Spinal cord injury and Alzheimer’s disease risk: a population-based, retrospective cohort study
Study design Propensity score-matched, retrospective cohort study. Objectives To determine the risk of developing Alzheimer’s disease (AD) in patients with spinal cord injury (SCI). Setting The present study used Taiwan’s National Health Insurance Research Database. Methods A total of 9257 patients...
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| Published in | Spinal cord Vol. 56; no. 2; pp. 151 - 157 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
Nature Publishing Group UK
01.02.2018
Nature Publishing Group |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Study design
Propensity score-matched, retrospective cohort study.
Objectives
To determine the risk of developing Alzheimer’s disease (AD) in patients with spinal cord injury (SCI).
Setting
The present study used Taiwan’s National Health Insurance Research Database.
Methods
A total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan–Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD.
Results
During the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (
P
= 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06–2.76,
P
= 0.0273).
Conclusions
This study suggests that patients with SCI have an increased risk of developing AD. |
|---|---|
| AbstractList | Study design
Propensity score-matched, retrospective cohort study.
Objectives
To determine the risk of developing Alzheimer’s disease (AD) in patients with spinal cord injury (SCI).
Setting
The present study used Taiwan’s National Health Insurance Research Database.
Methods
A total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan–Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD.
Results
During the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (
P
= 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06–2.76,
P
= 0.0273).
Conclusions
This study suggests that patients with SCI have an increased risk of developing AD. Study designPropensity score-matched, retrospective cohort study.ObjectivesTo determine the risk of developing Alzheimer’s disease (AD) in patients with spinal cord injury (SCI).SettingThe present study used Taiwan’s National Health Insurance Research Database.MethodsA total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan–Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD.ResultsDuring the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (P = 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06–2.76, P = 0.0273).ConclusionsThis study suggests that patients with SCI have an increased risk of developing AD. Propensity score-matched, retrospective cohort study. To determine the risk of developing Alzheimer's disease (AD) in patients with spinal cord injury (SCI). The present study used Taiwan's National Health Insurance Research Database. A total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan-Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD. During the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (P = 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06-2.76, P = 0.0273). This study suggests that patients with SCI have an increased risk of developing AD. Propensity score-matched, retrospective cohort study.STUDY DESIGNPropensity score-matched, retrospective cohort study.To determine the risk of developing Alzheimer's disease (AD) in patients with spinal cord injury (SCI).OBJECTIVESTo determine the risk of developing Alzheimer's disease (AD) in patients with spinal cord injury (SCI).The present study used Taiwan's National Health Insurance Research Database.SETTINGThe present study used Taiwan's National Health Insurance Research Database.A total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan-Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD.METHODSA total of 9257 patients who had ⩾2 ambulatory visits with a diagnosis of SCI in 2001 were included in the SCI group. The non-SCI group consisted of 37,028 propensity score-matched patients without a diagnosis of SCI. The cumulative incidence of AD was estimated for each of the two patient groups using the Kaplan-Meier method. Stratified Cox proportional hazard regression was then employed to assess the influence of SCI on the risk of AD.During the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (P = 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06-2.76, P = 0.0273).RESULTSDuring the follow-up period, 25 subjects in the SCI group and 57 in the non-SCI group developed AD. The cumulative incidence of AD in the SCI group was higher than in the non-SCI group (P = 0.0168); and the hazard ratio of AD for the SCI group, as compared to the non-SCI group, was 1.71 (95% CI 1.06-2.76, P = 0.0273).This study suggests that patients with SCI have an increased risk of developing AD.CONCLUSIONSThis study suggests that patients with SCI have an increased risk of developing AD. |
| Author | Yeh, Tian-Shin Ho, Yu-Chun Hsu, Cherng-Lan Pan, Shin-Liang |
| Author_xml | – sequence: 1 givenname: Tian-Shin surname: Yeh fullname: Yeh, Tian-Shin organization: Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Yun-Lin Branch – sequence: 2 givenname: Yu-Chun surname: Ho fullname: Ho, Yu-Chun organization: Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch – sequence: 3 givenname: Cherng-Lan surname: Hsu fullname: Hsu, Cherng-Lan organization: Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital – sequence: 4 givenname: Shin-Liang surname: Pan fullname: Pan, Shin-Liang email: panslcb@gmail.com organization: Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital Hsin-Chu Branch, Department of Physical Medicine and Rehabilitation, National Taiwan University College of Medicine |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29057990$$D View this record in MEDLINE/PubMed |
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| Copyright | International Spinal Cord Society 2017 Copyright Nature Publishing Group Feb 2018 |
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Propensity score-matched, retrospective cohort study.
Objectives
To determine the risk of developing Alzheimer’s disease (AD) in patients with... Propensity score-matched, retrospective cohort study. To determine the risk of developing Alzheimer's disease (AD) in patients with spinal cord injury (SCI).... Study designPropensity score-matched, retrospective cohort study.ObjectivesTo determine the risk of developing Alzheimer’s disease (AD) in patients with spinal... Propensity score-matched, retrospective cohort study.STUDY DESIGNPropensity score-matched, retrospective cohort study.To determine the risk of developing... |
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| SubjectTerms | Alzheimer's disease Anatomy Biomedical and Life Sciences Biomedicine Cohort analysis Diagnosis Health risk assessment Health risks Human Physiology Incidence Neurochemistry Neurodegenerative diseases Neuropsychology Neurosciences Patients Population studies Population-based studies Risk Spinal cord injuries |
| Title | Spinal cord injury and Alzheimer’s disease risk: a population-based, retrospective cohort study |
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