Association between positive history of essential tremor and disease progression in patients with Parkinson's disease

Abstract This study aimed to explore the effect of pre-existing essential tremor (ET) history on the disease progression of Parkinson’s disease (PD). We recruited and followed-up a group of PD patients from March 2009 to July 2020. The ET history of each patient was obtained by retrospective intervi...

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Autores principales: Ruwei Ou, Qianqian Wei, Yanbing Hou, Lingyu Zhang, Kuncheng Liu, Junyu Lin, Zheng Jiang, Wei Song, Bei Cao, Huifang Shang
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Publicado: Nature Portfolio 2020
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spelling oai:doaj.org-article:231e64c597864c37976f37275ff0755d2021-12-02T11:43:51ZAssociation between positive history of essential tremor and disease progression in patients with Parkinson's disease10.1038/s41598-020-78794-12045-2322https://doaj.org/article/231e64c597864c37976f37275ff0755d2020-12-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-78794-1https://doaj.org/toc/2045-2322Abstract This study aimed to explore the effect of pre-existing essential tremor (ET) history on the disease progression of Parkinson’s disease (PD). We recruited and followed-up a group of PD patients from March 2009 to July 2020. The ET history of each patient was obtained by retrospective interviews or past medical records. Cox proportional hazards models with inverse probability of treatment weighting (IPTW) were used to estimate the hazard ratio (HR) with 95% confidence intervals (CIs). Of 785 patients who completed the followed-up visits, 61 patients (7.8%) reported a history of pre-existing ET. Cox regression models after IPTW indicated that the positive ET history in patients with PD was protective against time to United PD Rating Scale III 14-point increase (HR = 0.301, 95% CI = 0.134–0.678, P = 0.004), time to akinesia and rigidity 8-point increase (HR = 0.417, 95% CI = 0.218–0.796, P = 0.008), time to conversion to Hoehn and Yahr stage 3 (HR = 0.356, 95% CI = 0.131–0.969, P = 0.043), time to develop dyskinesia (HR = 0.160, 95% CI = 0.037–0.698, P = 0.015), and time to Montreal Cognitive Assessment 3-point decrease (HR = 0.389, 95% CI = 0.160–0.946, P = 0.037), but had no relationship with time to tremor 4-point increase (HR = 1.638, 95% CI = 0.822–3.266, P = 0.161) and time to death (HR = 0.713, 95% CI = 0.219–2.319, P = 0.574). Our study indicated that ET history in patients with PD is associated with a benign prognosis with slower motor and non-motor progression.Ruwei OuQianqian WeiYanbing HouLingyu ZhangKuncheng LiuJunyu LinZheng JiangWei SongBei CaoHuifang ShangNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Ruwei Ou
Qianqian Wei
Yanbing Hou
Lingyu Zhang
Kuncheng Liu
Junyu Lin
Zheng Jiang
Wei Song
Bei Cao
Huifang Shang
Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
description Abstract This study aimed to explore the effect of pre-existing essential tremor (ET) history on the disease progression of Parkinson’s disease (PD). We recruited and followed-up a group of PD patients from March 2009 to July 2020. The ET history of each patient was obtained by retrospective interviews or past medical records. Cox proportional hazards models with inverse probability of treatment weighting (IPTW) were used to estimate the hazard ratio (HR) with 95% confidence intervals (CIs). Of 785 patients who completed the followed-up visits, 61 patients (7.8%) reported a history of pre-existing ET. Cox regression models after IPTW indicated that the positive ET history in patients with PD was protective against time to United PD Rating Scale III 14-point increase (HR = 0.301, 95% CI = 0.134–0.678, P = 0.004), time to akinesia and rigidity 8-point increase (HR = 0.417, 95% CI = 0.218–0.796, P = 0.008), time to conversion to Hoehn and Yahr stage 3 (HR = 0.356, 95% CI = 0.131–0.969, P = 0.043), time to develop dyskinesia (HR = 0.160, 95% CI = 0.037–0.698, P = 0.015), and time to Montreal Cognitive Assessment 3-point decrease (HR = 0.389, 95% CI = 0.160–0.946, P = 0.037), but had no relationship with time to tremor 4-point increase (HR = 1.638, 95% CI = 0.822–3.266, P = 0.161) and time to death (HR = 0.713, 95% CI = 0.219–2.319, P = 0.574). Our study indicated that ET history in patients with PD is associated with a benign prognosis with slower motor and non-motor progression.
format article
author Ruwei Ou
Qianqian Wei
Yanbing Hou
Lingyu Zhang
Kuncheng Liu
Junyu Lin
Zheng Jiang
Wei Song
Bei Cao
Huifang Shang
author_facet Ruwei Ou
Qianqian Wei
Yanbing Hou
Lingyu Zhang
Kuncheng Liu
Junyu Lin
Zheng Jiang
Wei Song
Bei Cao
Huifang Shang
author_sort Ruwei Ou
title Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
title_short Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
title_full Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
title_fullStr Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
title_full_unstemmed Association between positive history of essential tremor and disease progression in patients with Parkinson's disease
title_sort association between positive history of essential tremor and disease progression in patients with parkinson's disease
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/231e64c597864c37976f37275ff0755d
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