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NSAID use and risk of Parkinson disease: a population‐based case‐control study

Identifieur interne : 000086 ( Main/Corpus ); précédent : 000085; suivant : 000087

NSAID use and risk of Parkinson disease: a population‐based case‐control study

Auteurs : C. Becker ; S. S. Jick ; C. R. Meier

Source :

RBID : ISTEX:2DA69C60955AB3398C85649A97FE5725EE5A60D0

English descriptors

Abstract

Background:  Previous epidemiologic studies have produced inconsistent findings regarding the association between the use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and the risk of Parkinson disease (PD). Methods:  We conducted a case–control analysis using the General Practice Research Database. Cases (≥40 years) had a new diagnosis of PD between 1994 and 2009. We matched four controls to each PD case on age, sex, general practice, and index date. Use of NSAIDs, aspirin, and acetaminophen was stratified by exposure timing and duration for both cases and controls. We calculated odds ratios (OR) using conditional logistic regression. For additional analyses, the index date was brought backward 1, 2, and 3 years, respectively. Results:  We identified 4026 cases with an incident idiopathic PD diagnosis and 15 969 matched controls. Compared with patients without any previous prescription for NSAIDs, those with prior use had no increased risk of a PD diagnosis (OR 1.07, 95% CI 0.99–1.16). Long‐term use (≥15 prescriptions) was associated with a slightly lower PD risk (adjusted OR 0.94, 95% CI 0.83–1.07). The relative PD risks of the use of aspirin or acetaminophen were not materially higher (PD risk of long‐term use: adjusted ORs 1.16, 95% CI 1.03–1.30 and 1.15, 95% CI 1.02–1.30, respectively) compared with those for non‐users. The risk estimate diminished toward the null in subsequent analyses with shifted index dates. Conclusion:  In this large observational study with data from the UK primary care, the long‐term use of NSAIDs, aspirin, or acetaminophen was not associated with a substantially altered risk of developing PD.

Url:
DOI: 10.1111/j.1468-1331.2011.03399.x

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ISTEX:2DA69C60955AB3398C85649A97FE5725EE5A60D0

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<div type="abstract" xml:lang="en">Background:  Previous epidemiologic studies have produced inconsistent findings regarding the association between the use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and the risk of Parkinson disease (PD). Methods:  We conducted a case–control analysis using the General Practice Research Database. Cases (≥40 years) had a new diagnosis of PD between 1994 and 2009. We matched four controls to each PD case on age, sex, general practice, and index date. Use of NSAIDs, aspirin, and acetaminophen was stratified by exposure timing and duration for both cases and controls. We calculated odds ratios (OR) using conditional logistic regression. For additional analyses, the index date was brought backward 1, 2, and 3 years, respectively. Results:  We identified 4026 cases with an incident idiopathic PD diagnosis and 15 969 matched controls. Compared with patients without any previous prescription for NSAIDs, those with prior use had no increased risk of a PD diagnosis (OR 1.07, 95% CI 0.99–1.16). Long‐term use (≥15 prescriptions) was associated with a slightly lower PD risk (adjusted OR 0.94, 95% CI 0.83–1.07). The relative PD risks of the use of aspirin or acetaminophen were not materially higher (PD risk of long‐term use: adjusted ORs 1.16, 95% CI 1.03–1.30 and 1.15, 95% CI 1.02–1.30, respectively) compared with those for non‐users. The risk estimate diminished toward the null in subsequent analyses with shifted index dates. Conclusion:  In this large observational study with data from the UK primary care, the long‐term use of NSAIDs, aspirin, or acetaminophen was not associated with a substantially altered risk of developing PD.</div>
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<b>Background: </b>
Previous epidemiologic studies have produced inconsistent findings regarding the association between the use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and the risk of Parkinson disease (PD).</p>
<p>
<b>Methods: </b>
We conducted a case–control analysis using the General Practice Research Database. Cases (≥40 years) had a new diagnosis of PD between 1994 and 2009. We matched four controls to each PD case on age, sex, general practice, and index date. Use of NSAIDs, aspirin, and acetaminophen was stratified by exposure timing and duration for both cases and controls. We calculated odds ratios (OR) using conditional logistic regression. For additional analyses, the index date was brought backward 1, 2, and 3 years, respectively.</p>
<p>
<b>Results: </b>
We identified 4026 cases with an incident idiopathic PD diagnosis and 15 969 matched controls. Compared with patients without any previous prescription for NSAIDs, those with prior use had no increased risk of a PD diagnosis (OR 1.07, 95% CI 0.99–1.16). Long‐term use (≥15 prescriptions) was associated with a slightly lower PD risk (adjusted OR 0.94, 95% CI 0.83–1.07). The relative PD risks of the use of aspirin or acetaminophen were not materially higher (PD risk of long‐term use: adjusted ORs 1.16, 95% CI 1.03–1.30 and 1.15, 95% CI 1.02–1.30, respectively) compared with those for non‐users. The risk estimate diminished toward the null in subsequent analyses with shifted index dates.</p>
<p>
<b>Conclusion: </b>
In this large observational study with data from the UK primary care, the long‐term use of NSAIDs, aspirin, or acetaminophen was not associated with a substantially altered risk of developing PD.</p>
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<title>NSAID use and risk of Parkinson disease: a population‐based case‐control study</title>
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<titleInfo type="abbreviated">
<title>NSAID use and risk of Parkinson disease</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>NSAID use and risk of Parkinson disease: a population‐based case‐control study</title>
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<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Becker</namePart>
<affiliation>Basel Pharmacoepidemiology Unit, Division of Clinical Pharmacy and Epidemiology, Department of Pharmaceutical Sciences, University of Basel, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
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</name>
<name type="personal">
<namePart type="given">S. S.</namePart>
<namePart type="family">Jick</namePart>
<affiliation>Boston Collaborative Drug Surveillance Program, Boston University Medical Center, Lexington, MA, USA</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">C. R.</namePart>
<namePart type="family">Meier</namePart>
<affiliation>Basel Pharmacoepidemiology Unit, Division of Clinical Pharmacy and Epidemiology, Department of Pharmaceutical Sciences, University of Basel, Switzerland</affiliation>
<affiliation>Boston Collaborative Drug Surveillance Program, Boston University Medical Center, Lexington, MA, USA</affiliation>
<affiliation>Hospital Pharmacy, University Hospital, Spitalstrasse 26, Basel, Switzerland</affiliation>
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<publisher>Blackwell Publishing Ltd</publisher>
<place>
<placeTerm type="text">Oxford, UK</placeTerm>
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<dateIssued encoding="w3cdtf">2011-11</dateIssued>
<edition>Received 6 December 2010 Accepted 3 March 2011</edition>
<copyrightDate encoding="w3cdtf">2011</copyrightDate>
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<languageTerm type="code" authority="iso639-2b">eng</languageTerm>
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<abstract lang="en">Background:  Previous epidemiologic studies have produced inconsistent findings regarding the association between the use of non‐steroidal anti‐inflammatory drugs (NSAIDs) and the risk of Parkinson disease (PD). Methods:  We conducted a case–control analysis using the General Practice Research Database. Cases (≥40 years) had a new diagnosis of PD between 1994 and 2009. We matched four controls to each PD case on age, sex, general practice, and index date. Use of NSAIDs, aspirin, and acetaminophen was stratified by exposure timing and duration for both cases and controls. We calculated odds ratios (OR) using conditional logistic regression. For additional analyses, the index date was brought backward 1, 2, and 3 years, respectively. Results:  We identified 4026 cases with an incident idiopathic PD diagnosis and 15 969 matched controls. Compared with patients without any previous prescription for NSAIDs, those with prior use had no increased risk of a PD diagnosis (OR 1.07, 95% CI 0.99–1.16). Long‐term use (≥15 prescriptions) was associated with a slightly lower PD risk (adjusted OR 0.94, 95% CI 0.83–1.07). The relative PD risks of the use of aspirin or acetaminophen were not materially higher (PD risk of long‐term use: adjusted ORs 1.16, 95% CI 1.03–1.30 and 1.15, 95% CI 1.02–1.30, respectively) compared with those for non‐users. The risk estimate diminished toward the null in subsequent analyses with shifted index dates. Conclusion:  In this large observational study with data from the UK primary care, the long‐term use of NSAIDs, aspirin, or acetaminophen was not associated with a substantially altered risk of developing PD.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>case–control analysis</topic>
<topic>epidemiology</topic>
<topic>non‐steroidal anti‐inflammatory drugs</topic>
<topic>Parkinson disease</topic>
</subject>
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<title>European Journal of Neurology</title>
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<genre type="Journal">journal</genre>
<identifier type="ISSN">1351-5101</identifier>
<identifier type="eISSN">1468-1331</identifier>
<identifier type="DOI">10.1111/(ISSN)1468-1331</identifier>
<identifier type="PublisherID">ENE</identifier>
<part>
<date>2011</date>
<detail type="volume">
<caption>vol.</caption>
<number>18</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>11</number>
</detail>
<extent unit="pages">
<start>1336</start>
<end>1342</end>
<total>7</total>
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<identifier type="DOI">10.1111/j.1468-1331.2011.03399.x</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">© 2011 The Author(s). European Journal of Neurology © 2011 EFNS</accessCondition>
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<recordOrigin>Blackwell Publishing Ltd</recordOrigin>
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