Use of a VA Pharmacy Database to Screen for Areas at High Risk for Disease

Parkinson's Disease and Exposure to Pesticides

Jerome A. Yesavage, Javaid Sheikh, A. Noda, G. Murphy, R. O'Hara, R. Hierholzer, M. Battista, J. W. Ashford, H. C. Kraemer, J. Tinklenberg

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)36-38
Number of pages3
JournalJournal of Geriatric Psychiatry and Neurology
Volume17
Issue number1
DOIs
Publication statusPublished - Mar 2004
Externally publishedYes

Fingerprint

Veterans
Pesticides
Parkinson Disease
Databases
Antiparkinson Agents
United States Department of Veterans Affairs
Oceans and Seas
Epidemiologic Studies
Odds Ratio
Research

Keywords

  • Epidemiology
  • Parkinson's disease
  • Pesticides
  • Pharmacy database

ASJC Scopus subject areas

  • Neuropsychology and Physiological Psychology
  • Geriatrics and Gerontology
  • Neuroscience(all)

Cite this

Use of a VA Pharmacy Database to Screen for Areas at High Risk for Disease : Parkinson's Disease and Exposure to Pesticides. / Yesavage, Jerome A.; Sheikh, Javaid; Noda, A.; Murphy, G.; O'Hara, R.; Hierholzer, R.; Battista, M.; Ashford, J. W.; Kraemer, H. C.; Tinklenberg, J.

In: Journal of Geriatric Psychiatry and Neurology, Vol. 17, No. 1, 03.2004, p. 36-38.

Research output: Contribution to journalArticle

Yesavage, JA, Sheikh, J, Noda, A, Murphy, G, O'Hara, R, Hierholzer, R, Battista, M, Ashford, JW, Kraemer, HC & Tinklenberg, J 2004, 'Use of a VA Pharmacy Database to Screen for Areas at High Risk for Disease: Parkinson's Disease and Exposure to Pesticides', Journal of Geriatric Psychiatry and Neurology, vol. 17, no. 1, pp. 36-38. https://doi.org/10.1177/0891988703258672
Yesavage, Jerome A. ; Sheikh, Javaid ; Noda, A. ; Murphy, G. ; O'Hara, R. ; Hierholzer, R. ; Battista, M. ; Ashford, J. W. ; Kraemer, H. C. ; Tinklenberg, J. / Use of a VA Pharmacy Database to Screen for Areas at High Risk for Disease : Parkinson's Disease and Exposure to Pesticides. In: Journal of Geriatric Psychiatry and Neurology. 2004 ; Vol. 17, No. 1. pp. 36-38.
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