Chronisch Vermoeidheidssyndroom: diagnose, behandeling en ...
Chronisch Vermoeidheidssyndroom: diagnose, behandeling en ...
Chronisch Vermoeidheidssyndroom: diagnose, behandeling en ...
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30 Chronic Fatigue Syndrome KCE reports 88<br />
CFS. Among subjects who were nonfatigued and fatigued for less than 6 months, the 1year<br />
incid<strong>en</strong>ce of CFS was 180 per 100 000 persons (95% CI, 0-466 per 100 000<br />
persons).<br />
Results from attempts to estimate incid<strong>en</strong>ce in the Netherlands (research team from<br />
Nijmeg<strong>en</strong>) indicate that 2 900 to 9 800 new cases could be <strong>diagnose</strong>d by year, i.e. an<br />
incid<strong>en</strong>ce of CFS being 18 per 100 000 persons to 60 per 100 000 persons c . 59<br />
2.4.5 Incid<strong>en</strong>ce of CFS in childr<strong>en</strong> and adolesc<strong>en</strong>ts<br />
A longitudinal study is needed to estimate incid<strong>en</strong>ce of CFS. Rimes et al. (2007)<br />
conducted such study in a random g<strong>en</strong>eral population sample of 842 British adolesc<strong>en</strong>ts<br />
(aged 11 through 15 years). 65 At time 1, the point preval<strong>en</strong>ce was 0.1% for CFS (95% CI:<br />
0.0% – 0.4%). Four to six months later, 4 new cases of CFS occurred for a 0.5%<br />
incid<strong>en</strong>ce (95% CI: 0.01% – 0.9%).<br />
2.4.6 Incid<strong>en</strong>ce: discussion<br />
Results from attempts to estimate incid<strong>en</strong>ce in adult populations indicate that 1 to 37<br />
new cases could be <strong>diagnose</strong>d by year per 10 000 population. For adolesc<strong>en</strong>ts, 100 new<br />
cases could be <strong>diagnose</strong>d by year per 10 000 population. This high incid<strong>en</strong>ce is balanced<br />
by high remission rates 4 to 6 months later. 65 Overall, taking this high remission rate<br />
into account, CFS in childr<strong>en</strong> and adolesc<strong>en</strong>ts may not be extremely disabling. The<br />
pres<strong>en</strong>ce of family psychopathology may be a determining variable, but this deserves<br />
further study.<br />
c In 2004, number of inhabitants equalled 16.3 million (http://www.cbs.nl/nl-<br />
NL/m<strong>en</strong>u/themas/bevolking/publicaties/artikel<strong>en</strong>/archief/2004/2004-193-pb.htm)