Evidence map›Paper›PMID 30833322›Full record

ArticleBMJ open2019

Risk of dementia after Parkinson's disease in Taiwan: a population-based retrospective cohort study using National Health Insurance claims.

Chih-Ching Liu, Yu Sun, Pei-Chen Lee, Chung-Yi Li, Susan C Hu

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% of its field
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Prognosis in Parkinson's Disease: An Individual Patient Data Meta-Analysis of Six European Incidence Cohorts.Movement disorders : official journal of the Movement Disorder Society · 2026
    Pooled it
  2. Article
  3. Article
  4. Associations between tooth loss, denture use, and dementia in older Taiwanese adults.Journal of the Chinese Medical Association : JCMA · 2025
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
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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

5 authors at 4 institutions in 1 country.

Chih-Ching LiuDepartment of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Yu SunDepartment of Neurology, En Chu Kong Hospital, New Taipei City, Taiwan.
Pei-Chen LeeDepartment of Health Care Management, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
Chung-Yi Li *Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Susan C Hu *Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.ORCID 0000-0003-2437-5918
National Cheng Kung University · TWChina Medical University · TWEn Chu Kong Hospital · TWNational Taipei University of Nursing and Health Science · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesA nationwide cohort study on the risk of dementia onset after first diagnosis of Parkinson's disease (PD) is lacking. This study aims to assess 11 years of incidence and the HRs for developing dementia in patients with PD compared with matched controls.

designA population-based cohort study.

settingNational Health Insurance database in Taiwan.

participantsA total of 5932 patients with PD were identified, and 29 645 age-matched, sex-matched and index year-matched PD-free individuals were randomly selected. OUTCOME MEASURES: All subjects were linked to the claim data to identify the first diagnosis of dementia. The Poisson assumption was used to estimate the incidence rate. Cause-specific hazards models with a partitioning of time at 1 year to account for proportionality were used to estimate the risk of dementia onset.

resultsThe median duration from the first diagnosis of PD to the development of dementia was 9.02 years. In the first partition (≦ 1 year), the incidence of dementia in the PD and control groups was 114.49 and 9.76 per 1000 person-years, respectively, with an adjusted HR of 6.43 (95% CI 5.46 to 7.57). In the second partition (>1 year), the incidence of dementia in the PD and control groups was 30.99 and 10.83 per 1000 person-years, with an adjusted HR of 2.42 (95% CI 2.23 to 2.61). Notably, in the second partition, both men and women aged <70 years had the highest HR (3.82, 95% CI 2.79 to 5.22 and 4.27, 95% CI 3.25 to 5.63, respectively).

conclusionsThis study noted an increased risk of dementia after a diagnosis of PD. The magnitude of effect estimation was higher in men in the first partition but was similar in both genders in the second partition. PD patients aged <70 years have the highest risk of dementia in any given partition time.

Indexed as

Severity of Illness IndexAgedAge FactorsCase-Control StudiesCohort StudiesComorbidityDementiaFemaleHumansIncidenceMaleMiddle AgedNational Health ProgramsParkinson DiseaseRetrospective StudiesSex Factorscompeting riskdementiaepidemiologyparkinson’s diseaseretrospective cohort study

Identifiers

PMID30833322
PMCPMC6443071
OpenAlexW2920506033

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.