The prevalence of parkinsonism in Italy: an epidemiological survey of the disease in general practice. The Italian General Practitioner Study Group (IGPSG).
Identifieur interne : 004A54 ( PubMed/Checkpoint ); précédent : 004A53; suivant : 004A55The prevalence of parkinsonism in Italy: an epidemiological survey of the disease in general practice. The Italian General Practitioner Study Group (IGPSG).
Auteurs : E. Beghi [Italie] ; M L Monticelli ; A. Sessa ; P. SimoneSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1994.
Descripteurs français
- Wicri :
- geographic : Italie.
English descriptors
- KwdEn :
- Aged, Cross-Sectional Studies, Disability Evaluation, Family Practice (statistics & numerical data), Female, Humans, Incidence, Italy (epidemiology), Male, Middle Aged, Neurologic Examination, Parkinson Disease (classification), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease, Secondary (classification), Parkinson Disease, Secondary (diagnosis), Parkinson Disease, Secondary (epidemiology), Urban Population (statistics & numerical data).
- MESH :
- geographic , epidemiology : Italy.
- classification : Parkinson Disease, Parkinson Disease, Secondary.
- diagnosis : Parkinson Disease, Parkinson Disease, Secondary.
- epidemiology : Parkinson Disease, Parkinson Disease, Secondary.
- statistics & numerical data : Family Practice, Urban Population.
- Aged, Cross-Sectional Studies, Disability Evaluation, Female, Humans, Incidence, Male, Middle Aged, Neurologic Examination.
Abstract
The prevalence and characteristics of parkinsonism have been assessed in two separate geographic areas in Italy (Arcisate and San Giovanni Rotondo). A total of 28,377 patients of 23 general practitioners (GPs) were the reference population. Fifty-eight patients were traced by the GP as having typical parkinsonian features or being treated with antiparkinson drugs. Among 53 subjects, 21 of them untreated, parkinsonism was subsequently confirmed neurologically. The overall crude prevalence rate was 1.87 cases per 1,000 (Arcisate 1.81; San Giovanni Rotondo 2.01). The age- and sex-adjusted prevalence rates were 1.84 in Arcisate and 2.04 in San Giovanni Rotondo. After exclusion of drug-related parkinsonism, the rates were 1.48 and 1.90, respectively. Even with some inconsistencies within the two study areas, the prevalence tended to be higher in San Giovanni Rotondo, to prevail in women, and to increase significantly with age. Presumed etiological factors for parkinsonism were recorded in 34% of the cases (mostly drugs). In two thirds of the cases the disease ran a mild course. The present study shows that the GP proves a valuable reference for surveys of parkinsonism in Italy.
DOI: 10.1002/mds.870090405
PubMed: 7969206
Affiliations:
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Beghi</name><affiliation wicri:level="3"><nlm:affiliation>Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Istituto di Ricerche Farmacologiche Mario Negri, Milan</wicri:regionArea><placeName><settlement type="city">Milan</settlement><region nuts="2">Lombardie</region></placeName></affiliation></author><author><name sortKey="Monticelli, M L" sort="Monticelli, M L" uniqKey="Monticelli M" first="M L" last="Monticelli">M L Monticelli</name></author><author><name sortKey="Sessa, A" sort="Sessa, A" uniqKey="Sessa A" first="A" last="Sessa">A. Sessa</name></author><author><name sortKey="Simone, P" sort="Simone, P" uniqKey="Simone P" first="P" last="Simone">P. Simone</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1994" type="published">1994</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Family Practice (statistics & numerical data)</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Italy (epidemiology)</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Parkinson Disease (classification)</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (epidemiology)</term><term>Parkinson Disease, Secondary (classification)</term><term>Parkinson Disease, Secondary (diagnosis)</term><term>Parkinson Disease, Secondary (epidemiology)</term><term>Urban Population (statistics & numerical data)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Italy</term></keywords><keywords scheme="MESH" qualifier="classification" xml:lang="en"><term>Parkinson Disease</term><term>Parkinson Disease, Secondary</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term><term>Parkinson Disease, Secondary</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Parkinson Disease</term><term>Parkinson Disease, Secondary</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Family Practice</term><term>Urban Population</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cross-Sectional Studies</term><term>Disability Evaluation</term><term>Female</term><term>Humans</term><term>Incidence</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Italie</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The prevalence and characteristics of parkinsonism have been assessed in two separate geographic areas in Italy (Arcisate and San Giovanni Rotondo). A total of 28,377 patients of 23 general practitioners (GPs) were the reference population. Fifty-eight patients were traced by the GP as having typical parkinsonian features or being treated with antiparkinson drugs. Among 53 subjects, 21 of them untreated, parkinsonism was subsequently confirmed neurologically. The overall crude prevalence rate was 1.87 cases per 1,000 (Arcisate 1.81; San Giovanni Rotondo 2.01). The age- and sex-adjusted prevalence rates were 1.84 in Arcisate and 2.04 in San Giovanni Rotondo. After exclusion of drug-related parkinsonism, the rates were 1.48 and 1.90, respectively. Even with some inconsistencies within the two study areas, the prevalence tended to be higher in San Giovanni Rotondo, to prevail in women, and to increase significantly with age. Presumed etiological factors for parkinsonism were recorded in 34% of the cases (mostly drugs). In two thirds of the cases the disease ran a mild course. The present study shows that the GP proves a valuable reference for surveys of parkinsonism in Italy.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">7969206</PMID><DateCreated><Year>1994</Year><Month>12</Month><Day>14</Day></DateCreated><DateCompleted><Year>1994</Year><Month>12</Month><Day>14</Day></DateCompleted><DateRevised><Year>2006</Year><Month>11</Month><Day>15</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>9</Volume><Issue>4</Issue><PubDate><Year>1994</Year><Month>Jul</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>The prevalence of parkinsonism in Italy: an epidemiological survey of the disease in general practice. The Italian General Practitioner Study Group (IGPSG).</ArticleTitle><Pagination><MedlinePgn>403-8</MedlinePgn></Pagination><Abstract><AbstractText>The prevalence and characteristics of parkinsonism have been assessed in two separate geographic areas in Italy (Arcisate and San Giovanni Rotondo). A total of 28,377 patients of 23 general practitioners (GPs) were the reference population. Fifty-eight patients were traced by the GP as having typical parkinsonian features or being treated with antiparkinson drugs. Among 53 subjects, 21 of them untreated, parkinsonism was subsequently confirmed neurologically. The overall crude prevalence rate was 1.87 cases per 1,000 (Arcisate 1.81; San Giovanni Rotondo 2.01). The age- and sex-adjusted prevalence rates were 1.84 in Arcisate and 2.04 in San Giovanni Rotondo. After exclusion of drug-related parkinsonism, the rates were 1.48 and 1.90, respectively. Even with some inconsistencies within the two study areas, the prevalence tended to be higher in San Giovanni Rotondo, to prevail in women, and to increase significantly with age. Presumed etiological factors for parkinsonism were recorded in 34% of the cases (mostly drugs). In two thirds of the cases the disease ran a mild course. 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Sessa</name><name sortKey="Simone, P" sort="Simone, P" uniqKey="Simone P" first="P" last="Simone">P. Simone</name></noCountry><country name="Italie"><region name="Lombardie"><name sortKey="Beghi, E" sort="Beghi, E" uniqKey="Beghi E" first="E" last="Beghi">E. Beghi</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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