Incidence and management of XXXX in primary care in The Netherlands.

@entity1 @entity613
OBJECTIVE: To study the incidence and management of @entity613 in primary care. DESIGN: In a longitudinal survey among 161 general practitioners (GPs) all incident diagnoses of @entity613 ( @entity613 ) were selected and available information on GP management was studied. SETTING: Dutch National Survey of Morbidity and Interventions in General Practice. SUBJECTS: 74153 @entity1 aged 55 years and over. MAIN OUTCOME MEASURES: Age- and sex-specific incidence rates. RESULTS: The overall incidence rate of @entity613 was 6.4 per 1000 @entity1 years (95% confidence interval (CI) 5.3-7.7). Incidence rate in creased from 4.0 per 1000 @entity1 years in @entity1 aged 55-59 to 12.9 per 1000 @entity1 years in @entity1 aged over 85, and for @entity1 in the same age categories from 3.3 per 1000 @entity1 years to 8.2 per 1000 @entity1 years, respectively. Of the 117 incident cases of @entity613 , 43 (37%) were referred to a hospital specialist. In 55 cases (47%), drugs were prescribed by the GP and in 101 cases (86%) the GP gave advice, notably pertaining to exercise and cessation of smoking. CONCLUSION: The incidence rate of @entity613 in primary care is high in both @entity1 and @entity1 , and clearly increases with age. Only a minority of @entity1 are referred to a hospital specialist, while the vast majority receive lifestyle advice.
