Table 2. Summary of studies on the incidence of Parkinson’s disease in Asia.
Authors/year | Study | Year | Study design | Case findings | Diagnostic criteria | Age of cases | Proportion examined by neurologists |
Population | PD cases | Participation rate |
Wang et al, 199116 |
China | 1986 | Door-to-door survey | 2-phase door-to-door survey: questionnaire and neurological examination |
Schoenberg’s criteriaa | All ages | 100% | 3 869 162 | 566 | Not stated |
Chen et al, 200131 |
Taiwan | 1993–9 | Door-to-door survey with follow-up at 7 years |
2-phase door-to-door survey: - Questionnaire - Examination by neurologists |
≥2 cardinal signs and exclude other causes |
≥40 | 100% | 75 579 | 15 | 88% |
Harada et al, 198322 |
Yonago, Japan |
1975–1981 | Record-based survey | Medical records from hospitals, general practitioners, national health insurance |
≥2 of 4 cardinal signs and exclude secondary causes |
Not clear, likely all ages |
45% | 125 291 | 10–14 per year | Not stated |
Kusumi et al, 199624 |
Yonago, Japan |
1992–4 | Record-based survey | Review of medical records and questionnaire sent to hospitals and clinics |
≥2 of 4 cardinal signs, improvement by L-dopa and exclude secondary causes |
All ages | Not stated | 1 342 315 | 14–24 per year in 4 years |
99% in the questionnaire response |
Moriwaka et al, 199625 |
Hokkaido, Japan |
1992–4 | Record-based from neurologists, general hospitals, and Ministry of Welfare and Health |
2-phase survey: prevalence survey of all of Hokkaido, then prevalence and incidence study in Iwamizawa City 1 year later |
≥2 of 4 cardinal signs, negative CT brain, response to antiparkinsonian drugs and excluded secondary causes |
All ages | Not clear (≥49%) |
80 417 (Iwamizawa city) |
7 | Not stated |
Morioka et al, 200233 |
Wakayama, Japan |
1998 | Record-based survey | Mailed questionnaire on newly diagnosed cases to clinics and hospitals |
1. unclear onset, slow progressive 2. at least 1 of a) tremor b) cogwheel rigidity, akinesia and/or festinating gait c) if a & b are absent, 3 of postural tremor, lead-pipe rigidity, akinesia, festinating gait, and retropulsion are present 3. L-dopa responsive 4. exclude drug-induced disorder and other secondary causes |
≥40 years | Not stated | 1 372 781 | 232 | 99% |
Tan et al, 200734 |
Singapore | 2001–3 | Record-based + phone interview |
Door-to-door survey of prevalence; then phone interview, medical record review, and database merge for incident cases |
Gelb criteria | ≥50 | 78% | 14 835 | 12 | 67% |
aSchoenberg’s criteria: (a) insidiously progressive rest tremor, rigidity, hypokinesia + no definite cause + middle age, (b) diagnosis by neurologist or senior doctor, and (c) exclusion of secondary causes.