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Survival in multiple system atrophy
Authors:Anette Schrag MD  PhD  Gregor K. Wenning MD  PhD  Niall Quinn MD  Yoav Ben‐Shlomo MD  PhD
Affiliation:1. Department of Clinical Neurosciences, Royal Free & University College Medical School, London, United Kingdom;2. Clinical Department of Neurology, Innsbruck Medical University, Innsbruck, Austria;3. Institute of Neurology, University College London, Queen Square, London, United Kingdom;4. Department of Social Medicine, University of Bristol, Bristol, United Kingdom
Abstract:
We here report survival in patients with multiple system atrophy (MSA) in a large, prospectively studied group of patients with MSA. Eighty‐five of 100 patients were known to have died. Three patients were rediagnosed as having PD. Twenty‐four patients came to autopsy, which showed MSA in 22 and idiopathic Parkinson's disease in 2. The median survival time was 8.6 and 7.3 years for men and women, respectively (hazard ratio for women was 1.49, 95% CI 0.97–2.31, P = 0.07). Except for rediagnosis as PD, no predictive factors for better survival could be identified. These data confirm the relatively poor prognosis of MSA of less than 9 years on average. © 2007 Movement Disorder Society
Keywords:mortality  multiple system atrophy
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