The prevalence of Parkinson's disease in rural Tanzania
Identifieur interne : 001944 ( Istex/Corpus ); précédent : 001943; suivant : 001945The prevalence of Parkinson's disease in rural Tanzania
Auteurs : Catherine Dotchin ; Olivia Msuya ; John Kissima ; John Massawe ; Ali Mhina ; Addess Moshy ; Eric Aris ; Ahmed Jusabani ; David Whiting ; Gabriel Masuki ; Richard WalkerSource :
- Movement Disorders [ 0885-3185 ] ; 2008-08-15.
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- KwdEn :
Abstract
The prevalence of Parkinson's disease (PD) varies worldwide from 7 to 450 per 100,000, and appears low in sub‐Saharan Africa (SSA) but few data exist. We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. With the world population ageing PD is predicted to become an increasing problem. © 2007 Movement Disorder Society
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DOI: 10.1002/mds.21898
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We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. With the world population ageing PD is predicted to become an increasing problem. © 2007 Movement Disorder Society</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Catherine Dotchin MD, MRCP</name><affiliations><json:string>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United Kingdom</json:string></affiliations></json:item><json:item><name>Olivia Msuya RN</name><affiliations><json:string>Parkinson's Disease Nurse Specialist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>John Kissima</name><affiliations><json:string>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>John Massawe</name><affiliations><json:string>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>Ali Mhina</name><affiliations><json:string>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>Addess Moshy</name><affiliations><json:string>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>Eric Aris</name><affiliations><json:string>Consultant Neurologist, Muhimbili Hospital, Dar es Salaam, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>Ahmed Jusabani</name><affiliations><json:string>Consultant Radiologist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>David Whiting PhD</name><affiliations><json:string>Institute of Health and Society, Newcastle University, Medical School, Newcastle upon Tyne, United Kingdom</json:string></affiliations></json:item><json:item><name>Gabriel Masuki MD, MPH</name><affiliations><json:string>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</json:string></affiliations></json:item><json:item><name>Richard Walker MD, FRCP</name><affiliations><json:string>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United Kingdom</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>prevalence</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>sub‐Saharan Africa</value></json:item></subject><language><json:string>eng</json:string></language><abstract>The prevalence of Parkinson's disease (PD) varies worldwide from 7 to 450 per 100,000, and appears low in sub‐Saharan Africa (SSA) but few data exist. We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. 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Tanzania</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><availability><p>Wiley Subscription Services, Inc., A Wiley Company</p></availability><date>2008</date></publicationStmt><notesStmt><note>UK Parkinson's Disease Society</note><note>Northumbria Healthcare NHS Trust</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">The prevalence of Parkinson's disease in rural Tanzania</title><author><persName><forename type="first">Catherine</forename><surname>Dotchin</surname><roleName type="degree">MD, MRCP</roleName></persName><note type="correspondence"><p>Correspondence: North Tyneside District General Hospital, Medicine, Rake Lane, North Shields, Tyne and Wear NE29 0NH, United Kingdom</p></note><affiliation>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United 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Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation></author><author><persName><forename type="first">Addess</forename><surname>Moshy</surname></persName><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation></author><author><persName><forename type="first">Eric</forename><surname>Aris</surname></persName><affiliation>Consultant Neurologist, Muhimbili Hospital, Dar es Salaam, United Republic of Tanzania, East Africa</affiliation></author><author><persName><forename type="first">Ahmed</forename><surname>Jusabani</surname></persName><affiliation>Consultant Radiologist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</affiliation></author><author><persName><forename type="first">David</forename><surname>Whiting</surname><roleName type="degree">PhD</roleName></persName><affiliation>Institute of Health and Society, 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We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. With the world population ageing PD is predicted to become an increasing problem. © 2007 Movement Disorder Society</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>prevalence</term></item><item><term>sub‐Saharan Africa</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Article category</head><item><term>Research Article</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2007-05-03">Received</change><change when="2007-11-11">Registration</change><change when="2008-08-15">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/76EE1E8B98E7CF155C454B642E40DF2249E44DBE/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Wiley Subscription Services, Inc., A Wiley Company</publisherName><publisherLoc>Hoboken</publisherLoc></publisherInfo><doi registered="yes">10.1002/(ISSN)1531-8257</doi><issn type="print">0885-3185</issn><issn type="electronic">1531-8257</issn><idGroup><id type="product" value="MDS"></id></idGroup><titleGroup><title type="main" xml:lang="en" sort="MOVEMENT DISORDERS">Movement Disorders</title><title type="subtitle">Official Journal of the Movement Disorder Society</title><title type="short">Mov. 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href="file:MDS.MDS21898.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="3"></count><count type="referenceTotal" number="29"></count><count type="wordTotal" number="4045"></count></countGroup><titleGroup><title type="main" xml:lang="en">The prevalence of Parkinson's disease in rural Tanzania</title><title type="short" xml:lang="en">Parkinson's Disease in Rural Tanzania</title></titleGroup><creators><creator xml:id="au1" creatorRole="author" affiliationRef="#af1" corresponding="yes"><personName><givenNames>Catherine</givenNames><familyName>Dotchin</familyName><degrees>MD, MRCP</degrees></personName><contactDetails><email>catherine.dotchin@nhct.nhs.uk</email></contactDetails></creator><creator xml:id="au2" creatorRole="author" affiliationRef="#af2"><personName><givenNames>Olivia</givenNames><familyName>Msuya</familyName><degrees>RN</degrees></personName></creator><creator xml:id="au3" creatorRole="author" affiliationRef="#af3"><personName><givenNames>John</givenNames><familyName>Kissima</familyName></personName></creator><creator xml:id="au4" creatorRole="author" affiliationRef="#af3"><personName><givenNames>John</givenNames><familyName>Massawe</familyName></personName></creator><creator xml:id="au5" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Ali</givenNames><familyName>Mhina</familyName></personName></creator><creator xml:id="au6" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Addess</givenNames><familyName>Moshy</familyName></personName></creator><creator xml:id="au7" creatorRole="author" affiliationRef="#af4"><personName><givenNames>Eric</givenNames><familyName>Aris</familyName></personName></creator><creator xml:id="au8" creatorRole="author" affiliationRef="#af5"><personName><givenNames>Ahmed</givenNames><familyName>Jusabani</familyName></personName></creator><creator xml:id="au9" creatorRole="author" affiliationRef="#af6"><personName><givenNames>David</givenNames><familyName>Whiting</familyName><degrees>PhD</degrees></personName></creator><creator xml:id="au10" creatorRole="author" affiliationRef="#af3"><personName><givenNames>Gabriel</givenNames><familyName>Masuki</familyName><degrees>MD, MPH</degrees></personName></creator><creator xml:id="au11" creatorRole="author" affiliationRef="#af1"><personName><givenNames>Richard</givenNames><familyName>Walker</familyName><degrees>MD, FRCP</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="af1" countryCode="GB" type="organization"><unparsedAffiliation>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United Kingdom</unparsedAffiliation></affiliation><affiliation xml:id="af2" countryCode="TZ" type="organization"><unparsedAffiliation>Parkinson's Disease Nurse Specialist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</unparsedAffiliation></affiliation><affiliation xml:id="af3" countryCode="TZ" type="organization"><unparsedAffiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</unparsedAffiliation></affiliation><affiliation xml:id="af4" countryCode="TZ" type="organization"><unparsedAffiliation>Consultant Neurologist, Muhimbili Hospital, Dar es Salaam, United Republic of Tanzania, East Africa</unparsedAffiliation></affiliation><affiliation xml:id="af5" countryCode="TZ" type="organization"><unparsedAffiliation>Consultant Radiologist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</unparsedAffiliation></affiliation><affiliation xml:id="af6" countryCode="GB" type="organization"><unparsedAffiliation>Institute of Health and Society, Newcastle University, Medical School, Newcastle upon Tyne, United Kingdom</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en" type="author"><keyword xml:id="kwd1">Parkinson's disease</keyword><keyword xml:id="kwd2">prevalence</keyword><keyword xml:id="kwd3">sub‐Saharan Africa</keyword></keywordGroup><fundingInfo><fundingAgency>UK Parkinson's Disease Society</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Northumbria Healthcare NHS Trust</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>The prevalence of Parkinson's disease (PD) varies worldwide from 7 to 450 per 100,000, and appears low in sub‐Saharan Africa (SSA) but few data exist. We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. With the world population ageing PD is predicted to become an increasing problem. © 2007 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 3-12-2015--><mods version="3.6"><titleInfo lang="en"><title>The prevalence of Parkinson's disease in rural Tanzania</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Parkinson's Disease in Rural Tanzania</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The prevalence of Parkinson's disease in rural Tanzania</title></titleInfo><name type="personal"><namePart type="given">Catherine</namePart><namePart type="family">Dotchin</namePart><namePart type="termsOfAddress">MD, MRCP</namePart><affiliation>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United Kingdom</affiliation><description>Correspondence: North Tyneside District General Hospital, Medicine, Rake Lane, North Shields, Tyne and Wear NE29 0NH, United Kingdom</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Olivia</namePart><namePart type="family">Msuya</namePart><namePart type="termsOfAddress">RN</namePart><affiliation>Parkinson's Disease Nurse Specialist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John</namePart><namePart type="family">Kissima</namePart><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John</namePart><namePart type="family">Massawe</namePart><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ali</namePart><namePart type="family">Mhina</namePart><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Addess</namePart><namePart type="family">Moshy</namePart><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Eric</namePart><namePart type="family">Aris</namePart><affiliation>Consultant Neurologist, Muhimbili Hospital, Dar es Salaam, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ahmed</namePart><namePart type="family">Jusabani</namePart><affiliation>Consultant Radiologist, Kilimanjaro Christian Medical Centre, Moshi, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David</namePart><namePart type="family">Whiting</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Institute of Health and Society, Newcastle University, Medical School, Newcastle upon Tyne, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gabriel</namePart><namePart type="family">Masuki</namePart><namePart type="termsOfAddress">MD, MPH</namePart><affiliation>Adult Morbidity and Mortality Project, C/o Hai District Medical Office, Bomang'ombe, Hai, United Republic of Tanzania, East Africa</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Richard</namePart><namePart type="family">Walker</namePart><namePart type="termsOfAddress">MD, FRCP</namePart><affiliation>North Tyneside District General Hospital, Rake Lane, North Shields, Tyne and Wear, United Kingdom</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">article</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2008-08-15</dateIssued><dateCaptured encoding="w3cdtf">2007-05-03</dateCaptured><dateValid encoding="w3cdtf">2007-11-11</dateValid><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">3</extent><extent unit="references">29</extent><extent unit="words">4045</extent></physicalDescription><abstract lang="en">The prevalence of Parkinson's disease (PD) varies worldwide from 7 to 450 per 100,000, and appears low in sub‐Saharan Africa (SSA) but few data exist. We conducted a prevalence study of PD in rural Tanzania. A door‐to‐door study was conducted in the Hai district project area (population 161,071), using a screening questionnaire followed by structured history and examination of positive responders. Diagnosis was based on the UK PD Society Brain Bank Criteria. 33 (23 men) cases of PD were detected, with mean age 74 years (range 38–94). One patient died before the prevalence date. 78% were previously undiagnosed and untreated. Mean duration of symptoms was 5 years, and median Hoehn and Yahr stage 3. Crude prevalence rates were 30/100,000 (men), 11/100,000 (women) and 20/100,000 (combined). The direct age‐standardized prevalence rates compared with the UK population were 64/100,000 (men), 20/100,000 (women) and 40/100,000 (combined). These rates are higher than previously reported from SSA, but still lower than the developed world. Many PD patients in SSA may never be diagnosed or treated, with consequent reduction in their life expectancy and quality of life. With the world population ageing PD is predicted to become an increasing problem. © 2007 Movement Disorder Society</abstract><note type="funding">UK Parkinson's Disease Society</note><note type="funding">Northumbria Healthcare NHS Trust</note><subject lang="en"><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>prevalence</topic><topic>sub‐Saharan Africa</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><subject><genre>article category</genre><topic>Research Article</topic></subject><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></detail><detail type="issue"><caption>no.</caption><number>11</number></detail><extent unit="pages"><start>1567</start><end>1672</end><total>6</total></extent></part></relatedItem><identifier type="istex">76EE1E8B98E7CF155C454B642E40DF2249E44DBE</identifier><identifier type="DOI">10.1002/mds.21898</identifier><identifier type="ArticleID">MDS21898</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2008 Movement Disorder Society</accessCondition><recordInfo><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin><recordContentSource>WILEY</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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