Discovering patients who got a PD diagnosis in PPMI and Fox Insight cohorts

Hello! I wanted to identify which patients entered PPMI and Fox Insight cohorts without a PD diagnosis but got this diagnosis in any follow-up visit. Does anyone knows which variables or procedures I should look for to identify that in each of those datasets?

Thank you a lot!

For FoxInsight:

InitPDDiag is the diagnosis at time of registration in Fox Insight looking at youngest age

Then, you can use CurrPDDiag to look at if there was a change in diagnosis

Also, you can look at PDChangePD variable for people who had a change in their diagnosis

Agree with Gian. We typically recommend people to look at the InitPDDiag vs. CurrPdDiag to see if participants “phenoconverted” in Fox Insight. I have that in quotes because there are also some people who, based on their responses, were cured (e.g., went from reporting a diagnosis of PD, to not having PD). This could of course be due to reclassification of disease (e.g., correcting a prior misdiagnosis), but would recommend looking at multiple CurrPDDiag values and making your own assessment.

The number of participants who go from PD → not or no PD → PD is very small (my recollection is ~150 participants).

Thank you both for your excellent answer!

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adding my two cents, as we just finished a manuscript using fox insight data and encountered this issue. We compared the reported PD diagnosis at time of a new survey deployed to currpddiag and excluded discrepancies. It wasn’t many exclusions.

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