Evidence map›Paper›PMID 32144610›Full record

ArticleInternational journal of clinical pharmacy2020

Incidence of muscle relaxant use in relation to diagnosis of Parkinson's disease.

Anne Paakinaho, Niina Karttunen, Marjaana Koponen, Heidi Taipale, Anna-Maija Tolppanen, Sirpa Hartikainen, Miia Tiihonen

Abstract read
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Article in International journal of clinical pharmacy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Incidence of hip fractures in persons with and without Parkinson's disease in Finland: a 15-year longitudinal study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  2. Incidence of Opioid Use Before and After Parkinson's Disease Diagnosis.European journal of pain (London, England) · 2025
    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

7 authors.

Anne PaakinahoKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Niina KarttunenKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Marjaana KoponenKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Heidi TaipaleKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Anna-Maija TolppanenKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Sirpa HartikainenKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland.
Miia TiihonenKuopio Research Centre of Geriatric Care, University of Eastern Finland, P.O. Box 1627, 70211, Kuopio, Finland. miia.tiihonen@uef.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Parkinson's disease is the second most common neurodegenerative disorder. Motor and non-motor symptoms seem to precede the diagnosis of Parkinson's disease. Objective To evaluate the incidence of muscle relaxant use in community-dwelling persons with and without Parkinson's disease from 4 years before to 4 years after the diagnosis of Parkinson's disease. Method Nationwide register-based cohort included all community-dwelling Finnish persons who received reimbursement of Parkinson's disease drugs between 2000 and 2015 (N = 17,450) and comparison persons without Parkinson's disease who were matched for age, gender and region of residence (N = 122,694). Data on muscle relaxant use during 1995-2016 were collected from the Prescription Register. Results The incidence of muscle relaxant use was higher among persons with Parkinson's disease in comparison to persons without Parkinson's disease from 3 years before the diagnosis until 6 months after the diagnosis. The largest difference in incidence rates was observed at the time of the diagnosis (incidence rate ratio = 2.04, 95% confidence interval = 1.81-2.30). Tizanidine was the most frequently initiated muscle relaxant. Conclusions The incidence of muscle relaxant use starts increasing years before the diagnosis of Parkinson's disease but declines after that. It is important to identify the causes of muscle symptoms to avoid unnecessary muscle relaxant use and consequent adverse effects and events.

Indexed as

AdultAgedAged, 80 and overAge FactorsBacterial ProteinsFemaleFinlandHumansInsurance Claim ReviewMaleMiddle AgedNeuromuscular AgentsParkinson DiseaseResidence CharacteristicsSex FactorsBacterial ProteinsComS protein, Bacillus subtilisNeuromuscular AgentsFinlandFINPARK cohortIncidenceMuscle relaxantsParkinson’s disease

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Read underepoch 390

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.