Gout & crystal arthritis

Cause‐Specific Mortality in Patients With Gout in the US Veterans Health Administration: A Matched Cohort Study

Arthritis Care Res (Hoboken)Published Matched cohort study

Authors' conclusion

A higher risk of death among gout patients in the VHA was related to comorbidity burden.

Study context

Population
US Veterans Health Administration patients with and without gout (mean age 67 years; 99% male), followed until death or December 2017matched cohort
Exposure
Gout vs matched patients without gout
Outcome
All-cause and cause-specific mortality (cause of death from the National Death Index)
Methodological detailsmatched up to 1:10 on birth year, sex and year of Veteran's Health Administration (VHA) enrollment, multivariable Cox regression
  • Matched up to 1:10 on birth year, sex and year of VHA enrollment
  • Multivariable Cox regression

Main finding

As reported in the abstract

All-cause mortality

Gout

246,291

events

Non-gout controls

2,000,000

events

Gout vs Non-gout controlsHazard ratio (95% CI)
After matching
1.09(1.08–1.09)
Adjusted for comorbidities
0.98(0.97–0.98)

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Death from genitourinary conditions (strongest cause-specific association)Goutvs Non-gout controls1.50 (1.47–1.54)
Death from neurologic conditions (e.g., Alzheimer's and Parkinson's disease)Goutvs Non-gout controls0.63 (0.62–0.65)
Death from mental health conditionsGoutvs Non-gout controls0.66 (0.65–0.68)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Cause‐Specific Mortality in Patients With Gout in the US Veterans Health Administration: A Matched Cohort Study. Arthritis Care Res (Hoboken). Published 11 November 2022. doi:10.1002/acr.24881

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