Title |
Exposure to general anesthesia and the risk of dementia
|
---|---|
Published in |
Journal of Pain Research, October 2015
|
DOI | 10.2147/jpr.s55579 |
Pubmed ID | |
Authors |
Chih-Wen Yang, Jong-Ling Fuh |
Abstract |
Exposure to anesthesia and surgery has been hypothesized to increase the risk of developing Alzheimer's disease (AD). While the exact pathogenesis of AD remains unknown, it potentially involves specific proteins (eg, amyloid beta and tau) and neuroinflammation. A growing body of preclinical evidence also suggests that anesthetic agents interact with the components that mediate AD neuropathology at multiple levels. However, it remains unclear whether anesthesia and surgery are associated with an increased risk of AD in humans. To date, there have not been randomized controlled trials to provide evidence for such a causal relationship. Besides, observational studies showed inconsistent results. A meta-analysis of 15 case-control studies revealed no statistically significant association between general anesthesia and the development of AD (pooled odds ratio [OR] =1.05; P=0.43). However, a few retrospective cohort studies have demonstrated that exposure to anesthesia and surgery is associated with an increased risk of AD. Thus, well-designed studies with longer follow-up periods are still needed to define the role of anesthesia in relation to the development of AD. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Germany | 1 | 2% |
Unknown | 44 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 7 | 16% |
Researcher | 7 | 16% |
Student > Master | 6 | 13% |
Student > Ph. D. Student | 4 | 9% |
Other | 3 | 7% |
Other | 9 | 20% |
Unknown | 9 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 40% |
Neuroscience | 6 | 13% |
Psychology | 5 | 11% |
Nursing and Health Professions | 3 | 7% |
Social Sciences | 1 | 2% |
Other | 1 | 2% |
Unknown | 11 | 24% |