Increased risk of Parkinson's disease in patients with end-stage renal disease: a retrospective cohort study.

Abstract:

BACKGROUND: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. METHODS: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. RESULTS: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. CONCLUSIONS: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.

journal_name

Neuroepidemiology

journal_title

Neuroepidemiology

authors

Wang IK,Lin CL,Wu YY,Chou CY,Lin SY,Liu JH,Yen TH,Huang CC,Sung FC

doi

10.1159/000358921

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

204-10

issue

4

eissn

0251-5350

issn

1423-0208

pii

000358921

journal_volume

42

pub_type

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