Recent Trends in Cardiovascular Disease and Risk Factors in the Seven Countries: The Netherlands

1994 ◽  
pp. 127-144 ◽  
Author(s):  
W. M. Monique Verschuren ◽  
Henriette A. Smit ◽  
Edith M. Van Leer ◽  
Jacob C. Seidell ◽  
Daan Kromhout
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
The Netherlands ◽  
Recent Trends

Time-Dependent Reasons for Peritoneal Dialysis Technique Failure and Mortality

2010 ◽  
Vol 30 (2) ◽  
pp. 170-177 ◽  
Author(s):  
Inna Kolesnyk ◽  
Friedo W. Dekker ◽  
Elisabeth W. Boeschoten ◽  
Raymond T. Krediet
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Peritoneal Dialysis ◽  
The Netherlands ◽  
Patient Survival ◽  
Time Dependent ◽  
First Year ◽  
Technique Survival ◽  
Technique Failure

BackgroundPeritoneal dialysis (PD) technique failure is high compared to hemodialysis (HD). There is a lack of data on the impact of duration of PD treatment on technique survival and on whether there is a difference in risk factors with respect to early and late failure. The aim of this study was to clarify these issues by performing a time-dependent analysis of PD technique and patient survival in a large cohort of incident PD patients.MethodsWe analyzed 709 incident PD patients participating in the Netherlands Cooperative Study on the Adequacy of Dialysis (NECOSAD), who started their treatment between 1997 and 2007. We compared technique and patient survival on PD in 4 periods of follow-up: within the first 3 months, and after 3 – 12 months, 12 – 24 months, and 24 – 36 months of treatment. Cox proportional hazards model was used to analyze survival on PD and technique failure. Risk factors were also identified by comparing patients that were transferred to HD with those that remained on PD. Incidence rates for every cause of dropout for each period of follow-up were calculated to establish their trends with respect to PD treatment duration.ResultsThere was a significant increase in transplantation rate after the first year of treatment. The rate of switching to HD was highest during the first 3 months and decreased afterward. One-, 2- and 3-year technique survival was 87%, 76%, and 66%, respectively. Age, diabetes, and cardiovascular disease appeared to be risk factors for death on PD or switch to HD: a 1-year increase in age was associated with a relative risk (RR) of PD failure of 1.04 [95% confidence interval (CI) 1.003 – 1.06]; for diabetes, RR of stopping PD after 3 months of treatment increased from 1.8 (95% CI 1.1 – 3) during the first year to 2.2 (95% CI 1.3 – 4) after the second year; cardiovascular disease had a major impact in the earliest period (RR 2.5, 95% CI 1.2 – 5) and had a stable influence further on (RR 2, 95% CI 1.1 – 3.5). Loss of 1 mL/minute residual glomerular filtration rate (rGFR) appeared to be a significant predictor of PD failure after 3 months of treatment, but within the first 2 years, RR was 1.1 (95% CI 1.04 – 1.25).ConclusionsIn The Netherlands, transplantation is a main reason to stop PD treatment. The incidence of PD technique failure is at its highest during the earliest months after treatment initiation and decreases later due to fewer catheter and abdominal complications as well as less influence of psychosocial factors. Risk factors for PD discontinuation are those responsible for patient survival: age, cardiovascular disease, diabetes, and rGFR.

scholarly journals Contribution of short sleep duration to ethnic differences in cardiovascular disease: results from a cohort study in the Netherlands

BMJ Open ◽  
2017 ◽  
Vol 7 (11) ◽  
pp. e017645 ◽  
Author(s):  
Kenneth Anujuo ◽  
Charles Agyemang ◽  
Marieke B Snijder ◽  
Girardin Jean-Louis ◽  
Bert-Jan van den Born ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
The Netherlands ◽  
Sleep Duration ◽  
Ethnic Differences ◽  
Urban Setting ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Short Sleep Duration ◽  
Short Sleep

ObjectivesWe analysed association between short sleep duration and prevalence of cardiovascular disease (CVD) in a multiethnic population living in the Netherlands, and the contribution of short sleep to the observed ethnic differences in the prevalence of CVD, independent of CVD risk factors.Methods20 730 participants (aged 18–71 years) of the HELIUS (Healthy Life in an Urban Setting) Study were investigated. Self-reported sleep duration was classified as: short (<7 hours/night) and healthy (7–9 hours/night). Prevalence of CVD was assessed using the Rose Questionnaire on angina pectoris, intermittent claudication and possible myocardial infarction. Association of short sleep duration with prevalent CVD and the contribution of short sleep to the observed ethnic differences in the prevalence of CVD were analysed using adjusted prevalence ratio(s) (PRs) with 95% CI.ResultsResults indicate that short sleep was associated with CVD among all ethnic groups with PRs ranging from 1.41 (95% CI 1.21 to 1.65) in Moroccans to 1.62 (95% CI 1.20 to 2.18) in Dutch after adjustment for age, sex and conventional CVD risk factors. The independent contributions of short sleep (in percentage) to ethnic differences in CVD compared with Dutch were 10%, 15%, 15%, 5% and 5% in South-Asian Surinamese, African-Surinamese, Ghanaian, Turkish and Moroccan, respectively.ConclusionShort sleep contributed to ethnic differences in CVD independent of well-known CVD risk factors particularly in Surinamese and Ghanaian groups. Reducing sleep deprivation may be a relevant entry point for reducing increased CVD risks among the various ethnic minority groups.

Recent Trends in Cardiovascular Disease and Risk Factors: Yugoslavia

1994 ◽  
pp. 75-91 ◽  
Author(s):  
Srecko I. Nedeljković ◽  
Miodrag Č. Ostojić ◽  
Milija R. Vukotić ◽  
Miodrag Z. Grujić
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Recent Trends

Recent Trends in Cardiovascular Disease and Risk Factors in the Seven Countries Study: Japan

1994 ◽  
pp. 63-74 ◽  
Author(s):  
Yoshinori Koga ◽  
Ryuichi Hashimoto ◽  
Hisashi Adachi ◽  
Makoto Tsuruta ◽  
Hiromi Tashiro ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Seven Countries Study ◽  
Recent Trends
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