Sex and gender influence symptom manifestation and survival in multiple system atrophy

被引:21
作者
Coon, Elizabeth A. [1 ]
Nelson, Renee M. [1 ]
Sletten, David M. [1 ]
Suarez, Mariana D. [1 ]
Ahlskog, J. Eric [1 ]
Benarroch, Eduardo E. [1 ]
Sandroni, Paola [1 ]
Mandrekar, Jay N. [2 ]
Low, Phillip A. [1 ]
Singer, Wolfgang [1 ]
机构
[1] Mayo Clin, Dept Neurol, 200 First St SW, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Biomed Stat & Informat, Rochester, MN USA
来源
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL | 2019年 / 219卷
关键词
Multiple system atrophy; Sex; Gender; Parkinsonism; Ataxia; Autonomic; NATURAL-HISTORY; CLINICAL-FEATURES; DYSFUNCTION; PROGNOSIS;
D O I
10.1016/j.autneu.2019.04.002
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
To evaluate the influence of sex and gender on clinical characteristics and survival in multiple system atrophy (MSA), we reviewed MSA patients with autonomic testing 1998-2012. Of 685 patients, 52% were male. Median survival overall was 7.3 years for males, 7.6 years for females. Survival from diagnosis was 2.9 years in males, 3.8 years in females. Females were more likely to initially manifest motor symptoms. Males were more likely to have orthostatic intolerance and early catheterization. In conclusion, our data show longer survival from diagnosis in-females and slight-overall survival benefit which - may be related to motor manifestations.
引用
收藏
页码:49 / 52
页数:4
相关论文
共 25 条
[1]  
[Anonymous], EXPLORING BIOL CONTR
[2]   Survival of patients with pathologically proven multiple system atrophy: A meta-analysis [J].
BenShlomo, Y ;
Wenning, GK ;
Tison, F ;
Quinn, NP .
NEUROLOGY, 1997, 48 (02) :384-393
[3]   Sex hormone effects on autonomic mechanisms of thermoregulation in humans [J].
Charkoudian, Nisha ;
Stachenfeld, Nina .
AUTONOMIC NEUROSCIENCE-BASIC & CLINICAL, 2016, 196 :75-80
[4]   Clinical features and autonomic testing predict survival in multiple system atrophy [J].
Coon, Elizabeth A. ;
Sletten, David M. ;
Suarez, Mariana D. ;
Mandrekar, Jay N. ;
Ahlskog, J. Eric ;
Bower, James H. ;
Matsumoto, Joseph Y. ;
Silber, Michael H. ;
Benarroch, Eduardo E. ;
Fealey, Robert D. ;
Sandroni, Paola ;
Low, Phillip A. ;
Singer, Wolfgang .
BRAIN, 2015, 138 :3623-3631
[5]   Multiple-System Atrophy [J].
Fanciulli, Alessandra ;
Wenning, Gregor K. .
NEW ENGLAND JOURNAL OF MEDICINE, 2015, 372 (03) :249-263
[6]   Multiple System Atrophy: Prognostic Indicators of Survival [J].
Figueroa, Juan J. ;
Singer, Wolfgang ;
Parsaik, Ajay ;
Benarroch, Eduardo E. ;
Ahlskog, J. Eric ;
Fealey, Robert D. ;
Parisi, Joseph E. ;
Sandroni, Paola ;
Mandrekar, Jay ;
Iodice, Valeria ;
Low, Phillip A. ;
Bower, James H. .
MOVEMENT DISORDERS, 2014, 29 (09) :1151-1157
[7]   Men and health help-seeking behaviour: literature review [J].
Galdas, PM ;
Cheater, F ;
Marshall, P .
JOURNAL OF ADVANCED NURSING, 2005, 49 (06) :616-623
[8]   Second consensus statement on the diagnosis of multiple system atrophy [J].
Gilman, S. ;
Wenning, G. K. ;
Low, P. A. ;
Brooks, D. J. ;
Mathias, C. J. ;
Trojanowski, J. Q. ;
Wood, N. W. ;
Colosimo, C. ;
Duerr, A. ;
Fowler, C. J. ;
Kaufmann, H. ;
Klockgether, T. ;
Lees, A. ;
Poewe, W. ;
Quinn, N. ;
Revesz, T. ;
Robertson, D. ;
Sandroni, P. ;
Seppi, K. ;
Vidailhet, M. .
NEUROLOGY, 2008, 71 (09) :670-676
[9]   False discovery rate control is a recommended alternative to Bonferroni-type adjustments in health studies [J].
Glickman, Mark E. ;
Rao, Sowmya R. ;
Schultz, Mark R. .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2014, 67 (08) :850-857
[10]   Sex differences and blood pressure regulation in humans [J].
Joyner, Michael J. ;
Wallin, B. Gunnar ;
Charkoudian, Nisha .
EXPERIMENTAL PHYSIOLOGY, 2016, 101 (03) :349-355