Table 1.
Description of study populations in the Parkinson’s Epidemiology and Genetics Association Studies in the U.S (PEGASUS)
Study | Parkinsonism Epidemiology at Kaiser (PEAK) Studies I & II18 |
Parkinson's disease Environment & Genes (PEG) Study23 |
Columbia University (Washington Heights/ Inwood) Studies I20 & II21 |
Agricultural Health Study of Farming and Movement Evaluation (FAME) 19 |
Honolulu Asia Aging Study (HAAS) 22 |
---|---|---|---|---|---|
Case-control study | Case-control study | Case-control studies (2) | Nested case-control study | Nested case-control study | |
Study Population |
Kaiser Permanente Medical Care Program of Northern California (3 million members) |
Residents of Fresno, Kern, & Tulare, who resided in CA in last 5 yrs before recruitment |
Residents of Washington- Heights-Inwood Section of northern Manhattan |
Cohort of licensed pesticide applicators and their spouses in Iowa and N. Carolina |
Men of Japanese and Okinawan ancestry born between 1900 –1919, resided on Oahu, Hawaii in 1965 |
Case Identification |
Cases ascertained by treating neurologist or computerized inpatient, outpatient and pharmacy databases |
Recruitment through rural health care providers and neurologists. Cases ascertained by treating neurologist or physician |
Community-based PD patients and PD cases seen at referral/senior centers, all living in same geographical area in northern Manhattan |
Multistage screening method that includes in- person evaluation and diagnosis by expert consensus |
Ongoing search of hospital records, review of death certificates, and medical records of local neurologists |
Number of PD cases, controls with DNA |
n = 584 PD cases n = 639 controls |
n = 279 PD cases n = 254 controls |
From 2 studies total: n = 296 PD cases n = 299 controls |
n = 100 PD cases n = 367 controls |
n = 72 PD cases n = 185 controls |
Method of Case Definition |
Medical record review by movement disorder specialist, case definition according to CAPIT/Hughes criteria 24,25 |
Examined by movement disorder specialists, case definition according to CAPIT/Hughes criteria 24,25 |
Neurology clinic record review, neurologic exam and diagnosis confirmed by study neurologist* |
Diagnosed by movement disorder specialist based on neurologic exam, structured videotape, and medical records review; according to CAPIT/Hughes criteria, 24,25 |
Neurologist case confirmation, according to CAPIT/Hughes criteria, 24,25 |
Time period of case/control ascertainment |
1994–1995 and 2000–2003 |
Jan 1st, 1998 thru Aug 31st, 2004 |
1988–1996 | 2000–2005 | 1965–1991 |
Control Selection |
Controls randomly selected from Kaiser membership rolls, matched to cases by gender and year of birth |
Age-sex matched population controls from Medicare and random sample from residential tax assessors’ parcels (residents of CA for the past 5 yrs) |
Healthy community volunteers living in same geographical area in northern Manhattan |
Selected from all non affected pesticide applicators in the AHS cohort |
Selected from all non affected men in study cohort |
Diagnostic criteria (a) bradykinesia, (b) one of the following: rigidity, rest tremor or postural instability, (c) at least 3 of the following (unilateral onset, persistent asymmetry of signs or symptoms, good response to levodopa, progressive course, levodopa-induced chorea) and (d) no evidence of drug-induced parkinsonism.