NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.

<h4>Objective</h4>Whether use of nonsteroidal anti-inflammatory drugs (NSAIDs) reduce the risk of incident Parkinson's disease (PD) remains unresolved. Here, we employed the Norwegian Prescription Database to examine whether NSAID use is associated with a lower incidence of PD.<h...

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Autores principales: Brage Brakedal, Charalampos Tzoulis, Ole-Bjørn Tysnes, Kristoffer Haugarvoll
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Publicado: Public Library of Science (PLoS) 2021
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Acceso en línea:https://doaj.org/article/7c73052c32f6488dbfdc3dbdd94c312b
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spelling oai:doaj.org-article:7c73052c32f6488dbfdc3dbdd94c312b2021-12-02T20:08:27ZNSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.1932-620310.1371/journal.pone.0256602https://doaj.org/article/7c73052c32f6488dbfdc3dbdd94c312b2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0256602https://doaj.org/toc/1932-6203<h4>Objective</h4>Whether use of nonsteroidal anti-inflammatory drugs (NSAIDs) reduce the risk of incident Parkinson's disease (PD) remains unresolved. Here, we employed the Norwegian Prescription Database to examine whether NSAID use is associated with a lower incidence of PD.<h4>Methods</h4>We compared the incidence of PD among users of NSAIDs in a population-based retrospective study using the Norwegian Prescription Database from 2004 to 2017. In total 7580 PD patients were identified using dopaminergic therapy over time as proxy for PD diagnosis. Analyses were performed with minimum 90 and 365 defined daily dose (DDD) NSAID exposure, respectively. Time-dependent Cox regression model and a binary logistic regression analysis with a 5-year lag until PD diagnosis were performed for all NSAIDs.<h4>Results</h4>There was overall no decrease in incidence of PD among NSAID users compared to controls. Using a minimum of 90 or 365 DDD threshold of exposure produced similar results. Analysis of individual NSAIDs did not show difference in PD incidence compared to controls Age-specific incidence rates of PD were comparable to reported age-specific incidence rates in previous studies.<h4>Interpretation</h4>Our findings provide no evidence that cumulative high exposure to NSAIDs affects the risk of developing PD.Brage BrakedalCharalampos TzoulisOle-Bjørn TysnesKristoffer HaugarvollPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 9, p e0256602 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Brage Brakedal
Charalampos Tzoulis
Ole-Bjørn Tysnes
Kristoffer Haugarvoll
NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
description <h4>Objective</h4>Whether use of nonsteroidal anti-inflammatory drugs (NSAIDs) reduce the risk of incident Parkinson's disease (PD) remains unresolved. Here, we employed the Norwegian Prescription Database to examine whether NSAID use is associated with a lower incidence of PD.<h4>Methods</h4>We compared the incidence of PD among users of NSAIDs in a population-based retrospective study using the Norwegian Prescription Database from 2004 to 2017. In total 7580 PD patients were identified using dopaminergic therapy over time as proxy for PD diagnosis. Analyses were performed with minimum 90 and 365 defined daily dose (DDD) NSAID exposure, respectively. Time-dependent Cox regression model and a binary logistic regression analysis with a 5-year lag until PD diagnosis were performed for all NSAIDs.<h4>Results</h4>There was overall no decrease in incidence of PD among NSAID users compared to controls. Using a minimum of 90 or 365 DDD threshold of exposure produced similar results. Analysis of individual NSAIDs did not show difference in PD incidence compared to controls Age-specific incidence rates of PD were comparable to reported age-specific incidence rates in previous studies.<h4>Interpretation</h4>Our findings provide no evidence that cumulative high exposure to NSAIDs affects the risk of developing PD.
format article
author Brage Brakedal
Charalampos Tzoulis
Ole-Bjørn Tysnes
Kristoffer Haugarvoll
author_facet Brage Brakedal
Charalampos Tzoulis
Ole-Bjørn Tysnes
Kristoffer Haugarvoll
author_sort Brage Brakedal
title NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
title_short NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
title_full NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
title_fullStr NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
title_full_unstemmed NSAID use is not associated with Parkinson's disease incidence: A Norwegian Prescription Database study.
title_sort nsaid use is not associated with parkinson's disease incidence: a norwegian prescription database study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/7c73052c32f6488dbfdc3dbdd94c312b
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