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

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Increased risk of Parkinson's disease in individuals hospitalized with conditions related to the use of methamphetamine or other amphetamine-type drugs

Identifieur interne : 000235 ( PascalFrancis/Corpus ); précédent : 000234; suivant : 000236

Increased risk of Parkinson's disease in individuals hospitalized with conditions related to the use of methamphetamine or other amphetamine-type drugs

Auteurs : Russell C. Callaghan ; James K. Cunningham ; Jenna Sykes ; Stephen J. Kish

Source :

RBID : Pascal:12-0064798

Descripteurs français

English descriptors

Abstract

Background: Since methamphetamine and other amphetamine-type stimulants (meth/amphetamine) can damage dopaminergic neurons, researchers have long speculated that these drugs may predispose users to develop Parkinson's disease (PD), a dopamine deficiency neurological disorder. Methods: We employed a retrospective population-based cohort study using all linked statewide California inpatient hospital episodes and death records from January 1, 1990 through December 31, 2005. Patients at least 30 years of age were followed for up to 16 years. Competing risks analysis was used to determine whether the meth/amphetamine cohort had elevated risk of developing PD (ICD-9 332.0; ICD-10 G20) in comparison to a matched population-proxy appendicitis group and a matched cocaine drug control group. Individuals admitted to hospital with meth/amphetamine-related conditions (n = 40,472; ICD-9 codes 304.4, 305.7, 969.7, E854.2) were matched on age, race, sex, date of index admission, and patterns of hospital admission with patients with appendicitis conditions (n = 207,83 1; ICD-9 codes 540-542) and also individuals with cocaine-use disorders (n = 35,335; ICD-9 codes 304.2, 305.6, 968.5). Results: The meth/amphetamine cohort showed increased risk of PD compared to both that of the matched appendicitis group [hazard ratio (HR) = 1.76, 95% CI: 1.12-2.75, p = 0.017] and the matched cocaine group [HR = 2.44,95% CI: 1.32-4.41, p=0.004]. The cocaine group did not show elevated hazard of PD compared to the matched appendicitis group [HR = 1.04, 95% CI: 0.56-1.93, p = 0.80]. Conclusion: These data provide evidence that meth/amphetamine users have above-normal risk for developing PD.

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Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO : PASCAL 12-0064798 INIST
ET : Increased risk of Parkinson's disease in individuals hospitalized with conditions related to the use of methamphetamine or other amphetamine-type drugs
AU : CALLAGHAN (Russell C.); CUNNINGHAM (James K.); SYKES (Jenna); KISH (Stephen J.)
AF : Centre for Addiction and Mental Health, 33 Russell St/Toronto, ON M5S 2S1/Canada (1 aut., 3 aut., 4 aut.); Dalla Lana School of Public Health, University of Toronto/Toronto, ON M5T 3M7/Canada (1 aut.); Department of Family and Community Medicine, The University of Arizona/Tucson, AZ 85719/Etats-Unis (2 aut.); Departments of Psychiatry and Pharmacology, University of Toronto/Toronto, ON M5A 2N4/Canada (4 aut.)
DT : Publication en série; Niveau analytique
SO : Drug and alcohol dependence; ISSN 0376-8716; Coden DADEDV; Irlande; Da. 2012; Vol. 120; No. 1-3; Pp. 35-40; Bibl. 3/4 p.
LA : Anglais
EA : Background: Since methamphetamine and other amphetamine-type stimulants (meth/amphetamine) can damage dopaminergic neurons, researchers have long speculated that these drugs may predispose users to develop Parkinson's disease (PD), a dopamine deficiency neurological disorder. Methods: We employed a retrospective population-based cohort study using all linked statewide California inpatient hospital episodes and death records from January 1, 1990 through December 31, 2005. Patients at least 30 years of age were followed for up to 16 years. Competing risks analysis was used to determine whether the meth/amphetamine cohort had elevated risk of developing PD (ICD-9 332.0; ICD-10 G20) in comparison to a matched population-proxy appendicitis group and a matched cocaine drug control group. Individuals admitted to hospital with meth/amphetamine-related conditions (n = 40,472; ICD-9 codes 304.4, 305.7, 969.7, E854.2) were matched on age, race, sex, date of index admission, and patterns of hospital admission with patients with appendicitis conditions (n = 207,83 1; ICD-9 codes 540-542) and also individuals with cocaine-use disorders (n = 35,335; ICD-9 codes 304.2, 305.6, 968.5). Results: The meth/amphetamine cohort showed increased risk of PD compared to both that of the matched appendicitis group [hazard ratio (HR) = 1.76, 95% CI: 1.12-2.75, p = 0.017] and the matched cocaine group [HR = 2.44,95% CI: 1.32-4.41, p=0.004]. The cocaine group did not show elevated hazard of PD compared to the matched appendicitis group [HR = 1.04, 95% CI: 0.56-1.93, p = 0.80]. Conclusion: These data provide evidence that meth/amphetamine users have above-normal risk for developing PD.
CC : 002B18C05A; 002B18C13; 002B17G
FD : Métamfétamine; Facteur risque; Maladie de Parkinson; Amfétamine; Homme; Individu; Trouble motricité; Milieu hospitalier; Utilisation; Trouble moteur; Médicament; Incidence; Addiction; Santé publique; Dopamine; Cocaïne; Etude cohorte; Toxicomanie; Psychotrope; Stimulant SNC; Substance toxicomanogène
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Pathologie du système nerveux; Dérivé de l'amphétamine; Sympathomimétique; Catécholamine; Neurotransmetteur; Ester; Trouble neurologique
ED : Metamfetamine; Risk factor; Parkinson disease; Amfetamine; Human; Individual; Motility disorder; Hospital environment; Use; Motor system disorder; Drug; Incidence; Addiction; Public health; Dopamine; Cocaine; Cohort study; Drug addiction; Psychotropic; CNS stimulant; Drug of abuse
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Nervous system diseases; Amphetamine derivatives; Sympathomimetic; Catecholamine; Neurotransmitter; Ester; Neurological disorder
SD : Metanfetamina; Factor riesgo; Parkinson enfermedad; Anfetamina; Hombre; Individuo; Trastorno motilidad; Medio hospitalario; Uso; Trastorno motor; Medicamento; Incidencia; Adicción; Salud pública; Dopamina; Cocaína; Estudio cohorte; Toxicomanía; Psicotropo; Estimulante SNC; Sustancia toxicomanógena
LO : INIST-16471.354000508827790060
ID : 12-0064798

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Pascal:12-0064798

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<div type="abstract" xml:lang="en">Background: Since methamphetamine and other amphetamine-type stimulants (meth/amphetamine) can damage dopaminergic neurons, researchers have long speculated that these drugs may predispose users to develop Parkinson's disease (PD), a dopamine deficiency neurological disorder. Methods: We employed a retrospective population-based cohort study using all linked statewide California inpatient hospital episodes and death records from January 1, 1990 through December 31, 2005. Patients at least 30 years of age were followed for up to 16 years. Competing risks analysis was used to determine whether the meth/amphetamine cohort had elevated risk of developing PD (ICD-9 332.0; ICD-10 G20) in comparison to a matched population-proxy appendicitis group and a matched cocaine drug control group. Individuals admitted to hospital with meth/amphetamine-related conditions (n = 40,472; ICD-9 codes 304.4, 305.7, 969.7, E854.2) were matched on age, race, sex, date of index admission, and patterns of hospital admission with patients with appendicitis conditions (n = 207,83 1; ICD-9 codes 540-542) and also individuals with cocaine-use disorders (n = 35,335; ICD-9 codes 304.2, 305.6, 968.5). Results: The meth/amphetamine cohort showed increased risk of PD compared to both that of the matched appendicitis group [hazard ratio (HR) = 1.76, 95% CI: 1.12-2.75, p = 0.017] and the matched cocaine group [HR
<sub>=</sub>
2.44,95% CI: 1.32-4.41, p=0.004]. The cocaine group did not show elevated hazard of PD compared to the matched appendicitis group [HR = 1.04, 95% CI: 0.56-1.93, p = 0.80]. Conclusion: These data provide evidence that meth/amphetamine users have above-normal risk for developing PD.</div>
</front>
</TEI>
<inist>
<standard h6="B">
<pA>
<fA01 i1="01" i2="1">
<s0>0376-8716</s0>
</fA01>
<fA02 i1="01">
<s0>DADEDV</s0>
</fA02>
<fA03 i2="1">
<s0>Drug and alcohol depend.</s0>
</fA03>
<fA05>
<s2>120</s2>
</fA05>
<fA06>
<s2>1-3</s2>
</fA06>
<fA08 i1="01" i2="1" l="ENG">
<s1>Increased risk of Parkinson's disease in individuals hospitalized with conditions related to the use of methamphetamine or other amphetamine-type drugs</s1>
</fA08>
<fA11 i1="01" i2="1">
<s1>CALLAGHAN (Russell C.)</s1>
</fA11>
<fA11 i1="02" i2="1">
<s1>CUNNINGHAM (James K.)</s1>
</fA11>
<fA11 i1="03" i2="1">
<s1>SYKES (Jenna)</s1>
</fA11>
<fA11 i1="04" i2="1">
<s1>KISH (Stephen J.)</s1>
</fA11>
<fA14 i1="01">
<s1>Centre for Addiction and Mental Health, 33 Russell St</s1>
<s2>Toronto, ON M5S 2S1</s2>
<s3>CAN</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Dalla Lana School of Public Health, University of Toronto</s1>
<s2>Toronto, ON M5T 3M7</s2>
<s3>CAN</s3>
<sZ>1 aut.</sZ>
</fA14>
<fA14 i1="03">
<s1>Department of Family and Community Medicine, The University of Arizona</s1>
<s2>Tucson, AZ 85719</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
</fA14>
<fA14 i1="04">
<s1>Departments of Psychiatry and Pharmacology, University of Toronto</s1>
<s2>Toronto, ON M5A 2N4</s2>
<s3>CAN</s3>
<sZ>4 aut.</sZ>
</fA14>
<fA20>
<s1>35-40</s1>
</fA20>
<fA21>
<s1>2012</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>16471</s2>
<s5>354000508827790060</s5>
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<fA44>
<s0>0000</s0>
<s1>© 2012 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>3/4 p.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>12-0064798</s0>
</fA47>
<fA60>
<s1>P</s1>
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<fA61>
<s0>A</s0>
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<fA64 i1="01" i2="1">
<s0>Drug and alcohol dependence</s0>
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<fA66 i1="01">
<s0>IRL</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Background: Since methamphetamine and other amphetamine-type stimulants (meth/amphetamine) can damage dopaminergic neurons, researchers have long speculated that these drugs may predispose users to develop Parkinson's disease (PD), a dopamine deficiency neurological disorder. Methods: We employed a retrospective population-based cohort study using all linked statewide California inpatient hospital episodes and death records from January 1, 1990 through December 31, 2005. Patients at least 30 years of age were followed for up to 16 years. Competing risks analysis was used to determine whether the meth/amphetamine cohort had elevated risk of developing PD (ICD-9 332.0; ICD-10 G20) in comparison to a matched population-proxy appendicitis group and a matched cocaine drug control group. Individuals admitted to hospital with meth/amphetamine-related conditions (n = 40,472; ICD-9 codes 304.4, 305.7, 969.7, E854.2) were matched on age, race, sex, date of index admission, and patterns of hospital admission with patients with appendicitis conditions (n = 207,83 1; ICD-9 codes 540-542) and also individuals with cocaine-use disorders (n = 35,335; ICD-9 codes 304.2, 305.6, 968.5). Results: The meth/amphetamine cohort showed increased risk of PD compared to both that of the matched appendicitis group [hazard ratio (HR) = 1.76, 95% CI: 1.12-2.75, p = 0.017] and the matched cocaine group [HR
<sub>=</sub>
2.44,95% CI: 1.32-4.41, p=0.004]. The cocaine group did not show elevated hazard of PD compared to the matched appendicitis group [HR = 1.04, 95% CI: 0.56-1.93, p = 0.80]. Conclusion: These data provide evidence that meth/amphetamine users have above-normal risk for developing PD.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B18C05A</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B18C13</s0>
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<fC02 i1="03" i2="X">
<s0>002B17G</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Métamfétamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>01</s5>
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<fC03 i1="01" i2="X" l="ENG">
<s0>Metamfetamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Metanfetamina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>01</s5>
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<fC03 i1="02" i2="X" l="FRE">
<s0>Facteur risque</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Risk factor</s0>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Factor riesgo</s0>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>03</s5>
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<s0>Parkinson enfermedad</s0>
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<s5>03</s5>
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<s2>FR</s2>
<s5>04</s5>
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<fC03 i1="04" i2="X" l="ENG">
<s0>Amfetamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>04</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Anfetamina</s0>
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<s2>FR</s2>
<s5>04</s5>
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<fC03 i1="05" i2="X" l="FRE">
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<s5>05</s5>
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<s5>05</s5>
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<s0>Hombre</s0>
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<s5>06</s5>
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<s0>Individual</s0>
<s5>06</s5>
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<s5>08</s5>
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<fC03 i1="08" i2="X" l="SPA">
<s0>Medio hospitalario</s0>
<s5>08</s5>
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<fC03 i1="09" i2="X" l="FRE">
<s0>Utilisation</s0>
<s5>09</s5>
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<fC03 i1="09" i2="X" l="ENG">
<s0>Use</s0>
<s5>09</s5>
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<s0>Uso</s0>
<s5>09</s5>
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<s5>11</s5>
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<s0>Incidence</s0>
<s5>12</s5>
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<s0>Incidence</s0>
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<s0>Incidencia</s0>
<s5>12</s5>
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<s2>NM</s2>
<s5>13</s5>
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<s0>Addiction</s0>
<s2>NM</s2>
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<s0>Adicción</s0>
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<s5>17</s5>
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<s5>17</s5>
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<s0>Dopamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>18</s5>
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<fC03 i1="15" i2="X" l="ENG">
<s0>Dopamine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>18</s5>
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<fC03 i1="15" i2="X" l="SPA">
<s0>Dopamina</s0>
<s2>NK</s2>
<s2>FR</s2>
<s5>18</s5>
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<fC03 i1="16" i2="X" l="FRE">
<s0>Cocaïne</s0>
<s2>NK</s2>
<s2>FR</s2>
<s2>FX</s2>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="ENG">
<s0>Cocaine</s0>
<s2>NK</s2>
<s2>FR</s2>
<s2>FX</s2>
<s5>19</s5>
</fC03>
<fC03 i1="16" i2="X" l="SPA">
<s0>Cocaína</s0>
<s2>NK</s2>
<s2>FR</s2>
<s2>FX</s2>
<s5>19</s5>
</fC03>
<fC03 i1="17" i2="X" l="FRE">
<s0>Etude cohorte</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="ENG">
<s0>Cohort study</s0>
<s5>20</s5>
</fC03>
<fC03 i1="17" i2="X" l="SPA">
<s0>Estudio cohorte</s0>
<s5>20</s5>
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<fC03 i1="18" i2="X" l="FRE">
<s0>Toxicomanie</s0>
<s5>21</s5>
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<fC03 i1="18" i2="X" l="ENG">
<s0>Drug addiction</s0>
<s5>21</s5>
</fC03>
<fC03 i1="18" i2="X" l="SPA">
<s0>Toxicomanía</s0>
<s5>21</s5>
</fC03>
<fC03 i1="19" i2="X" l="FRE">
<s0>Psychotrope</s0>
<s2>FX</s2>
<s5>25</s5>
</fC03>
<fC03 i1="19" i2="X" l="ENG">
<s0>Psychotropic</s0>
<s2>FX</s2>
<s5>25</s5>
</fC03>
<fC03 i1="19" i2="X" l="SPA">
<s0>Psicotropo</s0>
<s2>FX</s2>
<s5>25</s5>
</fC03>
<fC03 i1="20" i2="X" l="FRE">
<s0>Stimulant SNC</s0>
<s5>26</s5>
</fC03>
<fC03 i1="20" i2="X" l="ENG">
<s0>CNS stimulant</s0>
<s5>26</s5>
</fC03>
<fC03 i1="20" i2="X" l="SPA">
<s0>Estimulante SNC</s0>
<s5>26</s5>
</fC03>
<fC03 i1="21" i2="X" l="FRE">
<s0>Substance toxicomanogène</s0>
<s5>27</s5>
</fC03>
<fC03 i1="21" i2="X" l="ENG">
<s0>Drug of abuse</s0>
<s5>27</s5>
</fC03>
<fC03 i1="21" i2="X" l="SPA">
<s0>Sustancia toxicomanógena</s0>
<s5>27</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>38</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>41</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Dérivé de l'amphétamine</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Amphetamine derivatives</s0>
<s5>42</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Amfetamina derivado</s0>
<s5>42</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Sympathomimétique</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Sympathomimetic</s0>
<s5>43</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Simpaticomimético</s0>
<s5>43</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Catécholamine</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Catecholamine</s0>
<s5>45</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Catecolamina</s0>
<s5>45</s5>
</fC07>
<fC07 i1="09" i2="X" l="FRE">
<s0>Neurotransmetteur</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="ENG">
<s0>Neurotransmitter</s0>
<s5>46</s5>
</fC07>
<fC07 i1="09" i2="X" l="SPA">
<s0>Neurotransmisor</s0>
<s5>46</s5>
</fC07>
<fC07 i1="10" i2="X" l="FRE">
<s0>Ester</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="ENG">
<s0>Ester</s0>
<s5>47</s5>
</fC07>
<fC07 i1="10" i2="X" l="SPA">
<s0>Ester</s0>
<s5>47</s5>
</fC07>
<fC07 i1="11" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>48</s5>
</fC07>
<fC07 i1="11" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>48</s5>
</fC07>
<fC07 i1="11" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>48</s5>
</fC07>
<fN21>
<s1>044</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
<server>
<NO>PASCAL 12-0064798 INIST</NO>
<ET>Increased risk of Parkinson's disease in individuals hospitalized with conditions related to the use of methamphetamine or other amphetamine-type drugs</ET>
<AU>CALLAGHAN (Russell C.); CUNNINGHAM (James K.); SYKES (Jenna); KISH (Stephen J.)</AU>
<AF>Centre for Addiction and Mental Health, 33 Russell St/Toronto, ON M5S 2S1/Canada (1 aut., 3 aut., 4 aut.); Dalla Lana School of Public Health, University of Toronto/Toronto, ON M5T 3M7/Canada (1 aut.); Department of Family and Community Medicine, The University of Arizona/Tucson, AZ 85719/Etats-Unis (2 aut.); Departments of Psychiatry and Pharmacology, University of Toronto/Toronto, ON M5A 2N4/Canada (4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Drug and alcohol dependence; ISSN 0376-8716; Coden DADEDV; Irlande; Da. 2012; Vol. 120; No. 1-3; Pp. 35-40; Bibl. 3/4 p.</SO>
<LA>Anglais</LA>
<EA>Background: Since methamphetamine and other amphetamine-type stimulants (meth/amphetamine) can damage dopaminergic neurons, researchers have long speculated that these drugs may predispose users to develop Parkinson's disease (PD), a dopamine deficiency neurological disorder. Methods: We employed a retrospective population-based cohort study using all linked statewide California inpatient hospital episodes and death records from January 1, 1990 through December 31, 2005. Patients at least 30 years of age were followed for up to 16 years. Competing risks analysis was used to determine whether the meth/amphetamine cohort had elevated risk of developing PD (ICD-9 332.0; ICD-10 G20) in comparison to a matched population-proxy appendicitis group and a matched cocaine drug control group. Individuals admitted to hospital with meth/amphetamine-related conditions (n = 40,472; ICD-9 codes 304.4, 305.7, 969.7, E854.2) were matched on age, race, sex, date of index admission, and patterns of hospital admission with patients with appendicitis conditions (n = 207,83 1; ICD-9 codes 540-542) and also individuals with cocaine-use disorders (n = 35,335; ICD-9 codes 304.2, 305.6, 968.5). Results: The meth/amphetamine cohort showed increased risk of PD compared to both that of the matched appendicitis group [hazard ratio (HR) = 1.76, 95% CI: 1.12-2.75, p = 0.017] and the matched cocaine group [HR
<sub>=</sub>
2.44,95% CI: 1.32-4.41, p=0.004]. The cocaine group did not show elevated hazard of PD compared to the matched appendicitis group [HR = 1.04, 95% CI: 0.56-1.93, p = 0.80]. Conclusion: These data provide evidence that meth/amphetamine users have above-normal risk for developing PD.</EA>
<CC>002B18C05A; 002B18C13; 002B17G</CC>
<FD>Métamfétamine; Facteur risque; Maladie de Parkinson; Amfétamine; Homme; Individu; Trouble motricité; Milieu hospitalier; Utilisation; Trouble moteur; Médicament; Incidence; Addiction; Santé publique; Dopamine; Cocaïne; Etude cohorte; Toxicomanie; Psychotrope; Stimulant SNC; Substance toxicomanogène</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central; Pathologie du système nerveux; Dérivé de l'amphétamine; Sympathomimétique; Catécholamine; Neurotransmetteur; Ester; Trouble neurologique</FG>
<ED>Metamfetamine; Risk factor; Parkinson disease; Amfetamine; Human; Individual; Motility disorder; Hospital environment; Use; Motor system disorder; Drug; Incidence; Addiction; Public health; Dopamine; Cocaine; Cohort study; Drug addiction; Psychotropic; CNS stimulant; Drug of abuse</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease; Nervous system diseases; Amphetamine derivatives; Sympathomimetic; Catecholamine; Neurotransmitter; Ester; Neurological disorder</EG>
<SD>Metanfetamina; Factor riesgo; Parkinson enfermedad; Anfetamina; Hombre; Individuo; Trastorno motilidad; Medio hospitalario; Uso; Trastorno motor; Medicamento; Incidencia; Adicción; Salud pública; Dopamina; Cocaína; Estudio cohorte; Toxicomanía; Psicotropo; Estimulante SNC; Sustancia toxicomanógena</SD>
<LO>INIST-16471.354000508827790060</LO>
<ID>12-0064798</ID>
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