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Models used for analysis of the effects of statins on incidence of Parkinson's disease using the Cox proportional survival method. (A) Atorvastatin; (B) lovastatin; (C) simvastatin. Model 1 included an adjustment for the interaction between PD and age. Model 2 included adjustments for the interaction between PD, three disorders associated with increased risk of PD and neuroleptic use. Model 3 included adjustments for the interaction between dementia, the Charlson Index and neuroleptic use. For the purpose of analysis of interactions with the Charlson Index, subjects with a Charlson Index of 0 or 1 were compared with those with a Charlson Index of ≥2. Cox Survival Models for Incidence of Parkinson's Disease. A. Atorvastatin vs CV Comparator |
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| Model 1 |
Model 2 |
Model 3 |
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|
|
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| Variable |
HR |
p value |
95% Confidence limits for HR |
HR |
p value |
95% Confidence limits for HR |
HR |
p value |
95% Confidence limits for HR |
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|
|
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| Atorvastatin |
0.90 |
0.15 |
0.79 |
1.04 |
0.96 |
0.59 |
0.84 |
1.11 |
0.99 |
0.90 |
0.86 |
1.14 |
| Versus CV |
1.05 |
<0.0001 |
1.05 |
1.06 |
1.05 |
<0.0001 |
1.05 |
1.06 |
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| Age |
1.00 |
0.97 |
0.90 |
1.12 |
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| Hypertension |
1.18 |
<0.0001 |
1.09 |
1.27 |
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| CVD |
1.12 |
0.0059 |
1.03 |
1.21 |
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| Diabetes |
5.12 |
<0.0001 |
4.62 |
5.68 |
4.97 |
<0.0001 |
4.48 |
5.51 |
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| Charlson Index |
1.33 |
<0.0001 |
1.23 |
1.44 |
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| Lovastatin |
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| Versus CV |
1.09 |
0.15 |
0.97 |
1.22 |
1.06 |
0.33 |
0.95 |
1.18 |
1.09 |
0.13 |
0.98 |
1.22 |
| Age |
1.05 |
<0.0001 |
1.04 |
1.06 |
1.05 |
<0.0001 |
1.04 |
1.06 |
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| Hypertension |
0.99 |
0.85 |
0.81 |
1.10 |
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| CVD |
1.20 |
<0.0001 |
1.11 |
1.29 |
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| Diabetes |
1.13 |
0.0001 |
1.05 |
1.23 |
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| Charlson Index |
5.16 |
<0.0001 |
4.66 |
5.71 |
5.02 |
<0.0001 |
4.53 |
5.55 |
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| Simvastatin |
1.32 |
<0.0001 |
1.22 |
1.43 |
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| Versus CV |
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| Age |
0.50 |
<0.0001 |
0.47 |
0.53 |
0.50 |
<0.0001 |
0.47 |
0.53 |
0.50 |
<0.0001 |
0.49 |
0.55 |
| Hypertension |
1.05 |
<0.0001 |
1.05 |
1.06 |
1.05 |
<0.0001 |
1.05 |
1.06 |
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| CVD |
0.97 |
0.42 |
0.89 |
1.05 |
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| Diabetes |
1.21 |
<0.0001 |
1.14 |
1.28 |
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| Charlson Index |
1.11 |
0.0012 |
1.04 |
1.18 |
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| Atorvastatin |
5.26 |
<0.0001 |
4.85 |
5.70 |
5.08 |
<0.0001 |
4.69 |
5.50 |
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| Versus CV |
1.44 |
<0.0001 |
1.36 |
1.53 |
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|
HR, hazard ratio, CVD, cardiovacular disease, CV, cardiovascular. Model 1 included an adjustment for the interaction between dementia and age; model 2 included adjustments for the interaction between dementia and three disorders associated with increased risk of dementia.; model 3 included adjustments for the interaction between dementia and the Charlson Index, which is an index that provides a broad assessment for the amount of chronic disease. | ||||||||||||
Wolozin et al. BMC Medicine 2007 5:20 doi:10.1186/1741-7015-5-20 |
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