Evaluation of Parkinson's Disease in entrants on the Nebraska State Parkinson's Disease Registry
Identifieur interne : 003445 ( Main/Curation ); précédent : 003444; suivant : 003446Evaluation of Parkinson's Disease in entrants on the Nebraska State Parkinson's Disease Registry
Auteurs : John M. Bertoni [États-Unis] ; Pamela M. Sprenkle [États-Unis] ; Daniel Strickland [États-Unis] ; Nancy Noedel [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-10.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Case-Control Studies, Cross-Sectional Studies, Data Collection (statistics & numerical data), Diagnosis, Diagnosis, Differential, Epidemiology, Evaluation, Humans, Medical Records, Nebraska, Nervous system diseases, Neurologic Examination, Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease (etiology), Parkinson disease, Parkinson's disease, Patient Selection, Registries, Reproducibility of Results, Risk Factors, diagnosis, epidemiology, registry.
- MESH :
- geographic : Nebraska.
- diagnosis : Parkinson Disease.
- epidemiology : Parkinson Disease.
- etiology : Parkinson Disease.
- statistics & numerical data : Data Collection.
- Case-Control Studies, Cross-Sectional Studies, Diagnosis, Differential, Humans, Medical Records, Neurologic Examination, Patient Selection, Registries, Reproducibility of Results, Risk Factors.
Abstract
We examined a sample of individuals in the Nebraska State Parkinson's Disease Registry (NSPDR) to determine what proportion meets standard criteria for Parkinson's disease (PD). The NSPDR was established in 1996 in an effort to understand the high prevalence of PD in Nebraska. Only minimal demographic data are included for each entrant. Subjects enter the NSPDR by means of diagnosing physicians, pharmacists dispensing anti‐PD medications and the patients themselves. A series of 356 registrants diagnosed between 1997 and 2001 were contacted and invited to participate in a case–control study. Medical records were reviewed by a single abstractor in a standard manner. When patients consented, history was filled in by interview. A subset of patients were examined by a movement disorders specialist, who assigned all patients a probability of PD. Where sufficient information was available, 78% of registrants were confirmed to have PD (i.e., percent probability > 50%), including 83% of the patients previously diagnosed by a neurologist. Tremor was an initial symptom in 72% of confirmed versus 39% of excluded cases, and resting tremor was present in 86% of those that were confirmed. The most frequent reasons for exclusion were drug‐induced Parkinsonism, multiple systems atrophy, vascular disease, and essential tremor. Use of the NSPDR for epidemiologic study requires careful review of the data set before assignment of cases. When histories are compiled in a standardized, comprehensive manner, the necessity for actual patient examinations can be minimized. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21026
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<front><div type="abstract" xml:lang="en">We examined a sample of individuals in the Nebraska State Parkinson's Disease Registry (NSPDR) to determine what proportion meets standard criteria for Parkinson's disease (PD). The NSPDR was established in 1996 in an effort to understand the high prevalence of PD in Nebraska. Only minimal demographic data are included for each entrant. Subjects enter the NSPDR by means of diagnosing physicians, pharmacists dispensing anti‐PD medications and the patients themselves. A series of 356 registrants diagnosed between 1997 and 2001 were contacted and invited to participate in a case–control study. Medical records were reviewed by a single abstractor in a standard manner. When patients consented, history was filled in by interview. A subset of patients were examined by a movement disorders specialist, who assigned all patients a probability of PD. Where sufficient information was available, 78% of registrants were confirmed to have PD (i.e., percent probability > 50%), including 83% of the patients previously diagnosed by a neurologist. Tremor was an initial symptom in 72% of confirmed versus 39% of excluded cases, and resting tremor was present in 86% of those that were confirmed. The most frequent reasons for exclusion were drug‐induced Parkinsonism, multiple systems atrophy, vascular disease, and essential tremor. Use of the NSPDR for epidemiologic study requires careful review of the data set before assignment of cases. When histories are compiled in a standardized, comprehensive manner, the necessity for actual patient examinations can be minimized. © 2006 Movement Disorder Society</div>
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Evaluation of Parkinson's Disease in entrants on the Nebraska State Parkinson's Disease Registry</title>
<author><name sortKey="Bertoni, John M" sort="Bertoni, John M" uniqKey="Bertoni J" first="John M." last="Bertoni">John M. Bertoni</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Creighton University College of Medicine, Omaha, Nebraska</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Sprenkle, Pamela M" sort="Sprenkle, Pamela M" uniqKey="Sprenkle P" first="Pamela M." last="Sprenkle">Pamela M. Sprenkle</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Neurology, Creighton University College of Medicine, Omaha, Nebraska</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Valentine Rural High School, Valentine, Nebraska</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Strickland, Daniel" sort="Strickland, Daniel" uniqKey="Strickland D" first="Daniel" last="Strickland">Daniel Strickland</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Epidemiology Section, Department of Preventive and Societal Medicine, University of Nebraska Medical Center, Omaha, Nebraska</wicri:regionArea>
<placeName><region type="state">Nebraska</region>
</placeName>
</affiliation>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Californie</region>
</placeName>
<wicri:cityArea>Current Address: Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena</wicri:cityArea>
</affiliation>
</author>
<author><name sortKey="Noedel, Nancy" sort="Noedel, Nancy" uniqKey="Noedel N" first="Nancy" last="Noedel">Nancy Noedel</name>
<affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Survey Research Associates, St. Louis, Missouri</wicri:regionArea>
<placeName><region type="state">Missouri (État)</region>
</placeName>
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<monogr></monogr>
<series><title level="j">Movement Disorders</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2006-10">2006-10</date>
<biblScope unit="vol">21</biblScope>
<biblScope unit="issue">10</biblScope>
<biblScope unit="page" from="1623">1623</biblScope>
<biblScope unit="page" to="1626">1626</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">474A6385C381420B4EEC280D5101C5AE1B3F400C</idno>
<idno type="DOI">10.1002/mds.21026</idno>
<idno type="ArticleID">MDS21026</idno>
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<seriesStmt><idno type="ISSN">0885-3185</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Case-Control Studies</term>
<term>Cross-Sectional Studies</term>
<term>Data Collection (statistics & numerical data)</term>
<term>Diagnosis, Differential</term>
<term>Humans</term>
<term>Medical Records</term>
<term>Nebraska</term>
<term>Neurologic Examination</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (etiology)</term>
<term>Parkinson's disease</term>
<term>Patient Selection</term>
<term>Registries</term>
<term>Reproducibility of Results</term>
<term>Risk Factors</term>
<term>diagnosis</term>
<term>epidemiology</term>
<term>registry</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>Nebraska</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Data Collection</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Case-Control Studies</term>
<term>Cross-Sectional Studies</term>
<term>Diagnosis, Differential</term>
<term>Humans</term>
<term>Medical Records</term>
<term>Neurologic Examination</term>
<term>Patient Selection</term>
<term>Registries</term>
<term>Reproducibility of Results</term>
<term>Risk Factors</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
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<front><div type="abstract" xml:lang="en">We examined a sample of individuals in the Nebraska State Parkinson's Disease Registry (NSPDR) to determine what proportion meets standard criteria for Parkinson's disease (PD). The NSPDR was established in 1996 in an effort to understand the high prevalence of PD in Nebraska. Only minimal demographic data are included for each entrant. Subjects enter the NSPDR by means of diagnosing physicians, pharmacists dispensing anti‐PD medications and the patients themselves. A series of 356 registrants diagnosed between 1997 and 2001 were contacted and invited to participate in a case–control study. Medical records were reviewed by a single abstractor in a standard manner. When patients consented, history was filled in by interview. A subset of patients were examined by a movement disorders specialist, who assigned all patients a probability of PD. Where sufficient information was available, 78% of registrants were confirmed to have PD (i.e., percent probability > 50%), including 83% of the patients previously diagnosed by a neurologist. Tremor was an initial symptom in 72% of confirmed versus 39% of excluded cases, and resting tremor was present in 86% of those that were confirmed. The most frequent reasons for exclusion were drug‐induced Parkinsonism, multiple systems atrophy, vascular disease, and essential tremor. Use of the NSPDR for epidemiologic study requires careful review of the data set before assignment of cases. When histories are compiled in a standardized, comprehensive manner, the necessity for actual patient examinations can be minimized. © 2006 Movement Disorder Society</div>
</front>
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