Hepatitis C virus infection as a risk factor for Parkinson disease: A nationwide cohort study

Hsin-Hsi Tsai; Horng-Huei Liou; Chih-Hsin Muo; Cha-Ze Lee; Ruoh-Fang Yen; Chia-Hung Kao

doi:10.1212/WNL.0000000000002307

Hepatitis C virus infection as a risk factor for Parkinson disease: A nationwide cohort study

Neurology. 2016 Mar 1;86(9):840-6. doi: 10.1212/WNL.0000000000002307. Epub 2015 Dec 23.

Authors

Hsin-Hsi Tsai¹, Horng-Huei Liou¹, Chih-Hsin Muo¹, Cha-Ze Lee¹, Ruoh-Fang Yen¹, Chia-Hung Kao²

Affiliations

¹ From the Departments of Neurology (H.-H.T.), Neurology and Pharmacology (H.-H.L.), Internal Medicine (C.-Z.L.), and Nuclear Medicine (R.-F.Y.), National Taiwan University Hospital, Taipei; College of Medicine, National Taiwan University (H.-H.L., C.-Z.L.), Taipei; Management Office for Health Data (C.-H.M.) and Department of Nuclear Medicine and PET Center (C.-H.K.), China Medical University Hospital, Taichung; College of Medicine (C.-H.M.), China Medical University, Taichung; Department of Radiology (R.-F.Y.), National Taiwan University College of Medicine, Taipei; Graduate Institute of Clinical Medical Science and School of Medicine (C.-H.K.), College of Medicine, China Medical University, Taichung, Taiwan.
² From the Departments of Neurology (H.-H.T.), Neurology and Pharmacology (H.-H.L.), Internal Medicine (C.-Z.L.), and Nuclear Medicine (R.-F.Y.), National Taiwan University Hospital, Taipei; College of Medicine, National Taiwan University (H.-H.L., C.-Z.L.), Taipei; Management Office for Health Data (C.-H.M.) and Department of Nuclear Medicine and PET Center (C.-H.K.), China Medical University Hospital, Taichung; College of Medicine (C.-H.M.), China Medical University, Taichung; Department of Radiology (R.-F.Y.), National Taiwan University College of Medicine, Taipei; Graduate Institute of Clinical Medical Science and School of Medicine (C.-H.K.), College of Medicine, China Medical University, Taichung, Taiwan. d10040@mail.cmuh.org.tw.

PMID: 26701382
DOI: 10.1212/WNL.0000000000002307

Abstract

Objective: To determine whether hepatitis C virus (HCV) infection is a risk factor for developing Parkinson disease (PD).

Methods: This nationwide population-based cohort study was based on data obtained from a dataset of the Taiwan National Health Insurance Research Database for the period 2000 to 2010. A total of 49,967 patients with viral hepatitis were included for analysis. Furthermore, 199,868 people without viral hepatitis were included for comparisons. Patients with viral hepatitis were further grouped into 3 cohorts: hepatitis B virus (HBV) infection, HCV infection, and HBV-HCV coinfection. In each cohort, we calculated the incidence of developing PD. A Cox proportional hazards model was applied to estimate the risk of developing PD in terms of hazard ratios (HRs) and 95% confidence intervals (CIs).

Results: The crude HRs for developing PD was 0.66 (95% CI = 0.55-0.80) for HBV infection, 2.50 (95% CI = 2.07-3.02) for HCV infection, and 1.28 (95% CI = 0.88-1.85) for HBV-HCV coinfection. The association between HCV and PD remained statistically significant after adjustments for age, sex, and comorbidities (adjusted HR = 1.29, 95% CI = 1.06-1.56).

Conclusions: We conducted a large nationwide population-based study and found that patients with HCV exhibit a significantly increased risk of developing PD.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Adult
Age Distribution
Aged
Causality
Cohort Studies
Comorbidity
Female
Hepatitis C / diagnosis*
Hepatitis C / epidemiology*
Humans
Incidence
Male
Middle Aged
Parkinson Disease / diagnosis*
Parkinson Disease / epidemiology*
Reproducibility of Results
Risk Assessment
Sensitivity and Specificity
Sex Distribution
Taiwan / epidemiology