Evidence map›Paper›PMID 19448091›Full record

ArticleJournal of neurology, neurosurgery, and psychiatry2009

Use of antidepressants and the risk of Parkinson's disease: a prospective study.

A Alonso, L A García Rodríguez, G Logroscino, M A Hernán

Abstract read
In one paragraph

Article in Journal of neurology, neurosurgery, and psychiatry, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  16. Use of antipsychotics and long-term risk of parkinsonism.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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  17. Article
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  20. Management of psychiatric disorders in Parkinson's disease : Neurotherapeutics - Movement Disorders Therapeutics.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

A AlonsoDivision of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 S Second St, Suite 300, Minneapolis, MN 55416, USA. aalogut@alumni.unav.es
L A García Rodríguez
G Logroscino
M A Hernán

Funding

Estimating Effects of Interventions in Longitudinal DataR01HL080644 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HERNAN, MIGUEL · 2005 to 2013
$4.0M
NHLBI NIH HHS R01 HL080644NHLBI NIH HHS R01/HL080644
6 · The paper itself

Abstract

backgroundIndividuals with depression have a higher risk of Parkinson's disease (PD) but the timing of the association is unknown. Therefore, the relationship between initiation of antidepressant therapy and PD risk was assessed in a large population based database from the UK and the timing of this association was explored.

methodsA case control study nested in the General Practice Research Database cohort, a large computerised database with clinical information from more than 3 million individuals in the UK, was conducted. Cases of PD were identified from the computer records from 1995 to 2001 and matched with up to 10 controls by age, sex and practice. Use of antidepressants was obtained from the computer records.

results999 PD cases and 6261 controls were included. The rate ratio (RR) and 95% CI of PD in initiators of antidepressant therapy compared with non-initiators was 1.85 (1.25 to 2.75). The association was stronger during the first 2 years after initiation of medication use (RR 2.19; 95% CI 1.38 to 3.46) than later (RR 1.23; 95% CI 0.57 to 2.67). Results were similar for selective serotonin reuptake inhibitors and tricyclic antidepressants separately.

conclusionInitiation of any antidepressant therapy was associated with a higher risk of PD in the 2 years after the start of treatment, which suggests that depressive symptoms could be an early manifestation of PD, preceding motor dysfunction.

Indexed as

Antidepressive AgentsAntidepressive Agents, TricyclicComorbidityDepressive DisorderDose-Response Relationship, DrugEarly DiagnosisFollow-Up StudiesHumansOdds RatioParkinson DiseaseProspective StudiesRisk AssessmentSelective Serotonin Reuptake InhibitorsUnited KingdomAntidepressive AgentsAntidepressive Agents, TricyclicSelective Serotonin Reuptake Inhibitors

Identifiers

PMID19448091
PMCPMC2701616

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.