The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study

The purpose of this nationwide longitudinal follow-up study is to investigate the relationship between Parkinson’s disease (PD) and congestive heart failure (CHF) patients in Korea. Patient data were collected using the National Health Insurance Service (NHIS) Health Screening (HEALS) cohort. The In...

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Main Authors: Jimin Kim, Hakyung Kim, Sol Bi Kim, Woo Yup Kim, Seung Hun Sheen, Inbo Han, Je Beom Hong, Seil Sohn
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Journal of Personalized Medicine
Subjects:
Online Access:https://www.mdpi.com/2075-4426/13/9/1357
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author Jimin Kim
Hakyung Kim
Sol Bi Kim
Woo Yup Kim
Seung Hun Sheen
Inbo Han
Je Beom Hong
Seil Sohn
author_facet Jimin Kim
Hakyung Kim
Sol Bi Kim
Woo Yup Kim
Seung Hun Sheen
Inbo Han
Je Beom Hong
Seil Sohn
author_sort Jimin Kim
collection DOAJ
description The purpose of this nationwide longitudinal follow-up study is to investigate the relationship between Parkinson’s disease (PD) and congestive heart failure (CHF) patients in Korea. Patient data were collected using the National Health Insurance Service (NHIS) Health Screening (HEALS) cohort. The International Classification of Diseases 10-CM code G-20 distinguished 6475 PD patients who were enrolled in the PD group. After removing 1039 patients who were not hospitalized or attended an outpatient clinic less than twice, the total number of participants was reduced to 5436 individuals. Then, 177 patients diagnosed before 1 January 2004 were removed for relevancy, leaving us with 5259 PD patients. After case–control matching was completed using 1:5 age- and gender-coordinated matching, 26,295 people were chosen as part of the control group. The Cox proportional hazards regression analysis and the Kaplan–Meier technique were used to assess the risk of CHF in patients with Parkinson’s disease. After controlling for age and gender, the hazard ratio of CHF in the PD group was 5.607 (95% confidence interval (CI), 4.496–6.993). After that, the hazard ratio of CHF in the PD group was modified against for comorbid medical disorders, resulting in a value of 5.696 (95% CI, 4.566–7.107). In subgroup analysis, CHF incidence rates were significantly increased in the PD group compared to the control group (males and females; aged ≥ 65 and <65; the non-diabetes and diabetes, hypertension and non-hypertension, and dyslipidemia and non-dyslipidemia subgroups). This nationwide longitudinal study shows a higher incidence rate of CHF in PD patients.
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spelling doaj.art-fb5a6721d3dc423aadb97603226324c52023-11-19T11:31:05ZengMDPI AGJournal of Personalized Medicine2075-44262023-09-01139135710.3390/jpm13091357The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort StudyJimin Kim0Hakyung Kim1Sol Bi Kim2Woo Yup Kim3Seung Hun Sheen4Inbo Han5Je Beom Hong6Seil Sohn7Cornell University, Ithaca, NY 14850, USAGenome & Health Big Data Branch, Department of Public Health, Graduate School of Public Health, Seoul National University, Seoul 08826, Republic of KoreaDepartment of Neurosurgery, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Republic of KoreaDepartment of Neurosurgery, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Republic of KoreaDepartment of Neurosurgery, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Republic of KoreaDepartment of Neurosurgery, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Republic of KoreaDepartment of Neurosurgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul 03181, Republic of KoreaDepartment of Neurosurgery, CHA University College of Medicine, 59, Yatap-ro, Bundang-gu, Seongnam-si 13496, Republic of KoreaThe purpose of this nationwide longitudinal follow-up study is to investigate the relationship between Parkinson’s disease (PD) and congestive heart failure (CHF) patients in Korea. Patient data were collected using the National Health Insurance Service (NHIS) Health Screening (HEALS) cohort. The International Classification of Diseases 10-CM code G-20 distinguished 6475 PD patients who were enrolled in the PD group. After removing 1039 patients who were not hospitalized or attended an outpatient clinic less than twice, the total number of participants was reduced to 5436 individuals. Then, 177 patients diagnosed before 1 January 2004 were removed for relevancy, leaving us with 5259 PD patients. After case–control matching was completed using 1:5 age- and gender-coordinated matching, 26,295 people were chosen as part of the control group. The Cox proportional hazards regression analysis and the Kaplan–Meier technique were used to assess the risk of CHF in patients with Parkinson’s disease. After controlling for age and gender, the hazard ratio of CHF in the PD group was 5.607 (95% confidence interval (CI), 4.496–6.993). After that, the hazard ratio of CHF in the PD group was modified against for comorbid medical disorders, resulting in a value of 5.696 (95% CI, 4.566–7.107). In subgroup analysis, CHF incidence rates were significantly increased in the PD group compared to the control group (males and females; aged ≥ 65 and <65; the non-diabetes and diabetes, hypertension and non-hypertension, and dyslipidemia and non-dyslipidemia subgroups). This nationwide longitudinal study shows a higher incidence rate of CHF in PD patients.https://www.mdpi.com/2075-4426/13/9/1357Parkinson’s diseasepopulationcongestive heart failureepidemiology
spellingShingle Jimin Kim
Hakyung Kim
Sol Bi Kim
Woo Yup Kim
Seung Hun Sheen
Inbo Han
Je Beom Hong
Seil Sohn
The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
Journal of Personalized Medicine
Parkinson’s disease
population
congestive heart failure
epidemiology
title The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
title_full The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
title_fullStr The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
title_full_unstemmed The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
title_short The Association between Parkinson’s Disease and Congestive Heart Failure in Korea: A Nationwide Longitudinal Cohort Study
title_sort association between parkinson s disease and congestive heart failure in korea a nationwide longitudinal cohort study
topic Parkinson’s disease
population
congestive heart failure
epidemiology
url https://www.mdpi.com/2075-4426/13/9/1357
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