医学
终末期肾病
队列
危险系数
队列研究
疾病
内科学
回顾性队列研究
肾脏疾病
人口
入射(几何)
帕金森病
儿科
置信区间
物理
光学
环境卫生
作者
I‐Kuan Wang,Cheng‐Li Lin,Yi‐Ying Wu,Che‐Yi Chou,Shih‐Yi Lin,Jiung-Hsiun Liu,Tzung‐Hai Yen,Chiu-Ching Huang,I‐Kuan Wang
出处
期刊:Neuroepidemiology
[S. Karger AG]
日期:2014-01-01
卷期号:42 (4): 204-210
被引量:32
摘要
<b><i>Background:</i></b> Studies on dyskinesia and Parkinson's syndrome associated with chronic kidney disease or end-stage renal disease (ESRD) have been mainly limited to case reports or case series studies. This population-based study investigated the risk of Parkinson's disease in patients with ESRD. <b><i>Methods:</i></b> From a universal insurance claims database of Taiwan, we established a cohort of 8,325 adults with newly diagnosed ESRD from 1997 to 2010 without a history of Parkinson's disease. A control cohort of 33,382 insured subjects without a history of kidney disease or Parkinson's disease was also selected, with frequency matched for age, sex and index date of the patients with ESRD. Both cohorts were followed up until the end of 2010. <b><i>Results:</i></b> The Parkinson's disease incidence was 1.55-fold higher in the cohort with ESRD than in the comparison cohort (48.8 vs. 31.7 per 10,000 person-years) with an adjusted hazard ratio of 1.73 (95% confidence interval, 1.39-2.15). Sex-specific and age-specific analysis showed a higher relative risk for women and younger patients with ESRD compared to the control cohort. <b><i>Conclusions:</i></b> ESRD is significantly associated with an increased risk of Parkinson's disease. Close surveillance for Parkinson's disease should be considered for patients with ESRD.
科研通智能强力驱动
Strongly Powered by AbleSci AI