Cancer mortality in a population-based cohort of 10,322 parkinsonian patien
ts (448 deaths observed during 1987 to 1994) was compared with that of the
Italian province of Rome using the standardized mortality ratio (SMR). The
overall cancer mortality risk was lower in this cohort than in the referenc
e population (SMR, 56; 95% CI, 51 to 61); This reduction included most canc
er sites as well as both smoking-related (SMR, 51; 95% CI, 42 to 60) and no
nsmoking-related cancers (SMR, 58; 95% CI, 52 to 65). The observed reductio
n in cancer mortality risk in this cohort cannot be explained entirely by t
he hypothesis that smokers are less likely to develop PD.