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

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Dihydropyridine calcium channel blockers and the progression of parkinsonism.

Identifieur interne : 000A88 ( PubMed/Checkpoint ); précédent : 000A87; suivant : 000A89

Dihydropyridine calcium channel blockers and the progression of parkinsonism.

Auteurs : Connie Marras [Canada] ; Andrea Gruneir ; Paula Rochon ; Xuesong Wang ; Geoff Anderson ; Jonathan Brotchie ; Chaim M. Bell ; Susan Fox ; Peter C. Austin

Source :

RBID : pubmed:22451203

English descriptors

Abstract

A study was undertaken to test the association between dihydropyridine calcium channel blocker use and the time to important milestones of disease progression among patients with parkinsonism.

DOI: 10.1002/ana.22616
PubMed: 22451203


Affiliations:


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pubmed:22451203

Le document en format XML

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<name sortKey="Marras, Connie" sort="Marras, Connie" uniqKey="Marras C" first="Connie" last="Marras">Connie Marras</name>
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<nlm:affiliation>Division of Neurology, Toronto Western Hospital, and University of Toronto, Toronto, Ontario, Canada. cmarras@uhnresearch.ca</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Division of Neurology, Toronto Western Hospital, and University of Toronto, Toronto, Ontario</wicri:regionArea>
<orgName type="university">Université de Toronto</orgName>
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<name sortKey="Gruneir, Andrea" sort="Gruneir, Andrea" uniqKey="Gruneir A" first="Andrea" last="Gruneir">Andrea Gruneir</name>
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<name sortKey="Rochon, Paula" sort="Rochon, Paula" uniqKey="Rochon P" first="Paula" last="Rochon">Paula Rochon</name>
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<name sortKey="Wang, Xuesong" sort="Wang, Xuesong" uniqKey="Wang X" first="Xuesong" last="Wang">Xuesong Wang</name>
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<name sortKey="Anderson, Geoff" sort="Anderson, Geoff" uniqKey="Anderson G" first="Geoff" last="Anderson">Geoff Anderson</name>
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<name sortKey="Brotchie, Jonathan" sort="Brotchie, Jonathan" uniqKey="Brotchie J" first="Jonathan" last="Brotchie">Jonathan Brotchie</name>
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<name sortKey="Bell, Chaim M" sort="Bell, Chaim M" uniqKey="Bell C" first="Chaim M" last="Bell">Chaim M. Bell</name>
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<name sortKey="Fox, Susan" sort="Fox, Susan" uniqKey="Fox S" first="Susan" last="Fox">Susan Fox</name>
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<name sortKey="Brotchie, Jonathan" sort="Brotchie, Jonathan" uniqKey="Brotchie J" first="Jonathan" last="Brotchie">Jonathan Brotchie</name>
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<name sortKey="Fox, Susan" sort="Fox, Susan" uniqKey="Fox S" first="Susan" last="Fox">Susan Fox</name>
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<name sortKey="Austin, Peter C" sort="Austin, Peter C" uniqKey="Austin P" first="Peter C" last="Austin">Peter C. Austin</name>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Calcium Channel Blockers (therapeutic use)</term>
<term>Cohort Studies</term>
<term>Dihydropyridines (therapeutic use)</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Hypertension (drug therapy)</term>
<term>Hypertension (epidemiology)</term>
<term>Hypertension (pathology)</term>
<term>Male</term>
<term>Parkinsonian Disorders (drug therapy)</term>
<term>Parkinsonian Disorders (epidemiology)</term>
<term>Parkinsonian Disorders (pathology)</term>
<term>Retrospective Studies</term>
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<term>Calcium Channel Blockers</term>
<term>Dihydropyridines</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Hypertension</term>
<term>Parkinsonian Disorders</term>
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<term>Hypertension</term>
<term>Parkinsonian Disorders</term>
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<term>Hypertension</term>
<term>Parkinsonian Disorders</term>
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<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Cohort Studies</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Retrospective Studies</term>
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<div type="abstract" xml:lang="en">A study was undertaken to test the association between dihydropyridine calcium channel blocker use and the time to important milestones of disease progression among patients with parkinsonism.</div>
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<Year>2012</Year>
<Month>03</Month>
<Day>27</Day>
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<Year>2012</Year>
<Month>05</Month>
<Day>16</Day>
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<Year>2012</Year>
<Month>11</Month>
<Day>15</Day>
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<Volume>71</Volume>
<Issue>3</Issue>
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<Year>2012</Year>
<Month>Mar</Month>
</PubDate>
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<Title>Annals of neurology</Title>
<ISOAbbreviation>Ann. Neurol.</ISOAbbreviation>
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<ArticleTitle>Dihydropyridine calcium channel blockers and the progression of parkinsonism.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">A study was undertaken to test the association between dihydropyridine calcium channel blocker use and the time to important milestones of disease progression among patients with parkinsonism.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Data were obtained from Ontario's health care administrative databases. Within a cohort of hypertensive individuals older than 65 years who developed parkinsonism, we examined the effect of the length of exposure to less brain-penetrant dihydropyridines (amlodipine) and more brain-penetrant dihydropyridines (eg, nifedipine, felodipine) on parkinsonism milestones as measured by time to requiring drug treatment for parkinsonism, nursing home admission, and death.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Among 4,733 hypertensive individuals with parkinsonism, longer treatment with any dihydropyridine was associated with a decreased risk of each of the 3 outcomes. There was no difference, however, between amlodipine (adjusted hazard ratio [HR], 0.46; 95% confidence interval [CI], 0.42-0.50 for initiation of drug treatment; HR, 0.68; 95% CI, 0.63-0.73 for application for nursing home admission; and HR, 0.75; 95% CI, 0.70-0.80 for death) and nonamlodipine dihydropyridines (adjusted HRs [95% CIs], 0.45 [0.39-0.53], 0.74 [0.67-0.81], and 0.74 [0.64-0.85] for the 3 milestones, respectively).</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">We found no specific beneficial effect of treatment with brain-penetrant dihydropyridines on delaying parkinsonism progression milestones. Dihydropyridine calcium channel blockers are unlikely to have a clinically significant effect on the course of parkinsonism, particularly Parkinson disease, in the doses used to treat hypertension.</AbstractText>
<CopyrightInformation>Copyright © 2012 American Neurological Association.</CopyrightInformation>
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