Gout & crystal arthritis

Calcium pyrophosphate deposition is associated with an increased risk for nephrolithiasis: A cohort study

Semin Arthritis RheumPublished Retrospective cohort study

Main finding · Prevalence of nephrolithiasisResult — go to the resultAdjusted odds ratio 1.659 95 % CI 1.560–1.764

Authors' conclusion

These data suggest that CPPD is an independent risk factor for kidney stone formation and provide further support for the hypothesis that CPPD is a systemic disorder of mineralization with extra-articular implications.

Study context

Population
Veterans with CPPD and matched controls (average age 68.5 years; 94.3 % male)
Participants
93,804 veterans
Exposure
CPPD vs matched controls
  • CPPDn = 18,761
  • Controlsn = 75,043reference
Outcome
Prevalence of nephrolithiasis
Methodological detailsage-, sex- and date-matched (up to 4 controls), National VA Corporate Data Warehouse
  • Age-, sex- and date-matched (up to 4 controls)
  • National VA Corporate Data Warehouse

Main finding

As reported in the abstract

Adjusted odds ratio

1.659

95 % CI 1.560–1.764

By group

CPPDvs Controls
adjusted OR 1.659 (95 % CI 1.560–1.764)

Observational data: associations, not effects.

Original publication

Calcium pyrophosphate deposition is associated with an increased risk for nephrolithiasis: A cohort study. Semin Arthritis Rheum. Published 29 January 2025. doi:10.1016/j.semarthrit.2025.152641

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