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Risk of incident depression in patients with Parkinson disease in the UK

Identifieur interne : 000347 ( Main/Corpus ); précédent : 000346; suivant : 000348

Risk of incident depression in patients with Parkinson disease in the UK

Auteurs : C. Becker ; G. P. Brobert ; S. Johansson ; S. S. Jick ; C. R. Meier

Source :

RBID : ISTEX:3D40670C9D3CA8A26CC8D1C365C467668CC10F29

English descriptors

Abstract

Background:  Non‐motor symptoms are not widely recognized in patients with Parkinson disease (PD). We sought to assess the incidence rate as well as the risk of depression in newly diagnosed patients with PD and to compare it to PD‐free controls. Methods:  We conducted a population‐based follow‐up study with a nested case–control analysis based on data from the UK‐based General Practice Research Database (GPRD). We included PD patients ≥ aged 40 years with a first PD diagnosis between 1994 and 2005, and a matched comparison group free of PD. We assessed incidence rates (IRs) and relative risk estimates (odds ratios [ORs] with 95% confidence intervals [CI]). Results:  The IR of depression in newly diagnosed PD in the UK community was 26.0 (95% CI 22.9–29.5) per 1000 person‐years. The risk of developing depression was increased almost twofold in patients with PD when compared to patients without PD (adj. OR 1.89; 95% CI 1.49–2.40). The increased relative risk was most pronounced in women and in individuals 40–69 years of age. Long‐term users of levodopa had an increased depression risk when compared to short‐term users. Conclusions:  Patients with PD are at an approximately twofold increased risk of being diagnosed with depression compared to the PD‐free population.

Url:
DOI: 10.1111/j.1468-1331.2010.03176.x

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ISTEX:3D40670C9D3CA8A26CC8D1C365C467668CC10F29

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<unparsedAffiliation>Boston Collaborative Drug Surveillance Program, Boston University Medical Center, Lexington, MA, USA</unparsedAffiliation>
</affiliation>
<affiliation xml:id="a6" countryCode="CH">
<unparsedAffiliation>Division of Clinical Pharmacy & Epidemiology, Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland</unparsedAffiliation>
</affiliation>
</affiliationGroup>
<keywordGroup xml:lang="en">
<keyword xml:id="k1">depression</keyword>
<keyword xml:id="k2">epidemiology</keyword>
<keyword xml:id="k3">Parkinson disease</keyword>
</keywordGroup>
<abstractGroup>
<abstract type="main" xml:lang="en">
<p>
<b>Background: </b>
Non‐motor symptoms are not widely recognized in patients with Parkinson disease (PD). We sought to assess the incidence rate as well as the risk of depression in newly diagnosed patients with PD and to compare it to PD‐free controls.</p>
<p>
<b>Methods: </b>
We conducted a population‐based follow‐up study with a nested case–control analysis based on data from the UK‐based General Practice Research Database (GPRD). We included PD patients ≥ aged 40 years with a first PD diagnosis between 1994 and 2005, and a matched comparison group free of PD. We assessed incidence rates (IRs) and relative risk estimates (odds ratios [ORs] with 95% confidence intervals [CI]).</p>
<p>
<b>Results: </b>
The IR of depression in newly diagnosed PD in the UK community was 26.0 (95% CI 22.9–29.5) per 1000 person‐years. The risk of developing depression was increased almost twofold in patients with PD when compared to patients without PD (adj. OR 1.89; 95% CI 1.49–2.40). The increased relative risk was most pronounced in women and in individuals 40–69 years of age. Long‐term users of levodopa had an increased depression risk when compared to short‐term users.</p>
<p>
<b>Conclusions: </b>
Patients with PD are at an approximately twofold increased risk of being diagnosed with depression compared to the PD‐free population.</p>
</abstract>
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<title>Risk of incident depression in patients with Parkinson disease in the UK</title>
</titleInfo>
<titleInfo type="abbreviated">
<title>Depression in Parkinson disease</title>
</titleInfo>
<titleInfo type="alternative" contentType="CDATA" lang="en">
<title>Risk of incident depression in patients with Parkinson disease in the UK</title>
</titleInfo>
<name type="personal">
<namePart type="given">C.</namePart>
<namePart type="family">Becker</namePart>
<affiliation>Basel Pharmacoepidemiology Unit, Hospital Pharmacy, University Hospital, Basel, Switzerland</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">G. P.</namePart>
<namePart type="family">Brobert</namePart>
<affiliation>AstraZeneca Research & Development, Södertälje</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</name>
<name type="personal">
<namePart type="given">S.</namePart>
<namePart type="family">Johansson</namePart>
<affiliation>AstraZeneca Research & Development, Mölndal</affiliation>
<affiliation>Institute of Medicine, Sahlgrenska Academy, Göteborg University, Göteborg, Sweden</affiliation>
<role>
<roleTerm type="text">author</roleTerm>
</role>
</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, Hospital Pharmacy, University Hospital, Basel, Switzerland</affiliation>
<affiliation>Boston Collaborative Drug Surveillance Program, Boston University Medical Center, Lexington, MA, USA</affiliation>
<affiliation>Division of Clinical Pharmacy & Epidemiology, Department of Pharmaceutical Sciences, University of Basel, Basel, Switzerland</affiliation>
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<dateIssued encoding="w3cdtf">2011-03</dateIssued>
<edition>Received 24 April 2010 Accepted 21 June 2010</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:  Non‐motor symptoms are not widely recognized in patients with Parkinson disease (PD). We sought to assess the incidence rate as well as the risk of depression in newly diagnosed patients with PD and to compare it to PD‐free controls. Methods:  We conducted a population‐based follow‐up study with a nested case–control analysis based on data from the UK‐based General Practice Research Database (GPRD). We included PD patients ≥ aged 40 years with a first PD diagnosis between 1994 and 2005, and a matched comparison group free of PD. We assessed incidence rates (IRs) and relative risk estimates (odds ratios [ORs] with 95% confidence intervals [CI]). Results:  The IR of depression in newly diagnosed PD in the UK community was 26.0 (95% CI 22.9–29.5) per 1000 person‐years. The risk of developing depression was increased almost twofold in patients with PD when compared to patients without PD (adj. OR 1.89; 95% CI 1.49–2.40). The increased relative risk was most pronounced in women and in individuals 40–69 years of age. Long‐term users of levodopa had an increased depression risk when compared to short‐term users. Conclusions:  Patients with PD are at an approximately twofold increased risk of being diagnosed with depression compared to the PD‐free population.</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>depression</topic>
<topic>epidemiology</topic>
<topic>Parkinson disease</topic>
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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>3</number>
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<accessCondition type="use and reproduction" contentType="copyright">© 2010 The Author(s). European Journal of Neurology © 2010 EFNS</accessCondition>
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