Prevalence of PD and other types of parkinsonism in three elderly populations of central Spain
Identifieur interne : 003F93 ( Main/Exploration ); précédent : 003F92; suivant : 003F94Prevalence of PD and other types of parkinsonism in three elderly populations of central Spain
Auteurs : Julián Benito-Le N [Espagne] ; Félix Bermejo-Pareja [Espagne] ; Javier Rodríguez [Espagne] ; José-Antonio Molina [Espagne] ; Rafael Gabriel [Espagne] ; José-Manuel Morales [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2003-03.
Descripteurs français
- Wicri :
- geographic : Espagne.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Spain.
- epidemiology : Parkinson Disease, Parkinsonian Disorders.
- Aged, Aged, 80 and over, Data Collection, Female, Humans, Male, Prevalence.
Abstract
The prevalence of Parkinson's disease (PD) and other types of parkinsonism in three elderly populations of central Spain was investigated using a door‐to‐door, two‐phase approach. This design called for the administration of a brief questionnaire to subjects 65 years of age or older taken from the census of one urban municipality of Greater Madrid (Margaritas, Getafe), one rural site (Arévalo County, Ávila), and one urban district of Madrid (Lista) in Spain (N = 5,278). Study neurologists extensively investigated those subjects who screened positively. The diagnoses, based on specified criteria, were reviewed to increase reliability across neurologists. We found 118 subjects with parkinsonism: 81 affected by PD (68.6%), 26 drug‐induced parkinsonism (22.0%), 6 parkinsonism in dementia (5.1%), 3 vascular parkinsonism (2.5%), and 2 unspecified parkinsonism (1.7%). The prevalence was 2.2% (95% confidence interval [CI], 1.8–2.6) for all types of parkinsonism and 1.5% (95% CI, 1.2–1.8) for PD. The prevalence estimates of parkinsonism and PD increased with age, declining at 85 years and over. Age prevalence ratios were higher for men. Twenty‐three subjects (28.4%) of the subjects with PD were detected through the screening and had not been diagnosed previously. Overall prevalence estimates of PD and other types of parkinsonism in central Spain rank at levels similar to those recently reported for other European and non‐European elderly populations. Despite improvement in access to health services, an important proportion of PD patients may never seek neurological attention. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10362
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>New York</pubPlace><date type="published" when="2003-03">2003-03</date><biblScope unit="vol">18</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="267">267</biblScope><biblScope unit="page" to="274">274</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">16C9542A2A8F22B9F41518F45C734D70760A1E1C</idno><idno type="DOI">10.1002/mds.10362</idno><idno type="ArticleID">MDS10362</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Data Collection</term><term>Female</term><term>Humans</term><term>Male</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson's disease</term><term>Parkinsonian Disorders (epidemiology)</term><term>Prevalence</term><term>Spain (epidemiology)</term><term>elderly</term><term>epidemiology</term><term>neurological disorders</term><term>parkinsonism</term><term>prevalence</term><term>survey</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Spain</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Data Collection</term><term>Female</term><term>Humans</term><term>Male</term><term>Prevalence</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Espagne</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The prevalence of Parkinson's disease (PD) and other types of parkinsonism in three elderly populations of central Spain was investigated using a door‐to‐door, two‐phase approach. This design called for the administration of a brief questionnaire to subjects 65 years of age or older taken from the census of one urban municipality of Greater Madrid (Margaritas, Getafe), one rural site (Arévalo County, Ávila), and one urban district of Madrid (Lista) in Spain (N = 5,278). Study neurologists extensively investigated those subjects who screened positively. The diagnoses, based on specified criteria, were reviewed to increase reliability across neurologists. We found 118 subjects with parkinsonism: 81 affected by PD (68.6%), 26 drug‐induced parkinsonism (22.0%), 6 parkinsonism in dementia (5.1%), 3 vascular parkinsonism (2.5%), and 2 unspecified parkinsonism (1.7%). The prevalence was 2.2% (95% confidence interval [CI], 1.8–2.6) for all types of parkinsonism and 1.5% (95% CI, 1.2–1.8) for PD. The prevalence estimates of parkinsonism and PD increased with age, declining at 85 years and over. Age prevalence ratios were higher for men. Twenty‐three subjects (28.4%) of the subjects with PD were detected through the screening and had not been diagnosed previously. Overall prevalence estimates of PD and other types of parkinsonism in central Spain rank at levels similar to those recently reported for other European and non‐European elderly populations. Despite improvement in access to health services, an important proportion of PD patients may never seek neurological attention. © 2002 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement></list><tree><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Benito E N, Julian" sort="Benito E N, Julian" uniqKey="Benito E N J" first="Julián" last="Benito-Le N">Julián Benito-Le N</name></region><name sortKey="Bermejo Areja, Felix" sort="Bermejo Areja, Felix" uniqKey="Bermejo Areja F" first="Félix" last="Bermejo-Pareja">Félix Bermejo-Pareja</name><name sortKey="Gabriel, Rafael" sort="Gabriel, Rafael" uniqKey="Gabriel R" first="Rafael" last="Gabriel">Rafael Gabriel</name><name sortKey="Molina, Jose Ntonio" sort="Molina, Jose Ntonio" uniqKey="Molina J" first="José-Antonio" last="Molina">José-Antonio Molina</name><name sortKey="Morales, Jose Anuel" sort="Morales, Jose Anuel" uniqKey="Morales J" first="José-Manuel" last="Morales">José-Manuel Morales</name><name sortKey="Rodriguez, Javier" sort="Rodriguez, Javier" uniqKey="Rodriguez J" first="Javier" last="Rodríguez">Javier Rodríguez</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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