A1 Refereed original research article in a scientific journal

Sex-Dependent Improvement in Survival of Parkinson's Disease Patients




AuthorsKuusimäki T, Kurki S, Sipilä JOT, Salminen-Mankonen H, Carpén O, Kaasinen V

PublisherWILEY

Publication year2020

JournalMovement Disorders Clinical Practice

Journal name in sourceMOVEMENT DISORDERS CLINICAL PRACTICE

Journal acronymMOV DISORD CLIN PRAC

Volume7

Issue5

Number of pages5

ISSN2330-1619

eISSN2330-1619

DOIhttps://doi.org/10.1002/mdc3.12954

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/47224912


Abstract
Background Advances in the treatment of Parkinson's disease (PD) and changes in general life expectancy may have improved survival in patients with PD.Objective The objective of this study was to investigate recent trends in PD mortality.Methods In total, 1521 patients with PD in local and national registries were followed for 11 years (2006-2016) from diagnosis until exit date or death, and the causes of death were recorded.Results The survival of men with PD improved during the follow-up period, but no change was observed in women (2-year postdiagnosis survival in men, 79.0%-86.3%, P = 0.03; 2-year postdiagnosis survival in women, 82.8%-87.5%, P = 0.42). Pneumonia was the most common immediate cause of death.Discussion The survival of men with PD has improved in Finland without a similar change in women. Because changes in treatment likely affect both sexes similarly, the results may reflect the decreasing sex gap in life expectancy. This phenomenon will likely increase the already high male-to-female prevalence ratio of PD.

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