Table 3.
Incidence and risk of Parkinson’s disease in patients with inflammatory bowel disease and non-inflammatory bowel disease controls according to medication.
Total No. | PD Cases | Person-Years (y) | PD Incidence (/100,000 Person-Years) | Model 1 * HR (95% CI) | P Value | Model 2 † HR (95% CI) | P Value | |
---|---|---|---|---|---|---|---|---|
CD | ||||||||
Corticosteroids | 0.006 | <0.001 | ||||||
No | 5214 | 11 | 26,582 | 41 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 7417 | 4 | 34,834 | 11 | 0.19 (0.06–0.63) | 0.08 (0.02–0.33) | ||
Immunomodulators | 0.193 | 0.227 | ||||||
No | 5623 | 13 | 27,465 | 47 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 7008 | 2 | 33,951 | 6 | 0.35 (0.07–1.67) | 0.38 (0.08–1.83) | ||
Anti-TNF | - | - | ||||||
No | 10,966 | 15 | 53,347 | 28 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 1665 | 0 | 8069 | 0 | - | - | ||
UC | ||||||||
Corticosteroids | 0.386 | 0.213 | ||||||
No | 11,326 | 35 | 56,378 | 62 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 14,904 | 42 | 71,621 | 59 | 0.82 (0.52–1.29) | 0.75 (0.47–1.18) | ||
Immunomodulators | 0.541 | 0.521 | ||||||
No | 22,833 | 71 | 111,139 | 64 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 3397 | 6 | 16,860 | 36 | 0.77 (0.33–1.78) | 0.76 (0.33–1.76) | ||
Anti-TNF | - | - | ||||||
No | 25,785 | 77 | 126,117 | 61 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 445 | 0 | 1881 | 0 | - | - | ||
Non-IBD controls | ||||||||
Corticosteroids | 0.353 | 0.585 | ||||||
No | 79,133 | 73 | 388,691 | 19 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 37,450 | 61 | 180,669 | 34 | 1.18 (0.83–1.66) | 1.10 (0.78–1.57) | ||
Immunomodulators | 0.108 | 0.116 | ||||||
No | 116,210 | 132 | 567,574 | 23 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 373 | 2 | 1786 | 112 | 3.16 (0.78–12.84) | 3.08 (0.76–12.52) | ||
Anti-TNF | - | |||||||
No | 116,555 | 134 | 569,235 | 24 | 1 (Ref.) | 1 (Ref.) | ||
Yes | 28 | 0 | 125 | 0 | - | - |
CI, confidence interval; CD, Crohn’s disease; HR, hazard ratio; IBD, inflammatory bowel disease; No, number; PD, Parkinson’s disease; Ref., reference; TNF, tumor necrosis factor; UC, ulcerative colitis. * Model 1: adjusted for age, sex, place of residence, income level, diabetes mellitus, hypertension, dyslipidemia, depression, myocardial infarction, stroke, and ischemic heart disease. † Model 2: adjusted for model 1 + health care visits.