La maladie de Parkinson au Canada (serveur d'exploration)

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The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.

Identifieur interne : 000097 ( Ncbi/Merge ); précédent : 000096; suivant : 000098

The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.

Auteurs : S L Mitchell [Canada] ; K. Rockwood

Source :

RBID : pubmed:10798470

Descripteurs français

English descriptors

Abstract

The impact of parkinsonism on survival in older persons independent of dementia is not well understood.

PubMed: 10798470

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pubmed:10798470

Le document en format XML

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<nlm:affiliation>Division of Geriatric Medicine, Loeb Health Research Institute, the Ottawa Hospital and the University of Ottawa, Ontario, Canada.</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<wicri:noRegion>Ontario</wicri:noRegion>
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<name sortKey="Rockwood, K" sort="Rockwood, K" uniqKey="Rockwood K" first="K" last="Rockwood">K. Rockwood</name>
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<title xml:lang="en">The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.</title>
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<title level="j">Journal of the American Geriatrics Society</title>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Alzheimer Disease (complications)</term>
<term>Alzheimer Disease (diagnosis)</term>
<term>Canada</term>
<term>Cohort Studies</term>
<term>Dementia (complications)</term>
<term>Follow-Up Studies</term>
<term>Gait</term>
<term>Humans</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (mortality)</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en">
<term>Canada</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Alzheimer Disease</term>
<term>Dementia</term>
<term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Alzheimer Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en">
<term>Parkinson Disease</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Follow-Up Studies</term>
<term>Gait</term>
<term>Humans</term>
<term>Risk Factors</term>
<term>Survival Analysis</term>
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<term>Canada</term>
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<div type="abstract" xml:lang="en">The impact of parkinsonism on survival in older persons independent of dementia is not well understood.</div>
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<Month>05</Month>
<Day>18</Day>
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<Year>2000</Year>
<Month>05</Month>
<Day>18</Day>
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<DateRevised>
<Year>2008</Year>
<Month>03</Month>
<Day>10</Day>
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<ISSN IssnType="Print">0002-8614</ISSN>
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<Volume>48</Volume>
<Issue>4</Issue>
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<Year>2000</Year>
<Month>Apr</Month>
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<Title>Journal of the American Geriatrics Society</Title>
<ISOAbbreviation>J Am Geriatr Soc</ISOAbbreviation>
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<ArticleTitle>The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The impact of parkinsonism on survival in older persons independent of dementia is not well understood.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Participants in the clinical examination of the Canadian Study of Health and Aging who had parkinsonism and were older than age 65 were identified. The impact of parkinsonism on 5-year survival was determined for a combined cohort with and without dementia, and a stratified analysis was then conducted for the subgroups with Alzheimer's disease (AD) and those without dementia. Subjects with a previous diagnosis of Parkinson's disease and those prescribed drugs causing extrapyramidal side effects were excluded.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">A total of 721 subjects with AD and 1705 subjects without dementia were examined. After adjusting for age and residential status (community vs institution), parkinsonism was associated with poorer survival in the combined cohort (risk ratio 1.51; 95% CI, 1.22-1.85), in those with AD (risk ratio 1.34; 95% CI, 1.02-1.76), and those without dementia (risk ratio 1.54; 95% CI, 1.11-2.15). In the combined cohort, parkinsonism remained independently associated with higher mortality after adjusting for AD status (risk ratio 1.39; 95% CI, 1.13-1.72). In the subgroup with AD, parkinsonism remained associated with poorer survival after adjusting for severity of cognitive impairment (risk ratio 1.33; 95% CI. 1.04-1.74).</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Parkinsonism is significantly associated with poorer survival in older persons, regardless of whether they have dementia.</AbstractText>
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{{Explor lien
   |wiki=    Wicri/Canada
   |area=    ParkinsonCanadaV1
   |flux=    Ncbi
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   |type=    RBID
   |clé=     pubmed:10798470
   |texte=   The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.
}}

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