Gout & crystal arthritis

Gout in Dalarna, Sweden – a population-based study of gout occurrence and compliance to treatment guidelines

Scand J RheumatolPublished Population-based registry study

Authors' conclusion

Incidence and prevalence were slightly higher than in previous Swedish reports. Allopurinol use among prevalent gout patients did not increase during 2014-2019. Only a minor improvement in persistence was seen, and a moderate increase in compliance with guidelines

Study context

Population
Gout patients in Dalarna, Sweden
Exposure
Patients starting allopurinol 2016-2018 vs 2013-2015
Outcome
Incidence and prevalence of gout
Methodological detailsprospectively registered data
  • Prospectively registered data

Main finding

As reported in the abstract

Incidence of gout during 2014-2019, per 100 000 person-years

221-247

Prevalence in 2018

2.45%

Observational data: associations, not effects.

Further findings

Allopurinol persistence

P = 0.031

Baseline serum urate measured

P < 0.001

Follow-up serum urate measured

P < 0.001

Reaching serum urate < 360 µmol/L

P < 0.001

Proportion of prevalent cases on allopurinol

Proportion on allopurinol among prevalent cases
21% to 25%

Original publication

Gout in Dalarna, Sweden – a population-based study of gout occurrence and compliance to treatment guidelines. Scand J Rheumatol. Published 27 October 2022. doi:10.1080/03009742.2022.2132055

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