Gout & crystal arthritis

Fractures in Patients With Acute Calcium Pyrophosphate Crystal Arthritis Versus Matched Comparators in a Large Cohort Study

Arthritis RheumatolPublished Retrospective cohort study

Main finding · First fracture (humerus, wrist, hip, pelvis)Result — go to the resultAdjusted hazard ratio 1.8 95% CI 1.3–2.3

Authors' conclusion

In this first published study of fractures and CPPD, fracture risk was nearly doubled in patients with acute CPP crystal arthritis.

Study context

Population
Patients with acute CPP crystal arthritis and matched comparators, single academic health system, 1991–2023 (mean age 73 years); patients with prior fracture excludedmatched cohort
Participants
1,148 vs 3,730
Exposure
Acute CPP crystal arthritis vs matched comparators
  • Acute CPP crystal arthritisn = 1,148
  • Comparatorsn = 3,730reference
Outcome
First fracture at the humerus, wrist, hip, or pelvis
Methodological detailslongitudinal, matched, single large academic health system, electronic health record data
  • Longitudinal
  • Matched
  • Single large academic health system
  • Electronic health record data

Main finding

First fracture (humerus, wrist, hip, pelvis)

Adjusted hazard ratio

1.8

95% CI 1.3–2.3

By group

Acute CPP crystal arthritisvs Comparators
aHR 1.8 (95% CI 1.3–2.3)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Sensitivity analyses (excluding GC, osteoporosis treatment or RA; adjusting for CKD)

Results similar in sensitivity analyses

Original publication

Fractures in Patients With Acute Calcium Pyrophosphate Crystal Arthritis Versus Matched Comparators in a Large Cohort Study. Arthritis Rheumatol. Published 8 February 2024. doi:10.1002/art.42798

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