Evidence map›Paper›PMID 33389803›Full record

ArticleAnnals of clinical and translational neurology2021

Increased atrial fibrillation risk in Parkinson's disease: A nationwide population-based study.

Seokmoon Han, Inki Moon, Eue-Keun Choi, Kyung-Do Han, Hae-Chan Cho, Seo-Young Lee, Seokhun Yang, Soonil Kwon, You-Jung Choi, Hyun-Jung Lee and 3 more

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

13 authors at 3 institutions in 1 country.

Seokmoon HanDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Inki MoonDepartment of Internal Medicine, Soonchunhyang University Bucheon Hospital, Gyeonggi-do, Republic of Korea.
Eue-Keun ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.ORCID 0000-0002-0411-6372
Kyung-Do HanDepartment of Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
Hae-Chan ChoDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seo-Young LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seokhun YangDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Soonil KwonDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
You-Jung ChoiDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Hyun-Jung LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Euijae LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
So-Ryung LeeDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seil OhDepartment of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.
Seoul National University Hospital · KRSoonchunhyang University · KRSoongsil University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveParkinson's disease (PD) is the second most common neurodegenerative disorder associated with various morbidities. Although the relationship between cardiovascular disease and PD has been studied, a paucity of information on PD and atrial fibrillation (AF) association exists. Thus, we aimed to investigate whether patients with PD have an increased risk of AF.

methodsThis study included 57,585 patients with newly diagnosed PD (≥40-year-old, mean age 69.7 years, men 40.2%) and without a history of AF from the Korean National Health Insurance Service (NHIS) database between 2010 and 2015. Furthermore, an equal number of age- and sex-matched subjects without PD were selected for comparison. The primary outcome was new-onset AF.

resultsDuring the mean follow-up period of 3.4 ± 1.8 years, AF was newly diagnosed in 3,665 patients. A significantly higher incidence rate of AF was noted among patients with PD than among patients without PD (10.75 and 7.86 per 1000 person-year, respectively). Multivariate Cox-regression analysis revealed that PD was an independent risk factor for AF (hazard ratio [HR]: 1.27, 95% confidence interval [CI]: 1.18-1.36). Furthermore, subgroup analyses revealed that AF risk was higher in the younger age subgroups, and compared with the non-PD group, the youngest PD group (age: 40-49 years) had a threefold increased risk of AF (HR: 3.06, 95% CI: 1.20-7.77).

interpretationPatients with PD, especially the younger age subgroups, have an increased risk of AF. Active surveillance and management of AF should be considered to prevent further complications.

Indexed as

AdultAgedAtrial FibrillationFemaleHumansIncidenceMaleMiddle AgedParkinson Disease

Identifiers

PMID33389803
PMCPMC7818085
OpenAlexW3120872609

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.