Bryan Leah, Kaye Wendy, Antao Vinicius, Mehta Paul, Muravov Oleg, Horton D Kevin
Carter Consulting Incorporated, Atlanta, GA, United States of America.
McKing Consulting Corporation, Atlanta, GA, United States of America.
PLoS One. 2016 Apr 28;11(4):e0153683. doi: 10.1371/journal.pone.0153683. eCollection 2016.
The National ALS Registry is made up of two components to capture amyotrophic lateral sclerosis (ALS) cases: national administrative databases (Medicare, Medicaid, Veterans Health Administration and Veterans Benefits Administration) and self-identified cases captured by the Registry's web portal. This study describes self-reported characteristics of U.S. adults with ALS using the data collected by the National ALS Registry web portal risk factor surveys only from October 19, 2010 through December 31, 2013.
To describe findings from the National ALS Registry's web portal risk factor surveys.
The prevalence of select risk factors among adults with ALS was determined by calculating the frequencies of select risk factors-smoking and alcohol (non, current and former) histories, military service and occupational history, and family history of neurodegenerative diseases such as ALS, Alzheimer's and/or Parkinson's.
Nearly half of survey respondents were ever smokers compared with nearly 41% of adults nationally. Most respondents were ever drinkers which is comparable to national estimates. The majority were light drinkers. Nearly one-quarter of survey respondents were veterans compared with roughly 9% of US adults nationally. Most respondents were retired or disabled. The industries in which respondents were employed for the longest time were Professional and Scientific and Technical Services. When family history of neurodegenerative diseases in first degree relatives was evaluated against our comparison group, the rates of ALS were similar, but were higher for Parkinson's disease, Alzheimer's disease and any neurodegenerative diseases.
The National ALS Registry web portal, to our knowledge, is the largest, most geographically diverse collection of risk factor data about adults living with ALS. Various characteristics were consistent with other published studies on ALS risk factors and will allow researchers to generate hypotheses for future research.
国家肌萎缩侧索硬化症(ALS)登记系统由两个部分组成,用于收集肌萎缩侧索硬化症病例:国家行政数据库(医疗保险、医疗补助、退伍军人健康管理局和退伍军人福利管理局)以及通过登记系统门户网站自行申报的病例。本研究仅使用国家ALS登记系统门户网站风险因素调查在2010年10月19日至2013年12月31日期间收集的数据,描述了美国成年ALS患者的自我报告特征。
描述国家ALS登记系统门户网站风险因素调查的结果。
通过计算特定风险因素(吸烟和饮酒史,包括从不吸烟/饮酒、当前吸烟/饮酒和既往吸烟/饮酒,军事服役和职业史,以及神经退行性疾病家族史,如ALS、阿尔茨海默病和/或帕金森病)的出现频率,确定成年ALS患者中特定风险因素的患病率。
近一半的调查受访者曾经吸烟,而全国成年人中这一比例接近41%。大多数受访者曾经饮酒,这与全国估计数相当。大多数是轻度饮酒者。近四分之一的调查受访者是退伍军人,而全国成年人口中这一比例约为9%。大多数受访者已退休或残疾。受访者工作时间最长的行业是专业、科学和技术服务行业。当将一级亲属的神经退行性疾病家族史与我们的对照组进行比较时,ALS的发病率相似,但帕金森病、阿尔茨海默病和任何神经退行性疾病的发病率更高。
据我们所知,国家ALS登记系统门户网站是关于成年ALS患者风险因素数据的最大、地域分布最广的收集库。各种特征与其他关于ALS风险因素的已发表研究一致,将使研究人员能够为未来的研究提出假设。