Evidence map›Paper›PMID 36979260›Full record

ArticleBrain sciences2023

Association between Antiepileptic Drugs and Incident Parkinson's Disease among Patients Followed in German Primary Care Practices.

Karel Kostev, Corinna Doege, Louis Jacob, Lee Smith, Ai Koyanagi, Celina Gollop, Anette Schrag

Open access · goldFull text read
In one paragraph

Article in Brain sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
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 at 5 institutions in 4 countries.

Karel KostevUniversity Clinic, Philipps University, 35043 Marburg, Germany.ORCID 0000-0002-2124-7227
Corinna DoegeDepartment of Pediatric Neurology, Center for Pediatrics and Adolescent Medicine, Central Hospital, 28211 Bremen, Germany.
Louis JacobResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, 42, Sant Boi de Llobregat, 08830 Barcelona, Spain.ORCID 0000-0003-1071-1239
Lee SmithCentre for Health, Performance and Wellbeing, Anglia Ruskin University, Cambridge CB1 1PT, UK.ORCID 0000-0002-5340-9833
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, ISCIII, 42, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Celina GollopEpidemiology, IQVIA, 60549 Frankfurt, Germany.
Anette SchragNeurology, University College London, London WC1N 3BG, UK.
Anglia Ruskin University · GBInstitució Catalana de Recerca i Estudis Avançats · ESPhilipps University of Marburg · DEUniversité Paris Cité · FRUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to analyze whether prescriptions of antiepileptic drugs (AEDs) are significantly associated with an increased incidence of Parkinson's disease (PD) in the German population.

methodsThis study used data from German primary care practices found in the Disease Analyzer database (IQVIA) and included all patients aged ≥18 years who were diagnosed with PD between January 2010 and December 2021 (index date). The controls were patients without PD matched (1:1) by age, sex, and pre-diagnostic observation time in years. Associations between AED prescriptions (any AED as well as separate evaluations for carbamazepine, lamotrigine, levetiracetam, sodium valproate, gabapentin, and pregabalin) and subsequent diagnosis of PD were examined using a logistic regression model adjusted for epilepsy, restless legs syndrome, and neuropathy diagnoses.

resultsWe identified 24,950 cases that were matched with 24,950 controls (mean age 75.2 years, 47.3% women). Diagnoses of epilepsy, restless legs syndrome, and neuropathy as well as AED prescription were significantly associated with an increased incidence of PD. In the multivariate analysis, incidence of PD was significantly associated with epilepsy (OR: 1.91; 95% CI: 1.69-2.15), restless legs syndrome (OR: 3.02; 95% CI: 2.73-3.34), and neuropathy (OR: 1.53; 95% CI: 1.44-1.62)), as well as the prescription of any AED (OR: 1.43; 95% CI: 1.33-1.53), sodium valproate (OR: 2.39; 95% CI: 1.84-3.11), gabapentin (OR: 1.36; 95% CI: 1.22-1.52), and pregabalin (OR: 1.28; 95% CI: 1.15-1.41)

Indexed as

antiepileptic drugepilepsyGermanyParkinson’s disease

Identifiers

PMID36979260
PMCPMC10046339
OpenAlexW4323317968

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read31
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.