Evidence map›Paper›PMID 41970459›Full record

ArticleThe Lancet regional health. Western Pacific2026

Insights from a cross-sectional population-based study of 10,929 Australians living with Parkinson's disease: risk factors, comorbidities, and sex differences.

Fangyuan Cao, Kerrie McAloney, Natalia S Ogonowski, Luis M García-Marín, Santiago Díaz-Torres, Victor Flores-Ocampo, Zuriel Ceja, Freddy Chafota, Richard Parker, Mary Ferguson and 9 more

Abstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Fangyuan CaoBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Kerrie McAloneyBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Natalia S OgonowskiBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Luis M García-MarínBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Santiago Díaz-TorresBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Victor Flores-OcampoBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Zuriel CejaBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Freddy ChafotaBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Richard ParkerBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Mary FergusonBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Rebekah A CiceroBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Susan E List-ArmitageBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Vicki MillerShake It Up Australia Foundation, Sydney, NSW, Australia.
Clyde CampbellShake It Up Australia Foundation, Sydney, NSW, Australia.
Carolyn M SueNeuroscience Research Australia, Randwick, NSW, Australia.
Kishore R KumarFaculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
George D MellickGriffith Institute for Biomedicine and Glycomics, Griffith University, QLD, 4111, Australia.
Nicholas G MartinBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.
Miguel E RenteríaBrain and Mental Health Program, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The pathogenesis of Parkinson's disease (PD) remains incompletely understood; large-scale studies are needed to further elucidate its genetic and environmental underpinnings. The Australian Parkinson's Genetics Study (APGS) is an ongoing nationwide, population-based initiative established to advance understanding of PD determinants and progression. Methods: We present a cross-sectional characterisation of 10,929 participants with self-reported PD recruited across Australia through assisted mail-outs, media outreach, and digital engagement. Participants complete comprehensive questionnaires capturing sociodemographic, clinical, environmental, lifestyle, and behavioural data, and provide saliva samples for genetic analysis. A control cohort is currently being recruited and not reported here. Findings: The cohort is 63% male, with a mean age of 71 years and symptom onset at 64 years; 79% report diagnosis by a neurologist and 25% report a family history. Non-motor symptoms and neuropsychiatric comorbidities are common, including sleep disturbances, memory changes, and depression, alongside risk factors such as pesticide exposure (36%), traumatic brain injury (16%), and high-risk occupations (33%). Sex-based differences are evident: females more frequently report unilateral onset (81% vs 75%), falls (45% vs 41%), and pain (70% vs 63%), whereas males report higher rates of memory changes (67% vs 61%), pesticide exposure (42% vs 28%), high-risk occupations (44% vs 16%), and impulsive control behaviour, such as sexual behaviour (56% vs 19%). Interpretation: Leveraging APGS, the largest active PD cohort globally, our findings highlight the clinical and risk heterogeneity of PD and the importance of sex-specific research and care. The study's successful recruitment demonstrates the feasibility of large-scale remote enrolment, while its comprehensive design and ongoing expansion, including genomic profiling and digital phenotyping, position APGS as a transformative platform for advancing PD risk prediction, biomarker discovery, and therapeutic development. Funding: APGS is supported by the Global Parkinson's Genetics Program (GP2), Shake It Up Australia Foundation, and Michael J. Fox Foundation for Parkinson's Research (MJFF-021952).

Indexed as

AustraliaMovement disordersNeurologyParkinson's disease

Identifiers

PMID41970459
PMCPMC13069442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.