LOW INCIDENCE OF CHILDHOOD CELIAC-DISEASE IN THE NETHERLANDS

被引:21
作者
GEORGE, EK
MEARIN, ML
VANDERVELDE, EA
HOUWEN, RHJ
BOUQUET, J
GIJSBERS, CFM
VANDENBROUCKE, JP
机构
[1] UNIV LEIDEN HOSP,DEPT MED STAT,2300 RC LEIDEN,NETHERLANDS
[2] UNIV LEIDEN HOSP,DEPT EPIDEMIOL,2300 RC LEIDEN,NETHERLANDS
[3] WILHELMINA CHILDRENS HOSP,UTRECHT,NETHERLANDS
[4] SOPHIA CHILDRENS UNIV HOSP,ROTTERDAM,NETHERLANDS
[5] JULIANA CHILDRENS HOSP,THE HAGUE,NETHERLANDS
关键词
D O I
10.1203/00006450-199502000-00015
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The incidence and prevalence of celiac disease vary internationally. We studied the incidence of identified cases of childhood celiac disease in six Dutch provinces that cover 47.9% of the surface area and 67.6% of the total population of The Netherlands. Children with celiac disease aged 0-14 y, diagnosed from January 1975 to January 1991, were traced by 1) contacting al pediatricians in this area, 2) examining the data of the Dutch National Medical Registration, and 3) investigating the membership records of the Dutch Celiac Disease Society. These data were cross-checked by the Dutch Network and National Database of Pathology. Of the 97.9% of pediatricians who answered our inquiry, 46.1% were treating celiac patients. A total of 342 celiac patients were identified. Informed consent that permitted examination of their medical files was given by 97.3% of the parents of the celiac children. The mean crude incidence rate of diagnosed childhood celiac disease, calculated per 1000 live births per year, was 0.18. However, a significant increase in reported incidence was demonstrated from 0.10 in 1976 to 0.32 in 1990. The best estimate, for the years 1985-1990, is 0.22/1000 live births, which is much lower than in most European countries.
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页码:213 / 218
页数:6
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共 24 条
  • [11] Jansen Th T.L.A., Mulder C., Karssen P., Wagenaar C., Epidemiological survey of the Dutch Coeliac Disease Society: An update 1992, Eur J Gastroenterol Hep, 5, pp. 73-78, (1993)
  • [12] SDU/ Publishers Netherlands Central Bureau of Statistics, The Hague, (1991)
  • [13] Annual Report of the Dutch Child Health Care Inspection 0-4 Years, pp. 1975-1990
  • [14] Walker-Smith J.A., Guandalini S., Schmitz J., Shmerling D.H., Visakorpi J.K., Revised criteria for diagnosis of coeliac disease. Report of Working Group of ESPGAN, Arch Dis Child, 65, pp. 909-911, (1990)
  • [15] Meeuwisse G.W., Diagnosis criteria in coeliac disease, Acta Paediatr Scand, 59, pp. 361-363, (1970)
  • [16] Weile B., Krasilnikoff P.A., Low incidence rates by birth of symptomatic coeliac disease in a Danish population of children, Acta Paediatr, 81, pp. 394-398, (1992)
  • [17] Sollid L.M., Thorsby E., The primary association of celiac disease to a given HLA-DQ alpha/beta heterodimer explains the divergent HLA-DR associations ob¬served in the various Caucasian populations, Tissue Antigens, 36, pp. 136-137, (1990)
  • [18] Bauer M.P., Neugebauer M., Deppe H., Sigmund M., Luton T., Mayer W.R., Albert E.D., Population analysis on the basis of deduced haplotypes from random families, Histocompatibility Testing, pp. 333-341, (1984)
  • [19] Van Der Avert F.J., De Bekker G., Van Beurden M.G., Douwes A.C., Fernandes J., Hammink J., Knopf Y., Van Kuppevelt A., Lim M., Van Meer W.A., Phaff J., Uitentuis J., Voorhoeve H., Visser H., Zuigelingen-voeding, de huidige inzichten, Tijdschr Kindergeneeskd, 53, pp. 1-48, (1985)
  • [20] Horst C.H., Obermann-De Boer G.L., Kromhout D., De voeding van vier, zes en negen maanden oude Leidse zuigelingen, Voeding, 48, pp. 173-176, (1987)