Evidence map›Paper›PMID 40230590›Full record

ArticleLancet regional health. Americas2025

Prevalence, distribution and future projections of Parkinson disease in Brazil: insights from the ELSI-Brazil cohort study.

Thomas Hugentobler Schlickmann, Marcelo Somma Tessari, Wyllians Vendramini Borelli, Gabriel Alves Marconi, Gabriela Magalhães Pereira, Eduardo Zimmer, Alastair Noyce, Ignacio Fernandez Mata, Carlos Roberto de Mello Rieder, Daniel Teixeira-Dos-Santos and 1 more

Abstract read
In one paragraph

Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Review
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  5. Observational
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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

11 authors.

Thomas Hugentobler SchlickmannHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.
Marcelo Somma TessariHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.
Wyllians Vendramini BorelliDepartment of Morphological Sciences, Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, Porto Alegre, RS, Brazil.
Gabriel Alves MarconiHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.
Gabriela Magalhães PereiraHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.
Eduardo ZimmerGraduate Program in Pharmacology and Therapeutics (PPGFT), Universidade Federal do Rio Grande do Sul, Rua Ramiro Barcelos, 2400, Porto Alegre, RS, Brazil.
Alastair NoyceCentre for Preventive Neurology, Wolfson Institute of Population Health, Queen Mary University of London, Charterhouse Square, London, UK.
Ignacio Fernandez MataGenomic Medicine, Lerner Research Institute, Cleveland Clinic Foundation, Cleveland, OH, United States.
Carlos Roberto de Mello RiederServiço de Neurologia, Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brazil.
Daniel Teixeira-Dos-SantosHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.
Artur Francisco Schumacher SchuhHospital de Clínicas de Porto Alegre (HCPA), Rua Ramiro Barcelos, 2350, Porto Alegre, RS, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is limited epidemiological data regarding Parkinson's disease (PD) prevalence in Brazil, which hinders adequate public health policies planning and patient care. This study aimed to investigate the distribution, prevalence, and clinical characteristics of PD among older adults in Brazil. Methods: This cross-sectional study used data from the ELSI-Brazil cohort, a Brazilian nationally representative study of individuals aged 50 and older. Data were collected through door-to-door surveys with standardized questionnaires. PD diagnosis was based on self-reported data. We calculated PD prevalence in the general population and specific age groups, studied its association with clinical variables, and projected PD prevalence in Brazil from 2024 to 2060. Findings: A total of 9881 respondents were included in this study, and 93 reported a medical diagnosis of PD. The crude prevalence of PD among Brazilians aged 50 or more was 0.84% (95% CI: 0.64%-1.09%), with an age- and sex-standardized prevalence of 0.86% (95% CI: 0.62%-1.10%). Men were more affected than women (OR: 2.35, 95% CI: 1.35-4.08; p < 0.01), and the prevalence was higher in older age groups, from 0.39% in those aged 50-59 years to 2.75% in those 80 years and older. PD individuals had higher rates of stroke, depression, functional dependency, and were more likely to need walking support or be bedridden. Projections indicated that PD cases in Brazil will rise from 535,999 (95% CI: 309,963-922,948) in 2024 to 1,250,638 (95% CI: 734,660-2,117,585) by 2060. Interpretation: This study reveals the prevalence and distribution of PD in Brazil, showing many patients with advanced disease and suggesting underdiagnosis in early stages. There is a need for better diagnostic accuracy, improved access to neurologists, and comprehensive public health strategies to manage the rising prevalence and healthcare demands of PD in Brazil. Funding: This study did not receive any funding. The ELSI-Brazil cohort was funded by the Ministry of Health of Brazil.

Indexed as

EpidemiologyMovement disordersNeurodegenerative diseasesParkinson's diseasePrevalence

Identifiers

PMID40230590
PMCPMC11995787

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.