Risk for Parkinson's disease among patients with osteoarthritis: A Danish cohort study
Identifieur interne : 001A25 ( Main/Exploration ); précédent : 001A24; suivant : 001A26Risk for Parkinson's disease among patients with osteoarthritis: A Danish cohort study
Auteurs : Kathrine Rugbjerg [Danemark] ; S Ren Friis [Danemark] ; Thomas L. J Rgensen [Danemark] ; Beate Ritz [États-Unis] ; Lise Korbo [Danemark] ; J Rgen H. Olsen [Danemark]Source :
- Movement Disorders [ 0885-3185 ] ; 2010-10-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
English descriptors
- KwdEn :
- Adult, Aged, Aged, 80 and over, Analgesics (therapeutic use), Cohort Studies, Cohort study, Denmark (epidemiology), Female, Human, Humans, Incidence, Male, Middle Aged, Nervous system diseases, Osteoarthritis, Osteoarthritis (complications), Osteoarthritis (epidemiology), Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Parkinson Disease (etiology), Parkinson disease, Parkinson's disease, Retrospective Studies, Risk Factors, Risk factor, anti‐inflammatory drugs, osteoarthritis.
- MESH :
- chemical , therapeutic use : Analgesics.
- geographic , epidemiology : Denmark.
- complications : Osteoarthritis.
- drug therapy : Parkinson Disease.
- epidemiology : Osteoarthritis, Parkinson Disease.
- etiology : Parkinson Disease.
- Adult, Aged, Aged, 80 and over, Cohort Studies, Female, Humans, Incidence, Male, Middle Aged, Retrospective Studies, Risk Factors.
Abstract
It has been suggested that use of nonsteroidal anti‐inflammatory drugs (NSAID) protects against Parkinson's disease, although the results are not consistent. We investigated the risk for Parkinson's disease in patients with osteoarthritis, who are typically intensive users of NSAID. By using the files of the National Danish Hospital Register for the period 1977–2006, we identified a cohort of 134,176 patients with osteoarthritis severe enough to have required subsequent hip or knee implant surgery. The number of first hospital contacts for Parkinson's disease among cohort members in 1986–2007 was compared with that expected from the age‐, gender‐ and period‐specific hospital contact rates of the general Danish population, and standardized incidence ratios (SIRs) and associated 95% confidence intervals (CIs) were derived. Cohort members were also linked to the Danish Cancer Register to estimate the SIRs for colorectal and lung cancer. We observed a slightly increased risk for Parkinson's disease among patients with osteoarthritis and subsequent implant surgery (SIR, 1.07; 95% CI, 0.99–1.16). Decreased SIRs were found for both colorectal cancer (0.92; 95% CI, 0.88–0.97), consistent with a high prevalence of NSAID use among cohort members, and lung cancer (0.77; 95% CI, 0.73–0.80), indicating a lower prevalence of smoking than usual. Our results do not support the hypothesis that patients with prolonged use of NSAID and other analgesics are at reduced risk for Parkinson's disease. A possible lower smoking prevalence among patients with osteoarthritis might explain the slightly increased risk for Parkinson's disease. © 2010 Movement Disorder Society
Url:
- https://api.istex.fr/document/18E356042F1B2F3D2A3EFE24D9E7001305EF07CB/fulltext/pdf
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992436
DOI: 10.1002/mds.23274
Affiliations:
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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="2010-10-30">2010-10-30</date><biblScope unit="vol">25</biblScope><biblScope unit="issue">14</biblScope><biblScope unit="page" from="2355">2355</biblScope><biblScope unit="page" to="2360">2360</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">18E356042F1B2F3D2A3EFE24D9E7001305EF07CB</idno><idno type="DOI">10.1002/mds.23274</idno><idno type="ArticleID">MDS23274</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Analgesics (therapeutic use)</term><term>Cohort Studies</term><term>Cohort study</term><term>Denmark (epidemiology)</term><term>Female</term><term>Human</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>Osteoarthritis</term><term>Osteoarthritis (complications)</term><term>Osteoarthritis (epidemiology)</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson Disease (etiology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Retrospective Studies</term><term>Risk Factors</term><term>Risk factor</term><term>anti‐inflammatory drugs</term><term>osteoarthritis</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Analgesics</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Denmark</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Osteoarthritis</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Osteoarthritis</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Risk Factors</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Arthrose</term><term>Etude cohorte</term><term>Facteur risque</term><term>Homme</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Danemark</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">It has been suggested that use of nonsteroidal anti‐inflammatory drugs (NSAID) protects against Parkinson's disease, although the results are not consistent. We investigated the risk for Parkinson's disease in patients with osteoarthritis, who are typically intensive users of NSAID. By using the files of the National Danish Hospital Register for the period 1977–2006, we identified a cohort of 134,176 patients with osteoarthritis severe enough to have required subsequent hip or knee implant surgery. The number of first hospital contacts for Parkinson's disease among cohort members in 1986–2007 was compared with that expected from the age‐, gender‐ and period‐specific hospital contact rates of the general Danish population, and standardized incidence ratios (SIRs) and associated 95% confidence intervals (CIs) were derived. Cohort members were also linked to the Danish Cancer Register to estimate the SIRs for colorectal and lung cancer. We observed a slightly increased risk for Parkinson's disease among patients with osteoarthritis and subsequent implant surgery (SIR, 1.07; 95% CI, 0.99–1.16). Decreased SIRs were found for both colorectal cancer (0.92; 95% CI, 0.88–0.97), consistent with a high prevalence of NSAID use among cohort members, and lung cancer (0.77; 95% CI, 0.73–0.80), indicating a lower prevalence of smoking than usual. Our results do not support the hypothesis that patients with prolonged use of NSAID and other analgesics are at reduced risk for Parkinson's disease. A possible lower smoking prevalence among patients with osteoarthritis might explain the slightly increased risk for Parkinson's disease. © 2010 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Danemark</li><li>États-Unis</li></country><region><li>Californie</li><li>Hovedstaden</li></region><settlement><li>Copenhague</li></settlement></list><tree><country name="Danemark"><region name="Hovedstaden"><name sortKey="Rugbjerg, Kathrine" sort="Rugbjerg, Kathrine" uniqKey="Rugbjerg K" first="Kathrine" last="Rugbjerg">Kathrine Rugbjerg</name></region><name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name><name sortKey="Friis, S Ren" sort="Friis, S Ren" uniqKey="Friis S" first="S Ren" last="Friis">S Ren Friis</name><name sortKey="J Rgensen, Thomas L" sort="J Rgensen, Thomas L" uniqKey="J Rgensen T" first="Thomas L." last="J Rgensen">Thomas L. J Rgensen</name><name sortKey="Korbo, Lise" sort="Korbo, Lise" uniqKey="Korbo L" first="Lise" last="Korbo">Lise Korbo</name><name sortKey="Olsen, J Rgen H" sort="Olsen, J Rgen H" uniqKey="Olsen J" first="J Rgen H." last="Olsen">J Rgen H. Olsen</name></country><country name="États-Unis"><region name="Californie"><name sortKey="Ritz, Beate" sort="Ritz, Beate" uniqKey="Ritz B" first="Beate" last="Ritz">Beate Ritz</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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