Higher risk of Parkinson disease in patients with primary Sjögren’s syndrome

Hui Ching Hsu, Tsung Yun Hou, Tzu Min Lin, Yu Sheng Chang, Wei Sheng Chen, Pei I. Kuo, Yi Chun Lin, Chi Ching Chang, Jin Hua Chen

研究成果: 雜誌貢獻文章

摘要

Objective: This study assessed the risk of Parkinson disease (PD) in patients with primary Sjögren’s syndrome (pSS) using a nationwide, population-based cohort during a 15-year follow-up period. Method: We identified 17,028 patients with pSS by using the catastrophic illness registry in the Taiwan National Health Insurance Research Database, and 68,094 matched non-pSS controls. Results: The pSS cohort showed a higher incidence of PD development than did the non-pSS cohort (1.60% vs. 1.17%, p = 0.0001). The adjusted hazard ratio (aHR) of developing PD was 1.23 times greater in the pSS group than in the non-pSS group. When stratified by sex, age, and comorbidities, the female patients with pSS and patients aged between 61 and 70 years were associated with a higher PD risk (aHR 1.28 and aHR 1.30, respectively). Patients with pSS with no other comorbidity had a higher risk of PD (aHR: 2.17), compared with the non-pSS patients with no other comorbidity. When comparing non-pSS patients without or with comorbidity with pSS without or with comorbidity, pSS patients with comorbidity had highest risk of PD (aHR: 3.814). Conclusions: All of the above findings suggested that pSS is an independent risk factor for the development of PD.Key Points•The patients with pSS had 1.23 times risk of Parkinson disease than the non-pSS group.•The female patients with pSS and patients aged between 61 and 70 years were associated with a higher PD risk (aHR 1.28 and aHR 1.30, respectively).•The pSS patients with comorbidity had highest risk of PD (aHR: 3.814).

原文英語
期刊Clinical Rheumatology
DOIs
出版狀態接受/付印 - 一月 1 2020

ASJC Scopus subject areas

  • Rheumatology

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