Evidence map›Paper›PMID 31221869›Full record

ArticleBMJ open2019

Association of Parkinson's disease and treatment with aminosalicylates in inflammatory bowel disease: a cross-sectional study in a Spain drug dispensation records.

Javier Pinel Ríos, Carlos Javier Madrid Navarro, María José Pérez Navarro, María José Cabello Tapia, María José Piña Vera, Víctor Campos Arillo, María Rosario Gómez García, Adolfo Mínguez Castellanos, Francisco Escamilla Sevilla

Abstract 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 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

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

  1. Pooled it
  2. Parkinson Disease and the Gut: A Primer for Gastroenterologists.The American journal of gastroenterology · 2025
    Review
  3. Article
  4. Update: Protective and risk factors for Parkinson disease.Parkinsonism & related disorders · 2024
    Review
  5. Review
  6. Article
  7. Article
  8. PARK7/DJ-1 as a Therapeutic Target in Gut-Brain Axis Diseases.International journal of molecular sciences · 2022
    Review
  9. Article
  10. Review
  11. Review
  12. Inflammatory Bowel Diseases and Parkinson's Disease.Journal of Parkinson's disease · 2019
    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

9 authors.

Javier Pinel RíosNeuroscience Unit, Hospital Vithas Xanit Internacional, Benalmadena, Spain.ORCID 0000-0002-9614-2278
Carlos Javier Madrid NavarroDepartment of Neurology, Hospital Universitario Virgen de las Nieves, Granada, Spain.
María José Pérez NavarroDepartment of Neurology, Hospital Universitario Virgen de las Nieves, Granada, Spain.
María José Cabello TapiaDepartment of Digestive Diseases, Hospital Universitario Virgen de las Nieves, Granada, Spain.
María José Piña VeraAndalusian Health Service Pharmacy and Benefit Support Department, Andalusian Health Service, Government of Andalusia, Sevilla, Spain.
Víctor Campos ArilloNeuroscience Unit, Hospital Vithas Xanit Internacional, Benalmadena, Spain.
María Rosario Gómez GarcíaDepartment of Digestive Diseases, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Adolfo Mínguez CastellanosDepartment of Neurology, Hospital Universitario Virgen de las Nieves, Granada, Spain.
Francisco Escamilla SevillaDepartment of Neurology, Hospital Universitario Virgen de las Nieves, Granada, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the association between aminosalicylate-treated inflammatory bowel disease (IBD) and Parkinson's disease (PD) at population level.

designCross-sectional study.

settingThe study was performed based on electronic drug prescription and dispensation records of the Andalusian Public Health System.

participantsAll individuals aged ≥50 years with at least one drug dispensation during December 2014 were identified from the records. PRIMARY AND SECONDARY OUTCOME MEASURES: Groups were formed: 'possible PD' group, including all who received an anti-Parkinson agent; 'possible IBD' group, those treated with mesalazine and/or derivatives (5-aminosalicylic acid (5-ASA)); and 'possible PD and IBD', including those receiving both anti-Parkinson agent and 5-ASA. Prevalence of possible PD was determined among those with possible IBD and among those without this condition. The age-adjusted and sex-adjusted OR was calculated.

resultsWe recorded 2 020 868 individuals (68±11 years, 56% female), 19 966 were included in possible PD group (75±9 years, 53% female) and 7485 in possible IBD group (64±10 years, 47% female); only 56 were included in both groups (76±8 years, 32% female). The prevalence of possible PD was 0.7% among those with possible IBD and 1% among those without this condition (adjusted OR=0.94; 95% CI 0.72 to 1.23; p=0.657). OR was 0.28 in individuals aged ≤65 years (95% CI 0.10 to 0.74; p=0.01) and 1.17 in older individuals (95% CI 0.89 to 1.54; p=0.257).

conclusionsWithin the limitations of this study, the results suggest a protective role for IBD and/or 5-ASA against PD development, especially among under 65-year olds. Further studies are warranted to explore this association given its scientific and therapeutic implications.

Indexed as

AgedAged, 80 and overAge DistributionAnti-Inflammatory Agents, Non-SteroidalCross-Sectional StudiesFemaleHumansInflammatory Bowel DiseasesLogistic ModelsMaleMesalamineMiddle AgedParkinson DiseasePrevalenceProtective FactorsRisk FactorsAnti-Inflammatory Agents, Non-SteroidalMesalamine5-ASAalpha-synucleininflammatory bowel diseasemicrobiotaParkinson’s diseaseprevalence

Identifiers

PMID31221869
PMCPMC6588996

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.