Rewers M., LaPorte R. E., King H., Tuomilehto J. Trends in the prevalence and incidence of diabetes: insulin-dependent diabetes mellitus in childhood. World Health Stat Q. 1988;41(3-4):179–189. [PubMed] [Google Scholar]
  11. Vaandrager G. J., Bruining G. J., Veenhof F. J., Drayer N. M. Incidence of childhood diabetes in The Netherlands: a decrease from north to south over north-western Europe? Diabetologia. 1984 Aug;27(2):203–206. doi: 10.1007/BF00273807. [DOI] [PubMed] [Google Scholar]
  12. White M. C., Selvin S., Merrill D. W. A study of multiple causes of death in California: 1955 and 1980. J Clin Epidemiol. 1989;42(4):355–365. doi: 10.1016/0895-4356(89)90040-1. [DOI] [PubMed] [Google Scholar]

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