共 34 条
Risk of dementia in an elderly population of Parkinson's disease patients: A 15-year population-based study
被引:39
作者:

Perez, Florian
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机构:
Univ Bordeaux, Bordeaux, France
CHU Bordeaux, Bordeaux, France Univ Bordeaux, Bordeaux, France

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Foubert-Samier, Alexandra
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h-index: 0
机构:
Univ Bordeaux, Bordeaux, France
CHU Bordeaux, Bordeaux, France
INSERM, U897, Bordeaux, France Univ Bordeaux, Bordeaux, France

Auriacombe, Sophie
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机构:
CHU Bordeaux, Bordeaux, France Univ Bordeaux, Bordeaux, France

Dartigues, Jean-Francois
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h-index: 0
机构:
Univ Bordeaux, Bordeaux, France
CHU Bordeaux, Bordeaux, France
INSERM, U897, Bordeaux, France Univ Bordeaux, Bordeaux, France

Tison, Francois
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h-index: 0
机构:
Univ Bordeaux, Bordeaux, France
CHU Bordeaux, Bordeaux, France
CNRS, UMR 5293, Inst Neurodegenerat Dis, Bordeaux, France Univ Bordeaux, Bordeaux, France
机构:
[1] Univ Bordeaux, Bordeaux, France
[2] CHU Bordeaux, Bordeaux, France
[3] INSERM, U897, Bordeaux, France
[4] CNRS, UMR 5293, Inst Neurodegenerat Dis, Bordeaux, France
关键词:
Parkinson's disease;
Dementia;
Incidence;
Cohort;
Elderly;
Diagnostic criteria;
INCIDENT DEMENTIA;
MULTICENTER;
MORTALITY;
PEOPLE;
COHORT;
SCALE;
TASK;
D O I:
10.1016/j.jalz.2011.09.230
中图分类号:
R74 [神经病学与精神病学];
学科分类号:
摘要:
Background: The incidence of dementia in Parkinson's disease (PD) is not fully known, and previous studies have provided a wide range of rates owing to variations in diagnostic criteria and methodologies used. We estimated the risk of dementia in newly diagnosed cases of PD in a population-based cohort of subjects aged >65 years. Methods: We performed repetitive systematic screening of PD diagnosis, cognitive performances, and clinical dementia during 15 years (at year 0, 3, 5, 8, 10, and 15) in 3726 elderly subjects living at home in southwestern France (PAQUID). Two sets of diagnostic criteria for dementia in PD were considered: Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised criteria and Movement Disorders Society criteria. Results: Forty-four incident cases of PD occurred in the cohort; of these, 18 (41%) developed dementia during a mean follow-up of 6.8 +/- 3.6 years. Incidence rate of dementia associated with PD was 74 per 1000 patient-years. The cumulative risk of dementia was approximately 25% and 50% after 5 and 10 years of follow-up, respectively. The relative risk for developing dementia in incident PD subjects compared with non-PD subjects was 2.47 (1.55-3.95). Equivalent estimations were obtained with Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised criteria or Movement Disorders Society criteria. Conclusion: PD represents a high-risk stage for dementia in the general population. (C) 2012 The Alzheimer's Association. All rights reserved.
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页码:463 / 469
页数:7
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Dubois, Bruno
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Univ Paris 06, Salpetriere Hosp, AP HP, INSERM UPMC UMRS 610, Paris, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France

Tison, Francois
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Univ Bordeaux, Dept Neurol, Bordeaux Univ Med Ctr, Bordeaux, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France

Durif, Franck
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Univ Clermont Ferrand, Med Ctr, Gabriel Montpied Hosp, Dept Neurol, Clermont Ferrand, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France

Bourdeix, Isabelle
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Novartis Pharma SAS, Rueil Malmaison, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France

Pere, Jean-Jacques
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Novartis Pharma SAS, Rueil Malmaison, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France

Duhamel, Alain
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Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,EA2694,Biostat Dept, Lille, France Univ Lille, Med Ctr, Univ Lille Nord France, UDSL,CNRS FRE3291,Neurol & Movement Disorders Uni, Lille, France