Gout & crystal arthritis

Association of the Quantity, Duration, and Type of Alcohol Consumption on the Development of Gouty Tophi

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Longer duration and higher quantity of alcohol consumption as well as spirits consumption are predictors for the development of US-detected tophi and subcutaneous tophi in patients with gout.

Study context

Population
Chinese patients with gout who underwent ultrasound (US) and physical examination of the most frequently involved joints
Participants
554 patients
Exposure
Excessive, long-term and spirits drinkers vs non-drinkers
Outcome
Presence, size and number of US-detected tophi and subcutaneous tophi
Methodological detailsmultivariable analysis
  • Multivariable analysis

Main finding

As reported in the abstract

Presence of US-detected tophi and subcutaneous tophi (multivariable)

Odds ratio

1.79

all P < 0.05

Excessive drinkers vs Non-drinkers · 2.00 after adjustment; >70 gm/week

Odds ratio

1.96

all P < 0.05

Long-term drinkers vs Non-drinkers · 2.17 after adjustment; ≥10 years

Odds ratio

1.81

all P < 0.05

Spirits consumption · 2.10 after adjustment

Observational data: associations, not effects.

Further findings

Larger or multiple tophi in patients who already had US-detected or subcutaneous tophi (subgroup)

Moderate drinking (≤70 gm/week) associated with larger or multiple tophi
all P < 0.05

Original publication

Association of the Quantity, Duration, and Type of Alcohol Consumption on the Development of Gouty Tophi. Arthritis Care Res (Hoboken). Published 14 December 2022. doi:10.1002/acr.24968

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