Use of a VA Pharmacy Database to Screen for Areas at High Risk for Disease: Parkinson’s Disease and Exposure to Pesticides
| Autor: | Greer M. Murphy, M. Battista, Jerome A. Yesavage, Javaid I. Sheikh, Ruth O'Hara, Jared R. Tinklenberg, Robert Hierholzer, Helena C. Kraemer, J. W. Ashford, A. Noda |
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| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Prevalence MEDLINE Pharmacy Disease computer.software_genre Risk Assessment California Antiparkinson Agents 03 medical and health sciences 0302 clinical medicine parasitic diseases Epidemiology Odds Ratio Humans Mass Screening Medicine Parkinson Disease Secondary Pesticides Risk factor Veterans Affairs Veterans 030214 geriatrics Database business.industry Environmental Exposure Odds ratio Psychiatry and Mental health Databases as Topic Hospital Information Systems Neurology (clinical) Geriatrics and Gerontology Pharmacy Service Hospital business computer 030217 neurology & neurosurgery |
| Zdroj: | Journal of Geriatric Psychiatry and Neurology. 17:36-38 |
| ISSN: | 1552-5708 0891-9887 |
| DOI: | 10.1177/0891988703258672 |
| Popis: | The purpose of this study was to assess whether pharmacy database information from US Department of Veterans Affairs (VA) medical centers could be used to screen for areas of higher Parkinson’s disease prevalence in patients exposed to pesticides. The authors used pharmacy data sets and compared the use of antiparkinsonian medications at 2 VA medical centers in California: one in Palo Alto, near the ocean, and one in Fresno, downwind from extensively farmed parts of the Central Valley. They found that patients at Fresno had higher odds ratios (1.5-1.8) for the use of Parkinson’s disease medications than patients at Palo Alto. These data are consistent with the observations of prior epidemiologic studies and suggest that VA pharmacy databases can prioritize locations for further epidemiologic research. However, a thorough exploration of alternative explanations is needed to reach definitive conclusions regarding the findings suggested by this method. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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