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Risk for Parkinson disease among patients with osteoarthritis: a Danish cohort study

Identifieur interne : 002D90 ( Ncbi/Curation ); précédent : 002D89; suivant : 002D91

Risk for Parkinson 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 : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2010.

RBID : PMC:2992436

Descripteurs français

Wicri :
- geographic : Danemark.

English descriptors

KwdEn :
- Adult, Aged, Aged, 80 and over, Analgesics (therapeutic use), Cohort Studies, Denmark (epidemiology), Female, Humans, Incidence, Male, Middle Aged, Osteoarthritis (complications), Osteoarthritis (epidemiology), Parkinson Disease (drug therapy), Parkinson Disease (epidemiology), Parkinson Disease (etiology), Retrospective Studies, Risk Factors.
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 non-steroidal anti-inflammatory drugs (NSAID) protects against Parkinson disease, although the results are not consistent. We investigated the risk for Parkinson disease in patients with osteoarthritis, who are typically intensive users of NSAID.

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 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 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 for 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 disease. A possible lower smoking prevalence among patients with osteoarthritis might explain the slightly increased risk for Parkinson disease.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2992436

DOI: 10.1002/mds.23274
PubMed: 20721917
PubMed Central: 2992436

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PMC:2992436

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P1">It has been suggested that use of non-steroidal anti-inflammatory drugs (NSAID) protects against Parkinson disease, although the results are not consistent. We investigated the risk for Parkinson disease in patients with osteoarthritis, who are typically intensive users of NSAID.</p>
<p id="P2">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 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 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 for 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 disease. A possible lower smoking prevalence among patients with osteoarthritis might explain the slightly increased risk for Parkinson disease.</p>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Risk for Parkinson disease among patients with osteoarthritis: a Danish cohort study

Risk for Parkinson disease among patients with osteoarthritis: a Danish cohort study

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Descripteurs français

English descriptors

Abstract

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