OBJECTIVES: This study quantified the consequences for prevalence of increased survival of coronary heart disease (CHD) in the Netherlands from 1980 to 1993. METHODS: A multistage life table fitted observed mortality and registration rates from the nationwide hospital register. The outcome was prevalence by age, sex, period, and disease state. RESULTS: The prevalence of CHD from 1980 to 1993 was 4.4% (men, aged 25 to 84 years) and 1.4% (women, aged 25 to 84 years). Between 1980-1983 and 1990-1993, the incidence changed little, but age-adjusted prevalence increased by 19% (men) and 59% (women). CONCLUSIONS: Sharply decreasing mortality but near-constant attack rates of CHD caused distinct increases in prevalence, particularly among the elderly.

Adult, Age Distribution, Aged, Aged, 80 and over, Coronary Disease/*epidemiology/*mortality, Disease Outbreaks/*statistics & numerical data, Female, Humans, Incidence, Life Tables, Male, Middle aged, Mortality/trends, Netherlands/epidemiology, Population Surveillance, Prevalence, Research Support, Non-U.S. Gov't, Sensitivity and Specificity, Sex Distribution, Survival Analysis, Survival Rate/trends
American Journal of Public Health
Erasmus MC: University Medical Center Rotterdam

Bonneux, L.G.A, Barendregt, J.J.M, & van der Maas, P.J. (1999). The new old epidemic of coronary heart disease. American Journal of Public Health. Retrieved from http://hdl.handle.net/1765/9061