Movement Disorders (revue)

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Evidence of increased odds of essential tremor in Parkinson's disease

Identifieur interne : 001762 ( Istex/Corpus ); précédent : 001761; suivant : 001763

Evidence of increased odds of essential tremor in Parkinson's disease

Auteurs : Eng-King Tan ; Seng-Swim Lee ; Fook-Chong S. ; Sau-Ying Lum

Source :

RBID : ISTEX:E3AB0989344EB1E6B45B7AADB4BE0A4EF90A5556

English descriptors

Abstract

In a case control study using a standardized protocol, 600 subjects were evaluated for essential tremor (ET). We demonstrated that ET was significantly more frequent in patients with Parkinson's disease (PD) (12/204, 5.9%) compared to diseased controls (2/206, 1%) and healthy controls (1/190, 0.5%). A regression analysis with ET as outcome and group (either PD or healthy controls or diseased controls) as independent variable (adjusting for age and sex) revealed that PD had higher odds of having ET than diseased controls (OR = 5.43, 95% CI = 1.16, 25.39, P < 0.001) and healthy controls (OR = 10.87, 95% CI = 1.39, 85.15, P < 0.001). The low frequency of ET in our controls was further confirmed in a follow‐up study in a group of age and gender matched general medical patients who attended an outpatient clinic (0% frequency). Eight of 204 PD (3.9%) compared to none of diseased (0%) (P = 0.004) and healthy controls (0%) (P = 0.008) had a prior diagnosis of ET. The duration of ET symptoms in patients with PD was 25.1 ± 19.6 (range 3–60) years. A multivariate analysis demonstrated that a lower dose of levodopa (OR = 0.993, 95%CI for OR = 0.988, 0.997, P < 0.001) and a higher age of onset of disease (OR = 1.108, 95%CI for OR = 1.035, 1.187, P < 0.001) were associated with increased odds of PD with ET, compared to patients with PD without ET. In our Asian population, patients with PD were 5 to 10 times more likely to have ET compared to diseased and healthy controls, suggesting that the association of ET and PD is unlikely to be ethnicity‐specific. © 2008 Movement Disorder Society

Url:
DOI: 10.1002/mds.22005

Links to Exploration step

ISTEX:E3AB0989344EB1E6B45B7AADB4BE0A4EF90A5556

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<keyword xml:id="kwd1">essential tremor</keyword>
<keyword xml:id="kwd2">Parkinson's disease</keyword>
<keyword xml:id="kwd3">association</keyword>
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<fundingAgency>American National Parkinson Foundation International Center of Excellence</fundingAgency>
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<p>In a case control study using a standardized protocol, 600 subjects were evaluated for essential tremor (ET). We demonstrated that ET was significantly more frequent in patients with Parkinson's disease (PD) (12/204, 5.9%) compared to diseased controls (2/206, 1%) and healthy controls (1/190, 0.5%). A regression analysis with ET as outcome and group (either PD or healthy controls or diseased controls) as independent variable (adjusting for age and sex) revealed that PD had higher odds of having ET than diseased controls (OR = 5.43, 95% CI = 1.16, 25.39,
<i>P</i>
< 0.001) and healthy controls (OR = 10.87, 95% CI = 1.39, 85.15,
<i>P</i>
< 0.001). The low frequency of ET in our controls was further confirmed in a follow‐up study in a group of age and gender matched general medical patients who attended an outpatient clinic (0% frequency). Eight of 204 PD (3.9%) compared to none of diseased (0%) (
<i>P</i>
= 0.004) and healthy controls (0%) (
<i>P</i>
= 0.008) had a prior diagnosis of ET. The duration of ET symptoms in patients with PD was 25.1 ± 19.6 (range 3–60) years. A multivariate analysis demonstrated that a lower dose of levodopa (OR = 0.993, 95%CI for OR = 0.988, 0.997,
<i>P</i>
< 0.001) and a higher age of onset of disease (OR = 1.108, 95%CI for OR = 1.035, 1.187,
<i>P</i>
< 0.001) were associated with increased odds of PD with ET, compared to patients with PD without ET. In our Asian population, patients with PD were 5 to 10 times more likely to have ET compared to diseased and healthy controls, suggesting that the association of ET and PD is unlikely to be ethnicity‐specific. © 2008 Movement Disorder Society</p>
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<title>Evidence of increased odds of essential tremor in Parkinson's disease</title>
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<title>Increased Odds of Essential Tremor in PD</title>
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<title>Evidence of increased odds of essential tremor in Parkinson's disease</title>
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<name type="personal">
<namePart type="given">Eng‐King</namePart>
<namePart type="family">Tan</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Department of Neurology, Singapore General Hospital, National Neuroscience Institute, Singapore</affiliation>
<affiliation>Duke‐NUS Graduate Medical School, Singapore</affiliation>
<description>Correspondence: Department of Neurology, Singapore General Hospital, Duke‐NUS Graduate School of Medicine, Outram Road, Singapore 169608</description>
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<name type="personal">
<namePart type="given">Seng‐Swim</namePart>
<namePart type="family">Lee</namePart>
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<affiliation>Department of Medicine, Singapore General Hospital, Singapore</affiliation>
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<namePart type="given">Fook‐Chong</namePart>
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<affiliation>Department of Clinical Research, Singapore General Hospital, Singapore</affiliation>
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<name type="personal">
<namePart type="given">Sau‐Ying</namePart>
<namePart type="family">Lum</namePart>
<namePart type="termsOfAddress">BSc</namePart>
<affiliation>Department of Neurology, Singapore General Hospital, National Neuroscience Institute, Singapore</affiliation>
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<abstract lang="fr">In a case control study using a standardized protocol, 600 subjects were evaluated for essential tremor (ET). We demonstrated that ET was significantly more frequent in patients with Parkinson's disease (PD) (12/204, 5.9%) compared to diseased controls (2/206, 1%) and healthy controls (1/190, 0.5%). A regression analysis with ET as outcome and group (either PD or healthy controls or diseased controls) as independent variable (adjusting for age and sex) revealed that PD had higher odds of having ET than diseased controls (OR = 5.43, 95% CI = 1.16, 25.39, P < 0.001) and healthy controls (OR = 10.87, 95% CI = 1.39, 85.15, P < 0.001). The low frequency of ET in our controls was further confirmed in a follow‐up study in a group of age and gender matched general medical patients who attended an outpatient clinic (0% frequency). Eight of 204 PD (3.9%) compared to none of diseased (0%) (P = 0.004) and healthy controls (0%) (P = 0.008) had a prior diagnosis of ET. The duration of ET symptoms in patients with PD was 25.1 ± 19.6 (range 3–60) years. A multivariate analysis demonstrated that a lower dose of levodopa (OR = 0.993, 95%CI for OR = 0.988, 0.997, P < 0.001) and a higher age of onset of disease (OR = 1.108, 95%CI for OR = 1.035, 1.187, P < 0.001) were associated with increased odds of PD with ET, compared to patients with PD without ET. In our Asian population, patients with PD were 5 to 10 times more likely to have ET compared to diseased and healthy controls, suggesting that the association of ET and PD is unlikely to be ethnicity‐specific. © 2008 Movement Disorder Society</abstract>
<note type="funding">American National Parkinson Foundation International Center of Excellence</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>essential tremor</topic>
<topic>Parkinson's disease</topic>
<topic>association</topic>
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<title>Movement Disorders</title>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2008</date>
<detail type="volume">
<caption>vol.</caption>
<number>23</number>
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<detail type="issue">
<caption>no.</caption>
<number>7</number>
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