Time Trends in Prevalence of Chronic Diseases and Multimorbidity Not Only due to Aging: Data from General Practices and Health Surveys

Chronic diseases and multimorbidity are common and expected to rise over the coming years. The objective of this study is to examine the time trend in the prevalence of chronic diseases and multimorbidity over the period 2001 till 2011 in the Netherlands, and the extent to which this can be ascribed...

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Published in:PloS one Vol. 11; no. 8; p. e0160264
Main Authors: van Oostrom, Sandra H, Gijsen, Ronald, Stirbu, Irina, Korevaar, Joke C, Schellevis, Francois G, Picavet, H. Susan J, Hoeymans, Nancy
Format: Journal Article
Language:English
Published: United States Public Library of Science 02.08.2016
Public Library of Science (PLoS)
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Aging
Aging (Biology)
Aging - pathology
Analysis
Archives & records
Biology and Life Sciences
Child
Child, Preschool
Chronic Disease - epidemiology
Chronic diseases
Chronic illnesses
Comorbidity
Diabetes
Diseases
Electronic health records
Electronic Health Records - statistics & numerical data
Female
General Practice - statistics & numerical data
Health aspects
Health care
Health care policy
Health Surveys - statistics & numerical data
Humans
Infant
Infant, Newborn
Male
Medical records
Medicine and Health Sciences
Middle Aged
Multimorbidity
Netherlands - epidemiology
Older people
Patients
People and Places
Polls & surveys
Population
Population studies
Prevalence studies (Epidemiology)
Primary care
Public health
Registration
Regression Analysis
Regression models
Research and Analysis Methods
Risk factors
Standardization
Trends
Netherlands
ISSN:1932-6203, 1932-6203
Online Access:Get full text
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Summary:Chronic diseases and multimorbidity are common and expected to rise over the coming years. The objective of this study is to examine the time trend in the prevalence of chronic diseases and multimorbidity over the period 2001 till 2011 in the Netherlands, and the extent to which this can be ascribed to the aging of the population. Monitoring study, using two data sources: 1) medical records of patients listed in a nationally representative network of general practices over the period 2002-2011, and 2) national health interview surveys over the period 2001-2011. Regression models were used to study trends in the prevalence-rates over time, with and without standardization for age. An increase from 34.9% to 41.8% (p<0.01) in the prevalence of chronic diseases was observed in the general practice registration over the period 2004-2011 and from 41.0% to 46.6% (p<0.01) based on self-reported diseases over the period 2001-2011. Multimorbidity increased from 12.7% to 16.2% (p<0.01) and from 14.3% to 17.5% (p<0.01), respectively. Aging of the population explained part of these trends: about one-fifth based on general practice data, and one-third for chronic diseases and half of the trend for multimorbidity based on health surveys. The prevalence of chronic diseases and multimorbidity increased over the period 2001-2011. Aging of the population only explained part of the increase, implying that other factors such as health care and society-related developments are responsible for a substantial part of this rise.
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Conceptualization: SHO RG IS JCK FGS HSJP NH. Data curation: SHO RG HSJP JCK NH. Formal analysis: SHO RG IS. Methodology: SHO RG IS JCK FGS HSJP NH. Writing - original draft: SHO. Writing - review & editing: RG IS JCK FGS HSJP NH.
Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0160264