Mumps, measles, and rubella vaccine and the incidence of autism recorded by general practitioners: a time trend analysis.

Abstract:

OBJECTIVE:To estimate changes in the risk of autism and assess the relation of autism to the mumps, measles, and rubella (MMR) vaccine. DESIGN:Time trend analysis of data from the UK general practice research database (GPRD). SETTING:General practices in the United Kingdom. SUBJECTS:Children aged 12 years or younger diagnosed with autism 1988-99, with further analysis of boys aged 2 to 5 years born 1988-93. MAIN OUTCOME MEASURES:Annual and age specific incidence for first recorded diagnoses of autism (that is, when the diagnosis of autism was first recorded) in the children aged 12 years or younger; annual, birth cohort specific risk of autism diagnosed in the 2 to 5 year old boys; coverage (prevalence) of MMR vaccination in the same birth cohorts. RESULTS:The incidence of newly diagnosed autism increased sevenfold, from 0.3 per 10 000 person years in 1988 to 2.1 per 10 000 person years in 1999. The peak incidence was among 3 and 4 year olds, and 83% (254/305) of cases were boys. In an annual birth cohort analysis of 114 boys born in 1988-93, the risk of autism in 2 to 5 year old boys increased nearly fourfold over time, from 8 (95% confidence interval 4 to 14) per 10 000 for boys born in 1988 to 29 (20 to 43) per 10 000 for boys born in 1993. For the same annual birth cohorts the prevalence of MMR vaccination was over 95%. CONCLUSIONS:Because the incidence of autism among 2 to 5 year olds increased markedly among boys born in each year separately from 1988 to 1993 while MMR vaccine coverage was over 95% for successive annual birth cohorts, the data provide evidence that no correlation exists between the prevalence of MMR vaccination and the rapid increase in the risk of autism over time. The explanation for the marked increase in risk of the diagnosis of autism in the past decade remains uncertain.

journal_name

BMJ

authors

Kaye JA,del Mar Melero-Montes M,Jick H

doi

10.1136/bmj.322.7284.460

keywords:

subject

Has Abstract

pub_date

2001-02-24 00:00:00

pages

460-3

issue

7284

eissn

0959-8138

issn

1756-1833

journal_volume

322

pub_type

杂志文章
  • Fibrinogen and lipid concentrations as risk factors for transient ischaemic attacks and minor ischaemic strokes.

    abstract:OBJECTIVES:To determine whether fibrinogen and lipid concentrations are risk factors for ischaemic stroke. DESIGN:Case-control study with a population based comparison within the overall study. SETTING:Oxfordshire community stroke project and a neurology clinic. SUBJECTS:105 patients who had a transient ischaemic at...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.303.6803.605

    authors: Qizilbash N,Jones L,Warlow C,Mann J

    更新日期:1991-09-14 00:00:00

  • Primary and secondary prevention with new oral anticoagulant drugs for stroke prevention in atrial fibrillation: indirect comparison analysis.

    abstract:OBJECTIVE:To do an indirect comparison analysis of apixaban against dabigatran etexilate (2 doses) and rivaroxaban (1 dose), as well as of rivaroxaban against dabigatranetexilate (2 doses), for their relative efficacy and safety against each other, with particular focus on the secondary prevention population for stroke...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.e7097

    authors: Rasmussen LH,Larsen TB,Graungaard T,Skjøth F,Lip GY

    更新日期:2012-11-05 00:00:00

  • Effectiveness of flexible sigmoidoscopy screening in men and women and different age groups: pooled analysis of randomised trials.

    abstract:OBJECTIVE: To compare the effectiveness of flexible sigmoidoscopy in screening for colorectal cancer by patient sex and age. DESIGN: Pooled analysis of randomised trials (the US Prostate, Lung, Colorectal and Ovarian cancer screening trial (PLCO), the Italian Screening for Colon and Rectum trial (SCORE), and the Norwe...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmj.i6673

    authors: Holme Ø,Schoen RE,Senore C,Segnan N,Hoff G,Løberg M,Bretthauer M,Adami HO,Kalager M

    更新日期:2017-01-13 00:00:00

  • Group cognitive behavioural courses may reduce fatigue from rheumatoid arthritis.

    abstract::The studyHewlett S, Almeida C, Ambler N, et al. Reducing arthritis fatigue impact: two-year randomised controlled trial of cognitive behavioural approaches by rheumatology teams (RAFT). Ann Rheum Dis 2019;78:465-72.Hewlett S, Almeida C, Ambler N, et al. Group cognitive behavioural programme to reduce the impact of rhe...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmj.m512

    authors: Cook R,Davidson P,Martin R,NIHR Dissemination Centre.

    更新日期:2020-03-06 00:00:00

  • The quality of health care in prison: results of a year's programme of semistructured inspections.

    abstract:OBJECTIVES:To assess, as part of wider inspections by HM Inspectorate of Prisons, the extent and quality of health care in prisons in England and Wales. DESIGN:Inspections based on a set of "expectations" derived mainly from existing healthcare quality standards published by the prison service and existing ethical gui...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.315.7120.1420

    authors: Reed J,Lyne M

    更新日期:1997-11-29 00:00:00

  • Damage to DNA in cervical epithelium related to smoking tobacco.

    abstract:OBJECTIVE:To determine whether tobacco smoking causes increased DNA modification (adducts) in human cervical epithelium. DESIGN:Comparison of DNA adducts measured by the technique of postlabelling with phosphorus-32 in normal ectocervical epithelium of smokers and non-smokers. A questionnaire on smoking habit and a ur...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.306.6890.1444

    authors: Simons AM,Phillips DH,Coleman DV

    更新日期:1993-05-29 00:00:00

  • Comparing health inequality in men and women: prospective study of mortality 1986-96.

    abstract:OBJECTIVES:To study prospectively the differences in health inequality in men and women from 1986-96 using the Office for National Statistics' longitudinal study and new socioeconomic classification. To assess the relative importance of social class (based on employment characteristics) and social position according to...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.320.7245.1303

    authors: Sacker A,Firth D,Fitzpatrick R,Lynch K,Bartley M

    更新日期:2000-05-13 00:00:00

  • An adult with a neck lump.

    abstract::A 40 year old man presents with a 1 cm tender soft swelling in the lateral neck region. This developed seven days after the onset of a tonsillitis episode that has now resolved. He has a 20 pack-year smoking history and consumes minimal alcohol. Examination is otherwise normal. ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.f5473

    authors: Dwivedi RC,Masterson L,Alam M,Jani P

    更新日期:2013-10-28 00:00:00

  • Resuscitation of patients with cardiac arrest by ambulance staff with extended training in West Yorkshire.

    abstract:OBJECTIVE:To investigate the results of resuscitation of patients with cardiac arrest by ambulance staff with extended training in West Yorkshire. DESIGN:Study of all such attempts at resuscitation over 32 months, based on the standard report form for each call made by the ambulance staff and the electrocardiogram tha...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.301.6752.600

    authors: Wright D,Bannister J,Ryder M,Mackintosh AF

    更新日期:1990-09-22 00:00:00

  • Improving generalist end of life care: national consultation with practitioners, commissioners, academics, and service user groups.

    abstract:OBJECTIVE:To identify major concerns of national and local importance in the provision, commissioning, research, and use of generalist end of life care. DESIGN:A national consultation and prioritising exercise using a modified form of the nominal group technique. PARTICIPANTS:Healthcare practitioners, commissioners, ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmj.a1720

    authors: Shipman C,Gysels M,White P,Worth A,Murray SA,Barclay S,Forrest S,Shepherd J,Dale J,Dewar S,Peters M,White S,Richardson A,Lorenz K,Koffman J,Higginson IJ

    更新日期:2008-10-01 00:00:00

  • Altered calcitonin gene in a young patient with osteoporosis.

    abstract::To assess whether calcitonin is important in maintaining the integrity of bone the calcitonin gene of a young male patient with osteoporosis and no detectable plasma concentrations of calcitonin was studied. Genomic Southern blots with various restriction enzymes showed no large abnormalities in his calcitonin gene. G...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,收录出版

    doi:10.1136/bmj.298.6682.1215

    authors: Alevizaki M,Stevenson JC,Girgis SI,MacIntyre I,Legon S

    更新日期:1989-05-06 00:00:00

  • NHS "indicators of success": what do they tell us? Radical Statistics Health Group.

    abstract::In the absence of any systematic evaluation of the changes it has made to the NHS, the government cites three "indicators of success." These are record numbers of patients treated, shorter waiting times for hospital treatment, and more children being immunised against the main childhood diseases. Closer inspection of ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1995-04-22 00:00:00

  • Passive smoking and cardiorespiratory health in a general population in the west of Scotland.

    abstract:UNLABELLED:OBJECTIVE-To assess the risk of cardiorespiratory symptoms and mortality in non-smokers who were passively exposed to environmental smoke. DESIGN:Prospective study of cohort from general population first screened between 1972 and 1976 and followed up for an average of 11.5 years, with linkage of data from p...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.299.6696.423

    authors: Hole DJ,Gillis CR,Chopra C,Hawthorne VM

    更新日期:1989-08-12 00:00:00

  • Community care in London: the prospects.

    abstract::Elderly and disabled people have been led to expect great improvements in the quality of community care after April 1993. The choice to live safely at home is to be offered as an alternative to residential care. The financial and organisational relationships are all intended to support this in practice. The Tomlinson ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.305.6866.1418

    authors: Jowell T

    更新日期:1992-12-05 00:00:00

  • Randomised crossover trial of transdermal fentanyl and sustained release oral morphine for treating chronic non-cancer pain.

    abstract:OBJECTIVES:To compare patients' preference for transdermal fentanyl or sustained release oral morphine, their level of pain control, and their quality of life after treatment. DESIGN:Randomised, multicentre, international, open label, crossover trial. SETTING:35 centres in Belgium, Canada, Denmark, Finland, the Unite...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/bmj.322.7295.1154

    authors: Allan L,Hays H,Jensen NH,de Waroux BL,Bolt M,Donald R,Kalso E

    更新日期:2001-05-12 00:00:00

  • Familial risks of squamous cell carcinoma of the head and neck: retrospective case-control study.

    abstract:OBJECTIVE:To determine the contribution of inheritance to the incidence of squamous cell carcinoma of the head and neck. DESIGN:Historical cohort study. First degree relatives of cases with squamous cell carcinoma of the head and neck made up the exposed cohort and first degree relatives of spouses of cases made up th...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.313.7059.716

    authors: Foulkes WD,Brunet JS,Sieh W,Black MJ,Shenouda G,Narod SA

    更新日期:1996-09-21 00:00:00

  • Scenario analysis of the future of medicines.

    abstract::Planning future policy for medicines poses difficult problems. The main players in the drug business have their own views as to how the world around them functions and how the future of medicines should be shaped. In this paper we show how a scenario analysis can provide a powerful teaching device to readjust peoples'...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.309.6962.1137

    authors: Leufkens H,Haaijer-Ruskamp F,Bakker A,Dukes G

    更新日期:1994-10-29 00:00:00

  • Surgery with disc prosthesis versus rehabilitation in patients with low back pain and degenerative disc: two year follow-up of randomised study.

    abstract:OBJECTIVE:To compare the efficacy of surgery with disc prosthesis versus non-surgical treatment for patients with chronic low back pain. DESIGN:A prospective randomised multicentre study. SETTING:Five university hospitals in Norway. PARTICIPANTS:173 patients with a history of low back pain for at least one year, Osw...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/bmj.d2786

    authors: Hellum C,Johnsen LG,Storheim K,Nygaard OP,Brox JI,Rossvoll I,Rø M,Sandvik L,Grundnes O,Norwegian Spine Study Group.

    更新日期:2011-05-19 00:00:00

  • Triple therapy in the management of chronic obstructive pulmonary disease: systematic review and meta-analysis.

    abstract:OBJECTIVE:To compare the rate of moderate to severe exacerbations between triple therapy and dual therapy or monotherapy in patients with chronic obstructive pulmonary disease (COPD). DESIGN:Systematic review and meta-analysis of randomised controlled trials. DATA SOURCES:PubMed, Embase, Cochrane databases, and clini...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,meta分析

    doi:10.1136/bmj.k4388

    authors: Zheng Y,Zhu J,Liu Y,Lai W,Lin C,Qiu K,Wu J,Yao W

    更新日期:2018-11-06 00:00:00

  • Multicentre criterion based audit of the management of induced abortion in Scotland.

    abstract:OBJECTIVES:To assess and improve the quality of care provided to women undergoing induced abortion. DESIGN:Two rounds of prospective, criterion based case note review audit. SETTING:Ten NHS gynaecology units throughout Scotland. SUBJECTS:2004 patient episodes of abortion care identified consecutively during two roun...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmj.309.6946.15

    authors: Penney GC,Glasier A,Templeton A

    更新日期:1994-07-02 00:00:00

  • Economic evaluation of hospital at home versus hospital care: cost minimisation analysis of data from randomised controlled trial.

    abstract:OBJECTIVES:To compare the costs of admission to a hospital at home scheme with those of acute hospital admission. DESIGN:Cost minimisation analysis within a pragmatic randomised controlled trial. SETTING:Hospital at home scheme in Leicester and the city's three acute hospitals. PARTICIPANTS:199 consecutive patients ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/bmj.319.7224.1547

    authors: Jones J,Wilson A,Parker H,Wynn A,Jagger C,Spiers N,Parker G

    更新日期:1999-12-11 00:00:00

  • Cardiovascular safety of central nervous system stimulants in children and adolescents: population based cohort study.

    abstract:OBJECTIVES:To evaluate the cardiac safety of central nervous system stimulants in children and adolescents. DESIGN:Population based retrospective cohort study. SETTING:Automated healthcare claims data from 1,219,847 children and young people eligible for 28 state Medicaid programmes from 1999 to 2006 linked to the So...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.e4627

    authors: Winterstein AG,Gerhard T,Kubilis P,Saidi A,Linden S,Crystal S,Zito J,Shuster JJ,Olfson M

    更新日期:2012-07-18 00:00:00

  • India bans female feticide.

    abstract::About 70% of all abortions performed in Delhi, India, are terminations due to the fetus being female. Private clinics make a profit out of offering sex determination tests. The new bill (the Prenatal Diagnostic Techniques Bill) introduced in Lok Sabha by Deputy Health Minister Pawan Singh Ghatowatr would stop "sex d...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 新闻

    doi:10.1136/bmj.309.6952.428

    authors: Imam Z

    更新日期:1994-08-13 00:00:00

  • Self help smoking cessation in pregnancy: cluster randomised controlled trial.

    abstract:OBJECTIVES:To evaluate the effectiveness of a self help approach to smoking cessation in pregnancy. DESIGN:Pragmatic cluster randomised controlled trial with community midwife as the unit of randomisation. SETTING:Three NHS hospital trusts in England. PARTICIPANTS:1527 women who smoked at the start of pregnancy. IN...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1136/bmj.325.7377.1383

    authors: Moore L,Campbell R,Whelan A,Mills N,Lupton P,Misselbrook E,Frohlich J

    更新日期:2002-12-14 00:00:00

  • Identifying women with suspected ovarian cancer in primary care: derivation and validation of algorithm.

    abstract:OBJECTIVE:To derive and validate an algorithm to estimate the absolute risk of having ovarian cancer in women with and without symptoms. DESIGN:Cohort study with data from 375 UK QResearch general practices for development and 189 for validation. PARTICIPANTS:Women aged 30-84 without a diagnosis of ovarian cancer at ...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.d8009

    authors: Hippisley-Cox J,Coupland C

    更新日期:2011-01-04 00:00:00

  • Guide to the Internet. Logging in, fetching files, reading news.

    abstract::Aside from email and the world wide web, there are several other systems for distributing information on the Internet. Telnet is a system that allows you to log on to a remote computer from anywhere on the Internet and affords access to many useful biomedical sites on the Internet. File transfer protocol (FTP) is a me...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.311.7020.1626

    authors: Pallen M

    更新日期:1995-12-16 00:00:00

  • Increasing incidence of aortic aneurysms in England and Wales.

    abstract::The numbers of patients being admitted to hospital with aortic aneurysms have increased recently. A study was carried out to try to find out whether this was a true increase in incidence or whether it could be attributable to more accurate diagnosis and better surgical techniques. From analyses of routine statistics i...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.298.6665.33

    authors: Fowkes FG,Macintyre CC,Ruckley CV

    更新日期:1989-01-07 00:00:00

  • Research priorities in environmental health.

    abstract::Environmental issues tend to greater political attention than do environmental health aspects. Therefore, when conflicts of interest occur with other environmental concerns, negative consequences for public health may result. For example, a strategy to substantially reduce indoor ventilation in many dwellings in Sca...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 社论

    doi:10.1136/bmj.318.7199.1636

    authors: Pershagen G

    更新日期:1999-06-19 00:00:00

  • Silent night: retrospective database study assessing possibility of "weekend effect" in palliative care.

    abstract:OBJECTIVE:To compare the mortality of patients in a palliative care unit on working days with that on weekends and public holidays. DESIGN:Retrospective database study. SETTING:Palliative care unit in Germany. POPULATION:All admissions to palliative care unit between 1 January 1997 and 31 December 2008. MAIN OUTCOM...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.g7370

    authors: Voltz R,Kamps R,Greinwald R,Hellmich M,Hamacher S,Becker G,Kuhr K,Gaertner J

    更新日期:2014-12-16 00:00:00

  • Late mortality after sepsis: propensity matched cohort study.

    abstract:OBJECTIVES: To determine whether late mortality after sepsis is driven predominantly by pre-existing comorbid disease or is the result of sepsis itself. DEIGN: Observational cohort study. SETTING: US Health and Retirement Study. PARTICIPANTS: 960 patients aged ≥65 (1998-2010) with fee-for-service Medicare coverage w...

    journal_title:BMJ (Clinical research ed.)

    pub_type: 杂志文章

    doi:10.1136/bmj.i2375

    authors: Prescott HC,Osterholzer JJ,Langa KM,Angus DC,Iwashyna TJ

    更新日期:2016-05-17 00:00:00