La maladie de Parkinson en France (serveur d'exploration)

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Familial aggregation of Parkinson's disease: a population-based case-control study in Europe. EUROPARKINSON Study Group.

Identifieur interne : 001398 ( PubMed/Corpus ); précédent : 001397; suivant : 001399

Familial aggregation of Parkinson's disease: a population-based case-control study in Europe. EUROPARKINSON Study Group.

Auteurs : A. Elbaz ; F. Grigoletto ; M. Baldereschi ; M M Breteler ; J M Manubens-Bertran ; S. Lopez-Pousa ; J F Dartigues ; A. Alpérovitch ; C. Tzourio ; W A Rocca

Source :

RBID : pubmed:10371537

English descriptors

Abstract

To investigate the familial aggregation of PD in a large collaborative population-based case-control study.

PubMed: 10371537

Links to Exploration step

pubmed:10371537

Le document en format XML

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<name sortKey="Elbaz, A" sort="Elbaz, A" uniqKey="Elbaz A" first="A" last="Elbaz">A. Elbaz</name>
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<nlm:affiliation>INSERM U 360, Recherches Epidémiologiques en Neurologie et Psychopathologie, Hôpital de la Salpêtrière, Paris, France. elbaz@ccr.jussieu.fr</nlm:affiliation>
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<name sortKey="Lopez Pousa, S" sort="Lopez Pousa, S" uniqKey="Lopez Pousa S" first="S" last="Lopez-Pousa">S. Lopez-Pousa</name>
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<term>Genetics, Population</term>
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<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (genetics)</term>
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<div type="abstract" xml:lang="en">To investigate the familial aggregation of PD in a large collaborative population-based case-control study.</div>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the familial aggregation of PD in a large collaborative population-based case-control study.</AbstractText>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Most previous case-control studies of the familial aggregation of PD have been hospital- or clinic-based.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We included 219 prevalent cases ascertained in three European populations (centers), using a two-phase design consisting of screening and examination by a neurologist. Each case was matched by age, sex, and center to three controls drawn from the same populations (n = 657). Presence of PD among first-degree relatives (parents and siblings) was determined using the family history approach for 175 cases and 481 controls.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall, a positive family history (at least one parent or sibling affected by PD) was reported in 10.3% of patients and 3.5% of controls (odds ratio [OR] = 3.2; 95% confidence interval [CI] = 1.6 to 6.6). A similar association was observed when analyses were restricted to nondemented patients and controls (OR = 3.9; 95% CI = 1.7 to 8.7) or to newly diagnosed patients (OR = 3.3; 95% CI = 0.9 to 11.9). We found a significant trend of increasing risk with increasing number of affected relatives (p = 0.003). Analyses stratified by age showed a stronger association for younger PD patients (OR = 7.6; 95% CI = 1.5 to 38.9) than for older patients (OR = 2.5; 95% CI = 1.1 to 5.7).</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">In this large sample of prevalent PD patients and population-matched controls, PD significantly aggregates in families, with the strength of the association being age-dependent. Therefore, familial factors, which can be genetic, environmental, or both, play a role in PD.</AbstractText>
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