Causes of death in a community‐based study of Parkinson's disease
Identifieur interne : 001B01 ( Main/Exploration ); précédent : 001B00; suivant : 001B02Causes of death in a community‐based study of Parkinson's disease
Auteurs : M. K. Beyer ; K. Herlofson ; D. Rsland [Norvège] ; J. P. LarsenSource :
- Acta Neurologica Scandinavica [ 0001-6314 ] ; 2001-01.
Abstract
Introduction – The aim of this community‐based study of Parkinson's disease (PD) was to investigate the causes of death among PD patients over a 4‐year period and to examine the quality of death certificates with regard to PD. Patients and methods – A total of 245 patients were diagnosed with PD on Jan 1st 1993 in a defined geographical area in Norway. This patient cohort was followed from 1993 until Dec 31st 1996. Some 84 patients died in the 4‐year period of follow‐up. Their death certificates were collected, and causes of death were registered. A control group with the same age and sex distribution as the decedents, from the same geographical area, were also examined for causes of death. Results – We found that the deceased PD patients at baseline were older, had a higher Unified Parkinson's Disease Rating Scale (UPDRS) score and Hoehn and Yahr staging than those patients who did not die during the observation period. Twice as many PD patients (20%) as controls (9%) died from pneumonia, whereas more controls than patients died from ischemic heart disease. There was a trend towards more deaths from malignant neoplasms in the control group than among PD patients. Only 56% of the death certificates of the deceased patients had PD registered as either underlying or contributing cause of death. Conclusion – We found that in an unselected group of PD patients there is a significant increase in deaths from pneumonia. The low frequency of PD on deceased patients' death certificates show that research based on these certificates should be evaluated with caution.
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DOI: 10.1034/j.1600-0404.2001.00191.x
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Beyer</name><affiliation><wicri:noCountry code="no comma">Departments of Radiology and</wicri:noCountry></affiliation></author><author><name sortKey="Herlofson, K" sort="Herlofson, K" uniqKey="Herlofson K" first="K." last="Herlofson">K. Herlofson</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author><author><name sortKey=" Rsland, D" sort=" Rsland, D" uniqKey=" Rsland D" first="D." last=" Rsland">D. Rsland</name><affiliation wicri:level="1"><country xml:lang="fr">Norvège</country><wicri:regionArea>Department of Geriatric Psychiatry, Rogaland Psychiatric Hospital, Stavanger</wicri:regionArea><wicri:noRegion>Stavanger</wicri:noRegion></affiliation></author><author><name sortKey="Larsen, J P" sort="Larsen, J P" uniqKey="Larsen J" first="J. P." last="Larsen">J. P. Larsen</name><affiliation><wicri:noCountry code="subField"></wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">Acta Neurologica Scandinavica</title><idno type="ISSN">0001-6314</idno><idno type="eISSN">1600-0404</idno><imprint><publisher>Munksgaard International Publishers</publisher><pubPlace>Copenhagen</pubPlace><date type="published" when="2001-01">2001-01</date><biblScope unit="volume">103</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="7">7</biblScope><biblScope unit="page" to="11">11</biblScope></imprint><idno type="ISSN">0001-6314</idno></series><idno type="istex">C30F5AC72FD02EA804A0560ED06610BAC3B9ED2D</idno><idno type="DOI">10.1034/j.1600-0404.2001.00191.x</idno><idno type="ArticleID">ANE191</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0001-6314</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction – The aim of this community‐based study of Parkinson's disease (PD) was to investigate the causes of death among PD patients over a 4‐year period and to examine the quality of death certificates with regard to PD. Patients and methods – A total of 245 patients were diagnosed with PD on Jan 1st 1993 in a defined geographical area in Norway. This patient cohort was followed from 1993 until Dec 31st 1996. Some 84 patients died in the 4‐year period of follow‐up. Their death certificates were collected, and causes of death were registered. A control group with the same age and sex distribution as the decedents, from the same geographical area, were also examined for causes of death. Results – We found that the deceased PD patients at baseline were older, had a higher Unified Parkinson's Disease Rating Scale (UPDRS) score and Hoehn and Yahr staging than those patients who did not die during the observation period. Twice as many PD patients (20%) as controls (9%) died from pneumonia, whereas more controls than patients died from ischemic heart disease. There was a trend towards more deaths from malignant neoplasms in the control group than among PD patients. Only 56% of the death certificates of the deceased patients had PD registered as either underlying or contributing cause of death. Conclusion – We found that in an unselected group of PD patients there is a significant increase in deaths from pneumonia. The low frequency of PD on deceased patients' death certificates show that research based on these certificates should be evaluated with caution.</div></front></TEI><affiliations><list><country><li>Norvège</li></country></list><tree><noCountry><name sortKey="Beyer, M K" sort="Beyer, M K" uniqKey="Beyer M" first="M. K." last="Beyer">M. K. Beyer</name><name sortKey="Herlofson, K" sort="Herlofson, K" uniqKey="Herlofson K" first="K." last="Herlofson">K. Herlofson</name><name sortKey="Larsen, J P" sort="Larsen, J P" uniqKey="Larsen J" first="J. P." last="Larsen">J. P. Larsen</name></noCountry><country name="Norvège"><noRegion><name sortKey=" Rsland, D" sort=" Rsland, D" uniqKey=" Rsland D" first="D." last=" Rsland">D. 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